The social determinants of the incidence and management of type 2 diabetes mellitus: are we prepared to rethink our questions and redirect our research activities?

Dennis Raphael (York University, Toronto, Ontario, Canada)
Susan Anstice (Ryerson University, Toronto, Ontario, Canada)
Kim Raine (University of Alberta, Edmonton, Alberta, Canada)
Kerry R. McGannon (University of Iowa, Iowa City, Iowa, USA)
Syed Kamil Rizvi (York University, Toronto, Ontario, Canada)
Vanessa Yu (York University, Toronto, Ontario, Canada)

Leadership in Health Services

ISSN: 1366-0756

Publication date: 1 September 2003

Abstract

This paper discusses the role played by social determinants of health in the incidence and management of type 2 diabetes mellitus (diabetes) among vulnerable populations. This issue is especially important in light of recent data from Statistics Canada indicating that mortality rates from diabetes have been increasing among Canadians since the mid‐1980s, with increases being especially great among those living in low‐income communities. Diabetes therefore appears – like cardiovascular disease – to be an affliction more common among the poor and excluded. It also appears to be especially likely to afflict poor women. Yet we know little about how these social determinants of health influence diabetes incidence and management. What evidence is available is provided and the case is made that the crisis in diabetes requires new ways of thinking about this disease, its causes, and its management.

Keywords

Citation

Raphael, D., Anstice, S., Raine, K., McGannon, K.R., Kamil Rizvi, S. and Yu, V. (2003), "The social determinants of the incidence and management of type 2 diabetes mellitus: are we prepared to rethink our questions and redirect our research activities?", Leadership in Health Services, Vol. 16 No. 3, pp. 10-20. https://doi.org/10.1108/13660750310486730

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MCB UP Ltd

Copyright © 2003, MCB UP Limited

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