Socio-economic inequalities in diabetes prevalence in the Kingdom of Saudi Arabia

Int J Health Plann Manage. 2020 Jan;35(1):233-246. doi: 10.1002/hpm.2899. Epub 2019 Aug 28.

Abstract

Background: Rising prevalence of non-communicable diseases, including diabetes in the Middle East, is a major public health concern of the 21st century. However, there is a paucity of literature to understand and measure socio-economic inequalities in diabetes prevalence in this region, including the Kingdom of Saudi Arabia (KSA).

Methods: This study investigated socio-economic inequalities in diabetes prevalence in the KSA using data from the Saudi Arabia Health Interview Survey. Concentration curve, concentration index, and multivariate logistic regression were used to measure and examine income- and education-related inequalities in diabetes prevalence.

Results: The results showed significant socio-economic inequalities in the prevalence of diabetes through analysing a nationally representative sample of the KSA population. Diabetes prevalence was concentrated among the poor and among people with less education. In addition, education-related inequality was higher than income-related inequality.

Conclusions: The findings of this study are important for policymakers to combat both the increasing prevalence of and socio-economic inequalities in diabetes. The government should promote health education programmes and increase the level of public awareness of diabetes management, especially among the lower educated population in the KSA.

Keywords: Saudi Arabia; concentration curve; concentration indices; diabetes prevalence; inequality.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Diabetes Mellitus / epidemiology*
  • Educational Status
  • Female
  • Health Status Disparities*
  • Health Surveys
  • Humans
  • Income / statistics & numerical data
  • Logistic Models
  • Male
  • Middle Aged
  • Poverty / statistics & numerical data
  • Prevalence
  • Saudi Arabia / epidemiology
  • Socioeconomic Factors
  • Young Adult