RT Journal Article
T1 Reducing health inequalities among most disadvantaged type 2 diabetes patients: A cross-sectional exploratory pilot study.
A1 Barrios Quinta, Ana Maria
A1 Morilla Romero de la Osa, Ruben
A1 Bueno Ferran, Mercedes
K1 diabetes mellitus type 2
K1 health status disparities
K1 primary health care
K1 social determinants of health
AB Demographic changes and the increased chronical diseases burden are global challenges that cannot go unnoticed by healthcare systems, which must be organized without losing sight of the increasing influence of social determinants. To evaluate the results of a primary care program implemented to reduce health inequalities associated with social determinants in patients with type 2 diabetes. An exploratory pilot retrospective cross-sectional study that includes secondary data of 404 nonrandomized patients belonging to socially depressed areas and conventional areas. Descriptive, bivariate, and multivariate analyses were performed. The age of the subjects included in the study was 66.80 ± 9.7 years with a proportion of 56.7% men. Proportions of patients from socially depressed areas and adherence to the Nursing Follow-up Program were around 33% and 60%, respectively. The obesity rate was 51%, percentage of patients with HbA1c The program has proven to be efficient in equating the health outcomes related with cardiovascular risk of patients from both types of areas. Well-directed health policies could bring primary care systems closer to sustainable development goals through the reduction of health disparities that affect socially vulnerable groups. To introduce a risk strategy and to adopt a family approach, contemplating the sociocultural and educational differences that diversely affect men and women in their health status has proven to be useful in reducing health disparities due to social determinants in patients with type 2 diabetes.
PB Wiley-Blackwell Publishing, Inc.
YR 2022
FD 2022-11-03
LK http://hdl.handle.net/10668/19987
UL http://hdl.handle.net/10668/19987
LA en
NO Barrios Quinta AM, Morilla Romero de la Osa R, Bueno Ferrán M. Reducing health inequalities among most disadvantaged type 2 diabetes patients: A cross-sectional exploratory pilot study. J Nurs Scholarsh. 2022 Nov;54(6):668-677.
DS RISalud
RD Apr 8, 2025