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Cross-country comparison of diabetes...
~
Markovich, Patricia A.
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Cross-country comparison of diabetes and other chronic diseases in the United States compared to Canada.
紀錄類型:
書目-語言資料,印刷品 : Monograph/item
正題名/作者:
Cross-country comparison of diabetes and other chronic diseases in the United States compared to Canada./
作者:
Markovich, Patricia A.
面頁冊數:
179 p.
附註:
Source: Dissertation Abstracts International, Volume: 74-11(E), Section: B.
Contained By:
Dissertation Abstracts International74-11B(E).
標題:
Health Sciences, General. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3571752
ISBN:
9781303280030
Cross-country comparison of diabetes and other chronic diseases in the United States compared to Canada.
Markovich, Patricia A.
Cross-country comparison of diabetes and other chronic diseases in the United States compared to Canada.
- 179 p.
Source: Dissertation Abstracts International, Volume: 74-11(E), Section: B.
Thesis (Ph.D.)--The Johns Hopkins University, 2013.
The prevalence of diabetes and other chronic diseases is greater in the US than in other countries. This study encompasses three cross-national comparisons of health in the US relative to Canada. Specifically, it examines how chronic disease prevalence differs, what factors underlie the difference in diabetes prevalence, and how health care access and utilization among individuals with diabetes differ across the two countries.
ISBN: 9781303280030Subjects--Topical Terms:
1017817
Health Sciences, General.
Cross-country comparison of diabetes and other chronic diseases in the United States compared to Canada.
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Cross-country comparison of diabetes and other chronic diseases in the United States compared to Canada.
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Source: Dissertation Abstracts International, Volume: 74-11(E), Section: B.
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Adviser: Gerard Anderson.
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Thesis (Ph.D.)--The Johns Hopkins University, 2013.
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The prevalence of diabetes and other chronic diseases is greater in the US than in other countries. This study encompasses three cross-national comparisons of health in the US relative to Canada. Specifically, it examines how chronic disease prevalence differs, what factors underlie the difference in diabetes prevalence, and how health care access and utilization among individuals with diabetes differ across the two countries.
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Data came from the Joint Canada-US Survey of Health, the Canadian Community Health Survey and the National Health Interview Survey. Comparative and regression analyses were used to assess the impact of various independent variables on chronic disease prevalence, diabetes prevalence, and different measures of health care.
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Chronic disease prevalence was significantly higher in the US than Canada for most of the chronic conditions examined. However, adjusting for key risk factors mitigated much of the difference, with differences in demographic and risk factors associated with 50-80 percent of the variance in prevalence between the two countries for most of the conditions examined. For all the chronic conditions examined except asthma, income disparities in disease prevalence were greater in the US. Comparing the diabetes population in each country, Americans faced greater barriers to care. More than one in seven non-elderly US adults with diabetes was uninsured, and was less likely to have a usual source of care or to have seen a doctor in the prior year. Even among those with insurance, lower income Americans with diabetes were significantly less likely to have a usual source of care, or to have seen a general or eye doctor. In Canada, all adults with diabetes reported a usual source of care, and household income did not make a difference in who consulted with a general doctor.
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The greater prevalence of chronic conditions in the US relative to Canada appears to be largely attributable to differences in a few demographic and modifiable risk factors. Among the population with diabetes, Canadians have fewer unmet health needs than their US counterparts. The lack of affordable US health care has left many Americans uninsured or underinsured, thereby placing some with diabetes at increased risk of complications and other poor health outcomes.
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