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[Diabetes and social deprivation]
Claude Jaffiol1, Annick Fontbonne, Denyse Vannereau
1Académie nationale de médecine. c.jaffiol@wanadoo.fr
Bulletin De L'Academie Nationale De Medecine
|April 5, 2013
Summary
Low socioeconomic status (SES) is linked to poorer diabetes control, including worse blood sugar levels and quality of life. Specialized care networks improve outcomes for diabetic patients, regardless of their deprivation level.
Area of Science:
- Endocrinology
- Public Health
- Socioeconomic Determinants of Health
Background:
- Diabetes prevalence is linked to low socioeconomic status (SES).
- Limited understanding exists regarding SES impact on diabetes control, follow-up, and quality of life.
- The EPICES score was used to assess individual deprivation.
Purpose of the Study:
- To evaluate the relationship between socioeconomic status (SES) and diabetes control, follow-up, and quality of life.
- To compare outcomes between deprived and non-deprived diabetic patients.
- To assess the effectiveness of a specialized care network (AUDIAB) for diabetes management.
Main Methods:
- Cross-sectional study involving 1686 subjects in Montpellier and 154 in Narbonne.
- Clinical evaluations included capillary glycemia, BMI, waist circumference, blood pressure, and HbA1c.
- Questionnaires assessed socioeconomic status, diet, diabetes history, therapy, control, follow-up, and quality of life.
- Comparison between deprived and non-deprived groups, and between patients in the AUDIAB network versus those outside.
Main Results:
- Deprived subjects were younger, more often smokers, and had higher BMI.
- Among those under 65, deprived individuals showed higher prevalence of diabetes and hyperglycemia.
- Deprived diabetic patients had later diagnosis, poorer glycemic control, more complications (hypoglycemia, ketosis), and impaired quality of life (anxiety, depression).
- Patients within the AUDIAB care network demonstrated better disease control and quality of life.
Conclusions:
- Socioeconomic deprivation is associated with poorer diabetes control, increased complications, and reduced quality of life.
- Access to specialized care networks like AUDIAB can significantly improve diabetes management and patient well-being, irrespective of deprivation level.
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