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Abstract：
There is a steady increase in diabetes prevalence globally and many studies imply that high socioeconomic status (SES) is inversely related to diabetes prevalence. However, there is scarcity in literature from countries like Egypt regarding this topic.
This study aims to investigate prevalence of diabetes in Egypt between 2008 and 2015, and the effect of SES. Diabetes prevalence -based on self-reports of past diagnosis- was measured using two datasets Egypt DHS 2008 (10,917 participants) and EHIS 2015 (16,485 participants). Logistic regression and odds ratios (ORs) with 95% confidence intervals (CIs) were applied for diabetes controlling for age, gender, educational level, employment status and place of residence. Extend of difference in diabetes prevalence between the two time points was measured by combining the two datasets using the EDHS 2008 as reference.
Diabetes prevalence was higher in 2015 (4.83%) compared to 2008 (3.48%). It was more in women at both time points (4.08% and 5.16% in 2008 and 2015 respectively) compared to men (2.80% and 4.43% in 2008 and 2015 respectively). Older age and living in urban areas were positively related to diabetes prevalence at both time points. Men had a significant higher chance of developing diabetes in 2015 (OR = 1.45, p-value = 0.001). Men with higher education had higher chance of developing diabetes (OR = 1.76), in contrast to women (OR = 0.59). Employment decreased the chance of developing diabetes for men (OR = .72), but had minimal effect on women (OR = 1.06).
Diabetes prevalence in Egypt has increased between the years 2008 and 2015 and evident social inequalities were found. Women had more diabetes than men and were more affected with low SES. Unlike women, highly educated men had higher chance of developing diabetes in 2015 compared to 2008. This might be attributed to behavioral and sociocultural factors.
This study aims to investigate prevalence of diabetes in Egypt between 2008 and 2015, and the effect of SES. Diabetes prevalence -based on self-reports of past diagnosis- was measured using two datasets Egypt DHS 2008 (10,917 participants) and EHIS 2015 (16,485 participants). Logistic regression and odds ratios (ORs) with 95% confidence intervals (CIs) were applied for diabetes controlling for age, gender, educational level, employment status and place of residence. Extend of difference in diabetes prevalence between the two time points was measured by combining the two datasets using the EDHS 2008 as reference.
Diabetes prevalence was higher in 2015 (4.83%) compared to 2008 (3.48%). It was more in women at both time points (4.08% and 5.16% in 2008 and 2015 respectively) compared to men (2.80% and 4.43% in 2008 and 2015 respectively). Older age and living in urban areas were positively related to diabetes prevalence at both time points. Men had a significant higher chance of developing diabetes in 2015 (OR = 1.45, p-value = 0.001). Men with higher education had higher chance of developing diabetes (OR = 1.76), in contrast to women (OR = 0.59). Employment decreased the chance of developing diabetes for men (OR = .72), but had minimal effect on women (OR = 1.06).
Diabetes prevalence in Egypt has increased between the years 2008 and 2015 and evident social inequalities were found. Women had more diabetes than men and were more affected with low SES. Unlike women, highly educated men had higher chance of developing diabetes in 2015 compared to 2008. This might be attributed to behavioral and sociocultural factors.
摘要：
背景：全球糖尿病患病率稳步上升，许多研究表明，高社会经济地位（SES）与糖尿病患病率呈负相关。然而,像埃及这样的国家关于这个话题的文献很少。
方法：本研究旨在调查2008年至2015年间埃及糖尿病的患病率以及SES的影响。基于过去诊断的自我报告的糖尿病患病率-使用两个数据集埃及DHS2008（10,917名参与者）和EHIS2015（16,485名参与者）进行测量。Logistic回归和优势比（OR）与95％置信区间（CI）应用于糖尿病控制的年龄，性别,教育水平,就业状况和居住地。通过使用EDHS2008作为参考组合两个数据集来测量两个时间点之间的糖尿病患病率差异的扩展。
结果：2015年糖尿病患病率（4.83%）高于2008年（3.48%）。与男性（2008年和2015年分别为2.80％和4.43％）相比，这两个时间点的女性人数更多（2008年和2015年分别为4.08％和5.16％）。在两个时间点，年龄和居住在城市地区与糖尿病患病率呈正相关。2015年，男性患糖尿病的几率明显更高（OR=1.45，p值=0.001）。受过高等教育的男性患糖尿病的几率更高（OR=1.76），与女性相比（OR=0.59）。就业降低了男性患糖尿病的机会（OR=0.72），但对女性影响最小(OR=1.06)。
结论：2008年至2015年期间，埃及的糖尿病患病率增加，社会不平等现象明显。女性比男性有更多的糖尿病，并且受SES低的影响更大。不像女人,与2008年相比，2015年受过高等教育的男性患糖尿病的几率更高。这可能归因于行为和社会文化因素。
方法：本研究旨在调查2008年至2015年间埃及糖尿病的患病率以及SES的影响。基于过去诊断的自我报告的糖尿病患病率-使用两个数据集埃及DHS2008（10,917名参与者）和EHIS2015（16,485名参与者）进行测量。Logistic回归和优势比（OR）与95％置信区间（CI）应用于糖尿病控制的年龄，性别,教育水平,就业状况和居住地。通过使用EDHS2008作为参考组合两个数据集来测量两个时间点之间的糖尿病患病率差异的扩展。
结果：2015年糖尿病患病率（4.83%）高于2008年（3.48%）。与男性（2008年和2015年分别为2.80％和4.43％）相比，这两个时间点的女性人数更多（2008年和2015年分别为4.08％和5.16％）。在两个时间点，年龄和居住在城市地区与糖尿病患病率呈正相关。2015年，男性患糖尿病的几率明显更高（OR=1.45，p值=0.001）。受过高等教育的男性患糖尿病的几率更高（OR=1.76），与女性相比（OR=0.59）。就业降低了男性患糖尿病的机会（OR=0.72），但对女性影响最小(OR=1.06)。
结论：2008年至2015年期间，埃及的糖尿病患病率增加，社会不平等现象明显。女性比男性有更多的糖尿病，并且受SES低的影响更大。不像女人,与2008年相比，2015年受过高等教育的男性患糖尿病的几率更高。这可能归因于行为和社会文化因素。
