Diabetes and the Rise of the SES Health Gradient

James Smith

NBER Working Paper No. 12905
Issued in February 2007
NBER Program(s):   AG    HC    HE

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---- Abstract -----

This paper investigates the salient diabetes prevalence patterns across key SES indicators, and how they changed over time. The investigation spans both the conventional concept of diagnosed diabetes and a more comprehensive measure including those whose diabetes is undiagnosed. By doing so, I separate the distinct impact of covariates on disease onset, better self-management, and the probability of disease diagnosis. Emphasis is given to SES correlates of undiagnosed diabetes and how these changed as those with undiagnosed diabetes plummeted over the last 25 years. I estimate the differential ability by education to successful self-manage diabetes, especially when disease self-management became more complicated.

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