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. 2023 Aug 2;24:101481. doi: 10.1016/j.ssmph.2023.101481

Table 4.

The impact of adopting sufficiency and equality ethical standards of health equity on prevention and inequalities in diabetes.


N (weighted)
Weight Loss (%)
10-year DPoRT Risk
BMI after intervention
Achieved ethical standard (%)
Number of diabetes cases averted
Health Sufficiency Criteria met: 18% weight loss
No intervention 18,558,245 0 6.3 25
Intervention 3,835,766 12 15.8 28 71% 401,932
Health Equality 30% weight loss
No intervention 12,524,240 0 4.2 23
Intervention 9,869,772 27 6.3 22 27% 1,029,645
 Medium Risk 6,034,006 25 3.9 21 43% 404,365
 High Risk 3,835,767 30 9.8 22 2% 625,279
Social-Health Sufficiency Criteria met: 18% weight loss
No intervention 19,352,481 0 7.1 25
Intervention 3,041,531 12 16.0 28 69% 322,143
 Less than high school 702,008 13 17.1 28 64% 73,924
 High school graduation 1,067,227 12 16.0 28 69% 117,445
 Trades/certificate below Bachelor's 1,272,295 12 15.4 29 73% 130,773
Social-Health Equality 30% weight loss
No intervention 15,588,658 0 6.0 24
Intervention 6,805,354 20 7.9 24 65% 701,341
 Less than high school 1,187,576 24 9.5 23 47% 141,219
 High school graduation 2,149,944 21 8.1 24 62% 240,988
 Trades/certificate below Bachelor's 3,467,835 18 7.2 25 74% 319,136

Health sufficiency: equity is ‘achieved’ when diabetes risk in the entire population is reduced below a threshold (i.e., 16.5%), beyond which remaining inequalities are not considered ethically important to eliminate.

Health equality: equity is ‘achieved’ when average diabetes risk is equalized to that observed in the lowest diabetes risk group.

Social-health sufficiency: equity is ‘achieved’ when diabetes risk co-varying with lower educational attainment is reduced below a threshold (i.e., 16.5%), beyond which remaining inequalities are not considered ethically important to eliminate.

Social-health equality: equity is ‘achieved’ when diabetes risk among those with lower educational attainment is equalized to that observed with higher educational attainment.