ANALYSING THE IMPACT OF SOCIOECONOMIC FACTORS ON DIABETES PREVALENCE AND HEALTHCARE ACCESS IN RURAL AMERICA
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Keywords
Diabetes, Healthcare, Socioeconomic, Prevalence, Rural
Abstract
The research focused on the complex association of SES, health insurance, and diabetes in rural populations in the United States of America to fill a gap in the literature. The purpose was to evaluate the relationship of different elements of SES and the accessibility to health care services on diabetes in the adult population of rural areas. This survey is cross sectional involving 500 adults aged 18 and above and the sampling was done through the use of stratified random sampling. The quantitative data were gathered from self completed structured questionnaires and qualitative data were obtained through interviews with health care providers on subjects such as demographic characteristics, income, education, healthcare access and diabetes. The research established diabetes at 12% with a clear Income split split—20% of the lowest income earners and only 5% of those in the higher income group. Furthermore, 30 % Rated their health care access as moderate to low and this was having strong negative relation with diabetes*d (r = - 0.56, p < 0.01). Logistic regression analysis indicated that low SES (Odds Ratio: 3.2, 95% Confidence Interval: 1.8–5.7) and inadequate healthcare access (Odds Ratio: 2.4, 95% Confidence Interval: 1.3–4.5) were critical predictors of diabetes risk. Hence, these findings have expanded the imperative call for efforts that addresses various social economic determinants of health with specific focus on the improvement of health access in rural regions. Therefore, this research has important implications for the analysis of socio-economic determinants that compound diabetes risks and the formulation of relevant public health interventions targeted at improving the access of vulnerable populations to effective diabetes care.
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Md Mainul Islam
College of graduate and professional studies, Angola, Indiana, USA
Md Shahdat Hossain
College of graduate and professional studies, Angola, Indiana, USA
Mohammad Ali
College of graduate and professional studies, Angola, Indiana, USA
Md Shahadat Hossain
College of graduate and professional studies, Angola, Indiana, USA