Socio-economic disparities in the appropriateness of diabetes care in an Italian region: Findings of AEQUITAS study

Rosaria Gesuita, Francesca Piraccini, Edlira Skrami, Italo Paolini, Giuliano Sebastianelli, Carlo Stramenga, Dario Bartolucci, Alberico Marcobelli, Fabio Romagnoli, Giulia Silvestrini, Walter Ricciardi, Gianfranco Damiani, Flavia Carle

Risultato della ricerca: Contributo in rivistaArticolo in rivista


Background: To evaluate socio-economic disparities in diabetes prevalence and care in Marches (a region of central Italy) in 2003-2010 through a cross-sectional study. Methods: The databases of 52 general practitioners were mined for people with diabetes (age ≥20 years). These data were linked with records from other regional administrative databases. Healthcare disparities, specifically potentially preventable hospitalizations (PPH) related to diabetes and its complications, were analysed using participants’ gender, age, and education data and the Italian Deprivation Index. Crude, age-specific and gender-specific diabetes prevalence was estimated for each year of observation. A time-trend analysis was performed. Admissions that might have been prevented according to Agency for Healthcare Research and Quality criteria were used to calculate the PPH rate for each level of social condition indicators. Rate ratios and 95% confidence intervals were estimated with a multiple Poisson regression model. Results: The search found 6,494 participants with diabetes mellitus aged ≥20 years. Disease prevalence ranged from 5.4% (2003) to 7.8% (2010), with a significant 0.31% positive trend. Those aged ≤44 years were at significantly higher risk of PPH than older people. A significant PPH excess was found among people living in socio-economically disadvantaged areas. Education and gender did not significantly affect PPH. Conclusions: People with diabetes seem to use primary care services appropriately irrespective of socio-economic status. Outpatient services are not equally distributed on the regional territory; this may increase disease severity and/ or the risk of diabetes complications and affect appropriateness of diabetes care.
Lingua originaleEnglish
pagine (da-a)e12951-e12951-8
RivistaEpidemiology Biostatistics and Public Health
Stato di pubblicazionePubblicato - 2018


  • Community and Home Care
  • Diabetes care appropriateness
  • Epidemiology
  • Health Policy
  • Healthcare
  • Healthcare databases
  • Preventable hospitalization
  • Public Health, Environmental and Occupational Health
  • Socio-economic disparities


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