Arbeitspapier

Regional differences in diabetes across Europe: Regression and causal forest analyses

We examine regional differences in diabetes within Europe, and relate them to variations in socio-economic conditions, comorbidities, health behaviour and diabetes management. Using SHARE (Survey of Health, Ageing and Retirement in Europe) data, first, we estimate multivariate regressions, where the outcome variables are diabetes prevalence, diabetes incidence, and weight loss due to diet as an indicator of management. Second, we study the heterogeneous impact of the risk factors on the regional differences in incidence with causal random forests. Compared to Western Europe, the transition odds to diabetes is 2.3-fold in Southern and 2.7-fold in Eastern Europe, which decreases to 2.0 and 2.1 after adjusting for individual characteristics. The remaining differences are explained by country-specific healthcare indicators. Based on the causal forest approach, the adjusted East-West difference is essentially zero for the lowest risk groups (tertiary education, no hypertension, no overweight) and increases substantially with these risk factors, but the South-West difference is much less heterogeneous. The prevalence of diet-related weight loss around the time of diagnosis also exhibits regional variation. The results suggest that more emphasis should be put on diabetes prevention among high-risk individuals in Eastern Europe.

Sprache
Englisch

Erschienen in
Series: CERS-IE Working Papers ; No. CERS-IE WP - 2020/27

Klassifikation
Wirtschaft
Single Equation Models; Single Variables: Cross-Sectional Models; Spatial Models; Treatment Effect Models; Quantile Regressions
Neural Networks and Related Topics
Health: General
Health Behavior
Health and Inequality
Thema
causal forest
diabetes
Europe
health behaviour
SHARE data

Ereignis
Geistige Schöpfung
(wer)
Elek, Petér S.
Bíró, Anikó
Ereignis
Veröffentlichung
(wer)
Hungarian Academy of Sciences, Institute of Economics, Centre for Economic and Regional Studies
(wo)
Budapest
(wann)
2020

Handle
Letzte Aktualisierung
10.03.2025, 11:42 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Elek, Petér S.
  • Bíró, Anikó
  • Hungarian Academy of Sciences, Institute of Economics, Centre for Economic and Regional Studies

Entstanden

  • 2020

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