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Epidemiological impact of public health interventions against diabetes in Qatar: mathematical modeling analyses.

Title: Epidemiological impact of public health interventions against diabetes in Qatar: mathematical modeling analyses.
Authors: Alareeki, A; Awad, SF; Critchley, JA; El-Nahas, KG; Al-Hamaq, AO; Alyafei, SA; Al-Thani, MHJ; Abu-Raddad, LJ
Publisher Information: Frontiers Media
Publication Year: 2023
Collection: St George's University of London: Repository
Description: AIMS: To predict the epidemiological impact of specific, and primarily structural public health interventions that address lifestyle, dietary, and commuting behaviors of Qataris as well as subsidies and legislation to reduce type 2 diabetes mellitus (T2DM) burden among Qataris. METHODS: A deterministic population-based mathematical model was used to investigate the impact of public health interventions on the epidemiology of T2DM among Qataris aged 20-79 years, which is the age range typically used by the International Diabetes Federation for adults. The study evaluated the impact of interventions up to 2050, a three-decade time horizon, to allow for the long-term effects of different types of interventions to materialize. The impact of each intervention was evaluated by comparing the predicted T2DM incidence and prevalence with the intervention to a counterfactual scenario without intervention. The model was parameterized using representative data and stratified by sex, age, T2DM risk factors, T2DM status, and intervention status. RESULTS: All intervention scenarios had an appreciable impact on reducing T2DM incidence and prevalence. A lifestyle management intervention approach, specifically applied to those who are categorized as obese and ≥35 years old, averted 9.5% of new T2DM cases by 2050. An active commuting intervention approach, specifically increasing cycling and walking, averted 8.5% of new T2DM cases by 2050. Enhancing consumption of healthy diets including fruits and vegetables, specifically a workplace intervention involving dietary modifications and an educational intervention, averted 23.2% of new T2DM cases by 2050. A subsidy and legislative intervention approach, implementing subsidies on fruits and vegetables and taxation on sugar-sweetened beverages, averted 7.4% of new T2DM cases by 2050. A least to most optimistic combination of interventions averted 22.8-46.9% of new T2DM cases by 2050, respectively. CONCLUSIONS: Implementing a combination of individual-level and structural public health ...
Document Type: article in journal/newspaper
File Description: application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document
Language: English
ISSN: 2296-2565
Relation: https://openaccess.sgul.ac.uk/id/eprint/115553/1/fpubh-11-1167807.pdf; https://openaccess.sgul.ac.uk/id/eprint/115553/6/Data%20Sheet%201.docx; Alareeki, A; Awad, SF; Critchley, JA; El-Nahas, KG; Al-Hamaq, AO; Alyafei, SA; Al-Thani, MHJ; Abu-Raddad, LJ (2023) Epidemiological impact of public health interventions against diabetes in Qatar: mathematical modeling analyses. Front Public Health, 11. p. 1167807. ISSN 2296-2565 https://doi.org/10.3389/fpubh.2023.1167807 SGUL Authors: Critchley, Julia
DOI: 10.3389/fpubh.2023.1167807
Availability: https://openaccess.sgul.ac.uk/id/eprint/115553/; https://openaccess.sgul.ac.uk/id/eprint/115553/6/Data%20Sheet%201.docx; https://doi.org/10.3389/fpubh.2023.1167807
Rights: cc_by_4
Accession Number: edsbas.84FBE45
Database: BASE