Original Research Article
Year: 2017 | Month: March | Volume: 4 | Issue: 3 | Pages: 29-35
Socio- Economic and Demographic Variables Impacting the Costing of Diabetes Mellitus in an Urban Slum in Mumbai
Dr. Sophia Derrick Fernandes1, Dr. Roshni Cynthia Miranda1, Dr. Sunny Damien Anthony Fernandes2, Dr. Ratnendra Ramesh Shinde3
1Assistant Professor, Department of Community Medicine, HBT Medical College & Dr. R.N. Cooper Municipal Hospital, Juhu, Mumbai- 400056.
2Assistant Professor, Department of Community Medicine, Wayanad Insitute of Medical Sciences, Wayanad, Kerala, 673577.
3Professor and Head, Department of Community Medicine, Seth G.S.Medical College & KEM hospital, Parel, Mumbai-400012
Corresponding Author: Dr. Sophia Derrick Fernandes
Although Diabetes mellitus (DM) is a common chronic disease in nearly all countries, India is on the brink of an epidemic of Diabetes Mellitus. It is an escalating problem in India and has major socioeconomic dimensions. A prospective community based cohort study with cluster sampling was taken up in an urban slum of Mumbai for assessing the effect of socio-demographic and economic variables on the expenditure incurred on management of diabetes mellitus.
Results: In the current study, the mean age of the participants was 51 years, suggesting a significant burden of DM in the middle aged population. Males made up 52.5 % of all the participants. Most of the participants were from lower middle socio-economic class according to modified Kuppuswamy’s classification (65.8 %). The mean monthly household expenditure was INR 13,032 and the mean monthly expenditure on Diabetes was INR 874.17. There was a statistically significant difference in direct expenditure among groups by age, educational qualification and staying with partner. The indirect expenditure was affected by sex and staying with partner, while total expenditure differed by age, sex, educational qualification and staying with partner.
Conclusion: Socio- economic and demographic variables affect the costing of Type 2 Diabetes Mellitus DM. Public awareness regarding the impact of diabetes not only on the mortality and morbidity but also on the financial health of the household, needs to be increased by Heath education and awareness campaigns through the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke.
Key words: Diabetes Mellitus, Socio-demographic variables, direct cost, indirect cost.[PDF Full Text]