Economic hardships from COVID-19 and its association with socioeconomic factors and diabetes management indicators: A cross-sectional study

Heliyon

Ege K. Duman¹  Xinyue Chen²  Lijing L. Yan³  Yiqian Xin⁴  Shangzhi Xiong⁴  Xinyi Yan⁴  Enying Gong⁴  Truls Østbye⁴ 

[1] Duke Global Health Institute, Duke University, Durham, North Carolina, USA;School of Population and Global Health, University of Melbourne, Victoria, Australia;The George Institute for Global Health, Faulty of Medicine and Health, University of New South Wales, Sydney, Australia;Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu Province, China;

关键词: COVID-19;    Pandemic;    Financial toxicity;    Income loss;    Diabetes management;   

DOI  :  

来源: DOAJ

【 摘 要 】

Aims: The three objectives of this study were to determine the economic hardships of COVID-19 pandemic, their socio-economic predictors, and their association with diabetes management indicators in three cities in a middle-income country. Methods: A community-based cross-sectional survey of 309 people with diabetes aged 34–85 was carried out in 10 communities during July and August 2020. Face-to-face surveys were conducted by trained community physicians. Economic hardship was assessed by income loss and “financial toxicity” during the COVID-19 pandemic, where financial toxicity was defined as experiencing economic difficulties in accessing diabetes management resources. Indicators of diabetes management was assessed by blood glucose and Hemoglobin A1c (HbA1c) monitoring frequency. Results: Among all respondents, 38.5% reported having income loss, and 15.5% experiencing financial toxicity during the pandemic. Younger and self-employed people living suburban areas were more likely to experience income loss. Similarly, suburban area residency and lower household income were associated with financial toxicity. Patients with financial toxicity were less likely to monitor HbA1c in the past three months (OR = 0.20; 95% CI, 0.07–0.48). Conclusion: Diabetes management as indicated by less frequent HbA1c monitoring was associated with experiencing COVID-19 related financial toxicity. Our findings identified vulnerable groups in need of additional support for diabetes management.

【 授权许可】

Unknown