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The social determinants of the incidence and management of type 2 diabetes mellitus: are we prepared to rethink our questions and redirect our research activities?

The social determinants of the incidence and management of type 2 diabetes mellitus: are we... This paper discusses the role played by social determinants of health in the incidence and management of type 2 diabetes mellitus (diabetes) among vulnerable populations. This issue is especially important in light of recent data from Statistics Canada indicating that mortality rates from diabetes have been increasing among Canadians since the mid‐1980s, with increases being especially great among those living in low‐income communities. Diabetes therefore appears – like cardiovascular disease – to be an affliction more common among the poor and excluded. It also appears to be especially likely to afflict poor women. Yet we know little about how these social determinants of health influence diabetes incidence and management. What evidence is available is provided and the case is made that the crisis in diabetes requires new ways of thinking about this disease, its causes, and its management. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Leadership in Health Services Emerald Publishing

The social determinants of the incidence and management of type 2 diabetes mellitus: are we prepared to rethink our questions and redirect our research activities?

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Publisher
Emerald Publishing
Copyright
Copyright © 2003 MCB UP Ltd. All rights reserved.
ISSN
1366-0756
DOI
10.1108/13660750310486730
Publisher site
See Article on Publisher Site

Abstract

This paper discusses the role played by social determinants of health in the incidence and management of type 2 diabetes mellitus (diabetes) among vulnerable populations. This issue is especially important in light of recent data from Statistics Canada indicating that mortality rates from diabetes have been increasing among Canadians since the mid‐1980s, with increases being especially great among those living in low‐income communities. Diabetes therefore appears – like cardiovascular disease – to be an affliction more common among the poor and excluded. It also appears to be especially likely to afflict poor women. Yet we know little about how these social determinants of health influence diabetes incidence and management. What evidence is available is provided and the case is made that the crisis in diabetes requires new ways of thinking about this disease, its causes, and its management.

Journal

Leadership in Health ServicesEmerald Publishing

Published: Sep 1, 2003

Keywords: Diabetes; Health services; Research work; Social factors

References

  • Living with a chronic illness: Chinese‐Canadian and Euro‐Canadian women with diabetes – exploring factors that influence management
    Anderson, J.; Wiggins, R.; Rawjani, R.; Holbrook, A.; Blue, C.; Ng, M.
  • Immigrant women speak of chronic illness: the social construction of the devalued self
    Anderson, J.M.
  • Living with diabetes: issues for nursing practice
    Callaghan, D.; Williams, A.
  • Risk factors for diabetes mellitus by age and sex: results of the National Population Health Survey
    Choi, B.C.K.; Shi, F.
  • Health Promotion Atlantic
  • Developmental Health and the Wealth of Nations
  • Fetal growth and insulin secretion in adult life
    Leger, J.; Levy‐Marchal, C.; Bloch, J.; Pinet, A.; Chevenne, Phillips, D.I.; Hirst, S.; Clark, P.M.; Hales, C.N.; Osmond, C.
  • Ethics, epidemiology, and the thrifty gene: biological determinism as a health hazard
    McDermott, R.
  • Fetal growth and impaired glucose tolerance in men and women
    Phipps, K.; Barker, D.J.; Hales, C.N.; Fall, C.H.; Osmond, C.; Clark, P.M.
  • Addressing health inequalities in Canada
    Raphael, D.
  • The social organization of nutritional inequities
    Travers, K.D.

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