Beschreibung:
<jats:title>Abstract</jats:title><jats:sec><jats:title>Aim</jats:title><jats:p>To describe the association between socio‐economic position, health status and quality of diabetes care in people with Type 2 diabetes in France, where people may receive full healthcare coverage for chronic disease.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Data from a national cross‐sectional survey performed in people pharmacologically treated for diabetes were used. They combined data from medical claims, hospital discharge, questionnaires for patients (<jats:italic>n </jats:italic>= 3894 with Type 2 diabetes) and their physicians (<jats:italic>n </jats:italic>= 2485). Socio‐economic position was assessed using educational level (low, intermediate, high) and ability to make ends meet (financial difficulties vs. financially comfortable).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>People with diabetes reporting financial difficulties were more likely to be smokers (adjusted odds ratio 1.4; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.1–1.6) and obese (adjusted odds ratio 1.3; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.2–1.6) and to have poorer glycaemic control (HbA<jats:sub>1c</jats:sub> > 64 mmol/mol (8%); adjusted odds ratio 1.4; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.1–1.8), than those who were financially comfortable. They were more likely to have their diabetes diagnosed because of complications (adjusted odds ratio 1.6; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.3–2.0). They were also more likely to have coronary and podiatric complications (adjusted odds ratios 1.3; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.1–1.6 and 1.7; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.4–2.2, respectively). They benefited more often from full coverage (adjusted odds ratio 1.3; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.1–1.6), visited general practitioners more often (ratio of estimated marginal means 1.2; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 1.1–1.2) but specialists less often (adjusted odds ratio 0.7; 95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 0.6–0.8 for a visit to private ophthalmologist). They also felt less well informed about their condition.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Despite frequent access to full healthcare coverage, socio‐economic position has an impact on the diagnosis of diabetes, health status and quality of diabetes care in France.</jats:p></jats:sec>