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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Oct 15, 2025; 16(10): 111102
Published online Oct 15, 2025. doi: 10.4239/wjd.v16.i10.111102
Published online Oct 15, 2025. doi: 10.4239/wjd.v16.i10.111102
Qualitative systematic review of the socioeconomic factors affecting type 2 diabetes management in Pakistan
Affan Faisal, Muhammad Awais, Zain Tariq, Abdul Basit, Tahleel Abbas, Abdullah Iftikhar, Department of Medicine, King Edward Medical University, Lahore 54000, Punjab, Pakistan
Fnu Farzeela, Department of Medicine, People’s University of Medical and Health Sciences, Nawabshah 67450, Sindh, Pakistan
Abdul M Basil, Department of Medicine, Spinghar Medical University, Kabul 1001, Kābul, Afghanistan
Author contributions: Faisal A and Basit A conducted research concepts; Awais M, Tariq Z, and Basit A conducted literature reviews and citation management; Faisal A and Basil AM created the PRISMA flowchart; Faisal A, Tariq Z, Awais M, Abbas T, Iftikhar A, and Farzeela F wrote and reviewed the manuscript; All authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abdul M Basil, MD, Department of Medicine, Spinghar Medical University, 4th Alley, Char Rahe Qambar Kabul, Kabul 1001, Kābul, Afghanistan.
Received: June 23, 2025
Revised: July 19, 2025
Accepted: September 1, 2025
Published online: October 15, 2025
Processing time: 114 Days and 16.5 Hours
Revised: July 19, 2025
Accepted: September 1, 2025
Published online: October 15, 2025
Processing time: 114 Days and 16.5 Hours
Core Tip
Core Tip: This article highlighted how socioeconomic and cultural barriers such as poverty, gender norms, and mistrust undermine diabetes care in Pakistan. Economic hardship limits access while sociocultural norms restrict health-seeking behavior, especially among females. Misinformation and distrust further exacerbate poor outcomes. Effective type 2 diabetes mellitus management demands equity-driven, culturally responsive health interventions.