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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Abstract

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:	Users 4971 not found.
Date Deposited:	21 Apr 2017 14:41
Last Modified:	21 Apr 2017 14:41
URI:	https://ueaeprints.uea.ac.uk/id/eprint/63278
DOI:

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