The economics of type 2 diabetes in middle-income countries

Seuring, Till (2017) The economics of type 2 diabetes in middle-income countries. Doctoral thesis, University of East Anglia.

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    This thesis researches the economics of type 2 diabetes in middle-income countries
    (MICs). Given the high prevalence of type 2 diabetes in MICs, in-depth
    country specific analysis is key for understanding the economic consequences of
    type 2 diabetes. The thesis consists of four studies with the unifying theme of
    improving the understanding of the causal impact of diabetes on economic outcomes.
    Study (1) provides an updated overview, critically assesses and identifies
    gaps in the current literature on the economic costs of type 2 diabetes using
    a systematic review approach; study (2) investigates the effects of self-reported
    diabetes on employment probabilities in Mexico, using cross-sectional data and
    making use of a commonly used instrumental variable approach; study (3) revisits
    and extends these results via the use of a fixed effects panel data analysis,
    also considering a broader range of outcomes, including wages and working
    hours. Further, it makes use of cross-sectional biomarker data that allow for the
    investigation of undiagnosed diabetes. Study (4) researches the effect of a diabetes
    diagnosis on employment as well as behavioural risk factors in China, using
    longitudinal data and applying an alternative identification strategy, marginal
    structural models estimation, while comparing these results with fixed effects estimation
    results. The thesis identifies a considerable economic burden of diabetes
    in middle-income countries and uncovers several inequities affecting women, the
    poor and the uninsured. Biomarker results indicate that the adverse effects are
    limited to those aware of their diabetes. Finally, women are also found to achieve
    fewer positive changes of their behavioural risk factors after a diabetes diagnosis
    than men, offering a potential explanation for their more adverse employment
    outcomes compared to men. To reduce the economic burden, the groups most
    affected by the identified inequities should be targeted. Further, the underlying
    reasons for the found sex differences need to be identified.

    Item Type: Thesis (Doctoral)
    Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
    Depositing User: Katie Miller
    Date Deposited: 21 Apr 2017 15:41
    Last Modified: 21 Apr 2017 15:41

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