Public health burden of diabetes in Ireland: time trends, determinants of complications and the implementation of a public health intervention to improve health outcomes for people with diabetes

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dc.contributor.advisor Kearney, Patricia M. en
dc.contributor.advisor Buckley, Claire en
dc.contributor.advisor Fitzgerald, Tony en
dc.contributor.advisor Mchugh, Sheena en
dc.contributor.advisor Canavan, Ronan en
dc.contributor.author Tracey, Marsha L.
dc.date.accessioned 2018-02-09T11:33:26Z
dc.date.issued 2017
dc.date.submitted 2017
dc.identifier.citation Tracey, M. L. 2017. Public health burden of diabetes in Ireland: time trends, determinants of complications and the implementation of a public health intervention to improve health outcomes for people with diabetes. PhD Thesis, University College Cork. en
dc.identifier.endpage 266 en
dc.identifier.uri http://hdl.handle.net/10468/5430
dc.description.abstract Aim: To estimate the public health burden of diabetes in Ireland and to evaluate the implementation of a public health intervention to prevent and delay the development of a complication for people with diabetes. Methods: Data from four nationally representative studies were used to explore trends in diagnosed diabetes prevalence between 1998 and 2015. Cross-sectional analysis of data from The Irish Longitudinal Study on Ageing (TILDA) (2009–2011) was carried out to estimate the prevalence of diagnosed type 2 diabetes and its related complications in adults aged 50 years and over. Trends of visual impairment and blindness due to diabetic retinopathy in adults aged 18–69 years over a decade were explored using data from the National Council for the Blind of Ireland, (2004–2013). Finally, a realist evaluation was carried out to evaluate the initial uptake of the national diabetic retinopathy screening programme. Results: In adults aged 18 years and over, the national prevalence of doctor diagnosed diabetes significantly increased from 2.1% in 1998 to 5.2% in 2015. In TILDA, diagnosed type 2 diabetes prevalence was 8.4% and the overall prevalence of macrovascular and microvascular complications were 15.1% and 26.0%, respectively. Over a decade, the incidence of visual impairment due to diabetic retinopathy increased in both the total population and the population with diagnosed diabetes. Findings from the realist evaluation suggest that people were more likely to consent to the national diabetic retinopathy screening programme when they perceived that the service was a relevant to them and had a relative advantage over existing services. Conclusions: Research in this thesis is an important contribution to our understanding of the public health burden of diabetes in Ireland. Findings from this thesis have provided a key source of information to facilitate diabetes program planning and to inform policy decisions, including resource allocation.. en
dc.description.sponsorship Health Research Board (Leadership Award in Diabetes RL/2013/7) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2017, Marsha Louise Tracey. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Diabetes en
dc.subject Diabetic retinopathy en
dc.subject Epidemiology en
dc.subject Trends en
dc.subject Microvascular complications en
dc.subject Diabetic retinopathy screening en
dc.subject Realist evaluation en
dc.subject Systematic review en
dc.title Public health burden of diabetes in Ireland: time trends, determinants of complications and the implementation of a public health intervention to improve health outcomes for people with diabetes en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname PhD (Medicine and Health) en
dc.internal.availability Full text not available en
dc.check.info Indefinite en
dc.check.date 10000-01-01
dc.description.version Accepted Version
dc.contributor.funder Health Research Board en
dc.description.status Not peer reviewed en
dc.internal.school Epidemiology and Public Health en
dc.check.reason This thesis is due for publication or the author is actively seeking to publish this material en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.chapterOfThesis 7,8,9,10
dc.check.embargoformat E-thesis on CORA only en
ucc.workflow.supervisor patricia.kearney@ucc.ie
dc.internal.conferring Spring 2018 en


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