Residential distance from major urban areas, diabetes and cardiovascular mortality in Australia

Magliano, Dianna J.; Cohen, Kerryn; Harding, Jessica L.; Shaw, Jonathan E.

doi:10.1016/j.diabres.2015.05.029

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…Similarly, a measure of remoteness (major cities or regional and remote areas) was assigned to each woman's postcode based on the Accessibility and Remoteness Index of Australia (ARIA) produced by the Australian Population and Migration Research Centre at the University of Adelaide. This index quantifies geographic access to health care services in Australia using road distances to the nearest service centres (ABS, 2011c;Magliano et al, 2014).…”

Section: Data Sourcesmentioning

confidence: 99%

Socio-economic disparities in access to assisted reproductive technologies in Australia

Harris

Burley

McLachlan

et al. 2016

Reproductive BioMedicine Online

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Women from disadvantaged socio-economic groups access assisted reproductive technology treatment less than women from more advantaged groups. However, women from disadvantaged groups tend to start families younger, making them less likely to suffer from age-related subfertility and potentially have less need for fertility treatment. Whether socio-economic disparities in access to assisted reproductive technology treatment persist after controlling for the need for treatment, has not been previously explored. This population based study demonstrates that socio-economic disparities in access to assisted reproductive technology treatment persist after adjusting for several confounding factors, including age at first birth (used as a measure of delayed childbearing, hence a proxy for need for fertility treatment), geographic remoteness and Australian jurisdiction. Assisted reproductive technology access progressively decreased as socio-economic quintiles became more disadvantaged, with a 15.8% decrease in access in the most disadvantaged quintile compared with the most advantaged quintile after controlling for confounding factors. The adjusted rate of access to assisted reproductive technology treatment also decreased by 12.3% for women living in regional and remote areas compared with those in major cities. These findings indicate that financial and sociocultural barriers to assisted reproductive technology treatment remain in disadvantaged groups after adjusting for need.

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Section: Data Sourcesmentioning

confidence: 99%

Socio-economic disparities in access to assisted reproductive technologies in Australia

Harris

Burley

McLachlan

et al. 2016

Reproductive BioMedicine Online

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“…In addition, while diabetes prevalence varies only slightly by remoteness, those in remote areas have twice the diabetes-related hospitalisation rate than people living in major cities [10]. Moreover, allcause and cardiovascular mortality rates among people with type 2 diabetes in Australia increase with remoteness [11]. Because the new GLDs are associated with a lower risk of hypoglycaemia and, for SGLT2is and GLP-1RAs, reduction in cardiovascular and renal disease, disparity in their use would be concerning and may contribute to socioeconomic disparities in outcomes.…”

Section: Introductionmentioning

confidence: 99%

The association of socioeconomic disadvantage and remoteness with receipt of type 2 diabetes medications in Australia: a nationwide registry study

et al. 2020

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Aims/hypothesis In recent years, several new medications for the treatment of type 2 diabetes have been released and some evidence indicates sociodemographic disparity in their utilisation. We sought to investigate sociodemographic disparities in receipt of diabetes medications across Australia. Methods This study included 1,203,317 people with type 2 diabetes registered on the Australian National Diabetes Services Scheme (NDSS) followed from 2007 to 2015. The NDSS was linked to the Australian pharmaceutical claims database. We investigated trends in diabetes medication dispensing and variation in dispensing by sociodemographic strata. Results Compared with individuals in the least disadvantaged areas, those in the most disadvantaged quintile were less likely to receive dipeptidyl peptidase-4 inhibitors (DPP4is), glucagon-like peptide-1 receptor agonists (GLP-1RAs) and sodium-glucose cotransporter 2 inhibitors (SGLT2is) in the first year of availability (OR [95% CI] for most vs least disadvantaged: 0.78 [0.75, 0.82], 0.65 [0.60, 0.71] and 0.89 [0.84, 0.95], respectively). These disparities dissipated over time for DPP4is and SGLT2is but remained significant for GLP-1RAs. The OR (95% CI) of receiving DPP4is, GLP-1RAs and SGLT2is in the first year of availability for people in remote areas vs major cities was 0.46 (0.39, 0.54), 0.46 (0.35, 0.61) and 0.71 (0.59, 0.84), respectively. These disparities remained significant through to 2015. Conclusions/interpretation People with diabetes in more disadvantaged areas are less likely to receive newer diabetes medications, although this effect decreased over time. However, there are considerable and persistent differences in receipt of newer diabetes medications between major cities and remote areas of Australia.

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“…The methods of linkage were not provided in most of the included studies ( n = 78; 66.1%) ( 19 – 21 , 23 – 35 , 37 , 38 , 40 – 47 , 49 , 51 , 52 , 54 – 59 , 61 , 63 – 65 , 68 – 71 , 75 , 79 , 81 – 83 , 85 – 91 , 93 , 94 , 96 – 98 , 101 , 102 , 104 , 106 , 107 , 112 , 113 , 116 , 118 , 120 – 122 , 124 , 125 , 127 , 128 , 133 – 135 ). The probabilistic method was predominantly used in the remaining studies ( n = 31; 26.3%) ( 22 , 36 , 39 , 48 , 50 , 53 , 60 , 62 , 66 , 67 , 72 – 74 , 76 , 77 , 80 , 92 , 99 , 100 , 103 , 105 , 108 , 117 , …”

Section: Resultsmentioning

confidence: 99%

A Comprehensive Systematic Review of Data Linkage Publications on Diabetes in Australia

Dinh

Cox

Graaff

et al. 2022

Front. Public Health

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AimsOur study aimed to identify the common themes, knowledge gaps and to evaluate the quality of data linkage research on diabetes in Australia.MethodsThis systematic review was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (the PRISMA Statement). Six biomedical databases and the Australian Population Health Research Network (PHRN) website were searched. A narrative synthesis was conducted to comprehensively identify the common themes and knowledge gaps. The guidelines for studies involving data linkage were used to appraise methodological quality of included studies.ResultsAfter screening and hand-searching, 118 studies were included in the final analysis. Data linkage publications confirmed negative health outcomes in people with diabetes, reported risk factors for diabetes and its complications, and found an inverse association between primary care use and hospitalization. Linked data were used to validate data sources and diabetes instruments. There were limited publications investigating healthcare expenditure and adverse drug reactions (ADRs) in people with diabetes. Regarding methodological assessment, important information about the linkage performed was under-reported in included studies.ConclusionsIn the future, more up to date data linkage research addressing costs of diabetes and its complications in a contemporary Australian setting, as well as research assessing ADRs of recently approved antidiabetic medications, are required.

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Residential distance from major urban areas, diabetes and cardiovascular mortality in Australia

Cited by 10 publications

References 19 publications

Socio-economic disparities in access to assisted reproductive technologies in Australia

Socio-economic disparities in access to assisted reproductive technologies in Australia

The association of socioeconomic disadvantage and remoteness with receipt of type 2 diabetes medications in Australia: a nationwide registry study

A Comprehensive Systematic Review of Data Linkage Publications on Diabetes in Australia

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