CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2018; 06(01): 011-014
DOI: 10.1055/s-0038-1676186
Review Article
NovoNordisk Education Foundation

Diabetes and poverty: A primer for resource poor countries

Altamash Shaikh
Department of Endocrinology, Saifee Hospital, Mumbai, Maharashtra, India
,
K. V. S Hari Kumar
1   Department of Endocrinology, Army Hospital (R&R), New Delhi, India
› Author Affiliations
Further Information

Publication History

Received: 30 July 2017

Accepted: 01 August 2017

Publication Date:
22 November 2018 (online)

Abstract

Diabetes mellitus is assuming pandemic proportions and is affecting both the developed and developing countries. India and China are the two most populous countries in the world that account for one-sixth of the world population. The prevalence of diabetes is also very common in these two countries next to that of the United States of America. The unique characteristics of diabetes in Southeast Asians include low body weight, high visceral fat, and also the increased insulin resistance. The developing nations have to grapple with the dual burden of the nutrient deficiency and excess states. The resources allocated for the health are often scarce and have to be utilized optimally in these places. The course and complications of diabetes also differ between the developed and developing nations. In this review, we describe the unique characteristics of diabetes in poor countries and also suggest certain remedial measures to improve the same.

 
  • References

  • 1 Available from: www.who.int/topics/poverty/en/ [Last accessed on 2017 Jul 25].
  • 2 Lu Y, Hernandez P, Abegunde D, Edejer T. The World Medicines Situation 2011. Medicine Expenditures. 3rd edition, Geneva WHO 32 Accessed from: http://apps.who.int/medicinedocs/documents/s18767en/s18767en.pdf [Last accessed on 2017 Jul 25].
  • 3 Innocenti Research Centre. The Child Care Transition: A League Table of Early Childhood Education and Care in Economically AdvancedCountries. Florence: Innocenti Research Centre; 2008
  • 4 Available from: http://www.diabetesatlas.org [Last accessed on 2017 Jul 25].
  • 5 International Diabetes Federation. IDF Diabetes Atlas. 5th ed. Brussels: International Diabetes Federation; 2015
  • 6 World Health Organization. Global Report on Diabetes. Geneva: WHO; 2016
  • 7 Hales CN, Barker DJ. Type 2 (non-insulin-dependent) diabetes mellitus: The thrifty phenotype hypothesis. Diabetologia 1992; 35: 595-601
  • 8 Bhojani U, Thriveni B, Devadasan R, Munegowda C, Devadasan N, Kolsteren P. et al. Out-of-pocket healthcare payments on chronic conditions impoverish urban poor in Bangalore, India. BMC Public Health 2012; 12: 990
  • 9 Ghosh S. Catastrophic payments and impoverishment due to out-of-pocket health spending. Econ Polit Wkly 2011; xlvi 63-70
  • 10 Auchincloss AH, Diez Roux AV, Mujahid MS, Shen M, Bertoni AG, Carnethon MR. Neighborhood resources for physical activity and healthy foods and incidence of type 2 diabetes mellitus: The multi-ethnic study of Atherosclerosis. Arch Intern Med 2009; 169: 1698-1704
  • 11 Bhojani U, Mishra A, Amruthavalli S, Devadasan N, Kolsteren P, De Henauw S. et al. Constraints faced by urban poor in managing diabetes care: Patients' perspectives from South India. Glob Health Action 2013; 6: 22258
  • 12 Maty SC, Lynch JW, Raghunathan TE, Kaplan GA. Childhood socioeconomic position, gender, adult body mass index, and incidence of type 2 diabetes mellitus over 34 years in the Alameda county study. Am J Public Health 2008; 98: 1486-1494
  • 13 Lawlor DA, Smith GD, Ebrahim S. Association between childhood socioeconomic status and coronary heart disease risk among postmenopausal women: Findings from the British Women's Heart and Health Study. Am J Public Health 2004; 94: 1386-1392
  • 14 Altamash S. Family therapy in diabetes mellitus. Indian J Endocrinol Metab 2013; 17 (Suppl. 01) S292-S294
  • 15 Goldstein J, Jacoby E, del Aguila R, Lopez A. Poverty is a predictor of non-communicable disease among adults in Peruvian cities. Prev Med 2005; 41: 800-806
  • 16 Shobhana R, Rama Rao P, Lavanya A, Padma C, Vijay V, Ramachandran A. Quality of life and diabetes integration among subjects with type 2 diabetes. J Assoc Physicians India 2003; 51: 363-365
  • 17 Albarran NB, Ballesteros MN, Morales GG, Ortega MI. Dietary behavior and type 2 diabetes care. Patient Educ Couns 2006; 61: 191-199
  • 18 Orr L, Fein J, Jacob R, Beecroft E, Sanbonmatsu L, Katz L. Moving to opportunity for fair housing demon-stration program interim impacts evaluation. Washington, DC: US Department of Housing and Urban Development; 2003