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    Socio Economic Factors Affecting to Prevalence of Diabetes in Sri Lanka
    (4th National Research Conference on Applied Social Statistics, Social Statistics Students’ Association, Department of Social Statistics, Faculty of Social Science, University of Kelaniya, Sri Lanka, 2018) Assalla, A.D.N.P.
    Diabetes is a group of illnesses characterized by high blood glucose levels that result from defects in the body’s ability to produce and /or use insulin. Diabetes can have a significant impact on quality of life and can reduce life expectancy. It was the 8 th leading cause of global death in 2015 and is expected to advance to be the 5th cause by 2030. Importantly, the low- and middle-income countries are more vulnerable to diabetes and related deaths. There were 1,198,100 total cases of diabetes in Sri Lanka in 2017 and one in 12 adults in the country suffers from diabetes causing one of the leaders in the global movement striving to beat one of the largest health threats impacting the world today. Therefore, the main objective of this study is to identify socio economic factors affecting to prevalence of diabetes among adults. The survey was based on primary and secondary data. Primary data were obtained from a cross sectional survey conducted through a structured questionnaire in the Attanagalla division and 60 participants were participated to the study. Descriptive statistics including mean, standard deviation and logistic regression were used to analyze data using SPSS and Excel. Prevalence of diabetes was significantly higher among marriage person. (χ2=11.050, P=0.001) Prevalence of diabetes was higher among, who is working fulltime than retired persons. (P<0.001, OR=1.296, 95% CI, 0.269 - 6.255) Diabetic prevalence is significantly higher among persons who educated up to O/L than graduates. 45% of participant who were suffering from diabetes get action to prevent diabetes. The research has identified urban area people suffer from diabetes than rural area people. Both male and female had same probability to have diabetes and smoking habits and overweight are the major risk factors for prevalence of diabetes.
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    The Impact of Out-of-Pocket Expenditure of Diabetic Patients on Household Consumption: A Case Study in Kurunegala Teaching Hospital
    (Research Centre for Social Sciences, Faculty of Social Sciences, University of Kelaniya, Sri Lanka, 2016) Upananda, V.; Amirthalingam
    According to the World Health Organization, diabetes is a chronic disease that requires medical treatment and care for a prolonged time. Despite the existence of free healthcare system in the country, patients are compelled to bear the cost of medication and related expenditure for a considerable period of time, perhaps throughout the lifetime. Therefore, the financial burden of diabetes may have a significant impact on household expenditure. Then the question emerging from this problematic situation, ‘whether Out of Pocket Expenditure (OPE) for treating and caring diabetes has an impact on household consumption’. Since diabetic population in Sri Lanka is nearly four million, findings of this study may useful to identify the attributes of OPE for diabetes of this larger population. Therefore, this study is based on Kurunegala teaching hospital. The major data collecting instrument was by a questionnaire developed, after translating cost concepts into questions which are pre-tested to understand whether respondents clearly understand the questions targeted to collect data and data were collected from a sample of 50 patients attended to the Diabetes clinic of the hospital. Due to time constraint, convenience sampling method was applied to collect data from patients in the diabetes clinic of January 2016. Data were analyzed using SPSS. Simple linear regression was calculated to predict the impact of OPE on household consumption (F1,48 ) = 1.643 p < .206 ) with R2 of .033. These results suggest that the impact of OPE on household consumption is not significant. The results of this study also suggests that treatments for diabetic patients by state hospitals are satisfactory and out of pocket expenditure for diabetic treatment has no significant effect on household consumption.