Background and aims: Social inequalities in health (SIH) may impact the prevalence of diabetes and diabetes-related complications. The aim of this study was to describe the association between SIH and prevalence/incidence of pharmacologically-treated diabetes in 2020 in France including French overseas territories (FOT). Materials and methods: Pharmacologically-treated people with diabetes were identified using a validated algorithm in the National health data system (Système National des Données de Santé: SNDS). SIH were measured via the French Deprivation index (FDep) of the 2015 version available for the Metropolitan France. Individuals living in FOT (excluding Mayotte) were considered separately. Age-standardized (2013 European standard population) prevalence and incidence rates were stratified by sex. Denominators were the French health consumers. Results: Data were available for 65,580,975 health consumers (97.3% of the French population). Age-standardized diabetes prevalence and incidence rates were lower in women than in men in metropolitan France, but prevalence was higher in women than men in FOT. Both prevalence and incidence were increasing by FDep quintiles (Q1 less deprived area, Q5 most deprived area) in metropolitan France and were even higher in FOT, in both genders. The Q5/Q1 ratio of age-standardized prevalence and incidence were higher in women (1.8 and 1.7 respectively) than in men (1.4 and 1.5 respectively). Conclusion: SIH are positively associated with prevalence and incidence of pharmacologically-treated diabetes in metropolitan France. The association is stronger in women than in men. Diabetes prevalence and incidence are higher in FOT regardless of sex. Future studies will investigate whether the influence of SIH on diabetes epidemiology varies over years.
58th Annual Meeting of the European Association for the Study of Diabetes (EASD), Stockholm, Suède, 19-23 septembre 2022
Auteur : Guion Marie, Mandereau-Bruno Laurence, Goria Sarah, Cosson Emmanuel, Fosse-Edorh Sandrine
Année de publication
: 2022
Pages : 15 p.
Format/Durée
: diaporama, 15 slides
