Prevalence of Diabetes among Household Types

Ms Kuik Shiao-Yin asked the Minister for Health (a) which households by income level and housing type have the highest prevalence of diabetes; (b) what strategies are employed to help lower-income families win their war against diabetes; and (c) how is the Ministry working with other sectors to ensure that vulnerable families have access to nutritious, non-processed food given that diet is important in managing the disease but too expensive an option for lower-income homes.

The correlation between socio-economic background and diabetes prevalence is a commonly-observed and widely-reported phenomenon worldwide. MOH's National Health Survey showed a similar correlation where those in smaller housing type and lower education level had higher prevalence of diabetes. However, the same survey also showed that they have good access to care.

MOH’s strategy on diabetes emphasises healthy eating and physical activity; appropriate screening and follow-up; and effective diabetes care and management. These efforts must be accessible and affordable to the lower income.

In promoting healthier eating, HPB's Healthier Choice Symbol (HCS) Programme offers a wide range of healthier product options, including house brands, which are typically more affordable. HPB has also distributed almost 200,000 Health Calendars which feature low-cost healthy recipes, exercises and self-care tips to women aged 40 years and above in lower-income households.

For dining out options, HPB has partnered major foodcourt chains, including Kopitiam and NTUC Foodfare, to offer affordable lower-calorie dishes. HPB also works with Primary school canteen vendors to provide nutritious breakfast meals to needy students under MOE's Financial Assistance Scheme.

On health screening, MOH ensures that it is available to lower-income Singaporeans at highly subsidised prices. Under our Screen for Life (SFL) programme offered at Community Health Assist Scheme (CHAS) GPs, screening tests for chronic diseases, including diabetes, are free. Patients in the lowest income tier and Pioneers enjoy a subsidy of up to $18.50 and $28.50 respectively for consultation fees. HPB and its partners also reach out proactively to lower-income Singaporeans, such as those in HDB rental blocks, to encourage and facilitate regular health screening.

Singaporeans with diabetes, as with other conditions, can receive subsidies for their treatment at CHAS GPs, polyclinics and specialist outpatient clinics in the public hospitals. Those with lower-income receive higher subsidies.

The national Diabetes Prevention and Care Taskforce will step up public education to ensure that Singaporeans of all socio-economic backgrounds lead a healthy lifestyle and practise effective diabetes care and management.