Diabetes awareness, treatment, control rates and associated risk factors among Beijing residents in 2011: A cross‐sectional survey

Abstract

ObjectiveTo examine the awareness, treatment and control rates of diabetes and identify their associated risk factors among Beijing residents.MethodsA cross-sectional survey was conducted in 2011, using a stratified multistage cluster random sampling method to select a representative sample of 20,242 residents in Beijing aged 18–79 years. Diabetes was defined as fasting blood glucose (FBG) ≥7.0 mmol/L and/or history of diabetes and/or using insulin or hypoglycemic agents. All estimates of awareness, treatment and control rates were weighted by the 2010 Beijing Population Census data and the sampling scheme. Multivariate Logistic regression was used to identify factors associated with awareness, treatment and control rates.ResultsA total of 2061 (10.3%) participants were diagnosed as diabetes. The overall awareness, treatment and control rate among patients were 60.9%, 51.3% and 22.4%, respectively, while overall control rate among treated patients was 33.8%. These rates differed across subgroups. Women were more likely to be aware of diabetes status, receive treatment and have better glucose controlled than men (69.5% vs. 54.7% for awareness, 61.0% vs. 44.3% for treatment, and 27.6% vs. 18.6% for control, respectively). In addition, only 22.2% of treated patients had both FBG and hemoglobin A1c (HbA1c) controlled well. Multivariate Logistic regression suggested that old age, women, higher education and family history of diabetes were associated with higher awareness, treatment and control rates (All P < 0.05). Treated individuals living in rural (OR = 0.67(95%CI: 0.47–0.96)) or with dyslipidemia (OR = 0.63 (95%CI: 0.44–0.91)) had a lower diabetic control rate.ConclusionsAwareness, treatment and control rates of diabetes in Beijing were still low. A comprehensive intervention strategy on diabetes management and control is warranted.

Prevalence, Awareness, Treatment, Control, and the Associated Factors of Diabetes in an Iranian Kurdish Population

“…The percentage of those receiving care for DM was still lower than that reported for Malaysia (87.5%) [33] and Portugal (79.7%) [9] but higher than those for Kazakhstan (65.6%) [25], southern cone of Latin America (58.8%) [34], China (48.1%) [22], and Bangladesh (36.9%) [32]. Based on the results of this and other studies, receiving treatment was highly associated with obesity in patients with DM [35].…”

Prevalence, treatment, control of type 2 diabetes and the risk factors among elderly people in Shenzhen: results from the urban Chinese population

“…In 2011, the rates of treatment and control of diabetes in urban China were 51.3 and 33.8%, according to a survey with 20,242 residents aged 18-79 years old [15]. A cross-sectional survey conducted in Northeast China indicated that the treatment and control rates of diabetes mellitus were 52.9 and 44.2% in 2012 for participants aged 18 to 79 years old [12].…”

“…Several previous regional surveys had been conducted to investigate the prevalence, treatment, and control of diabetes in China [12][13][14][15][16]. However, few of these studies were focused on the elderly population.…”

Time Trends in Comorbidity and Management of Hypertension and Diabetes: A 15-year Nationwide Longitudinal Study of 18,380 Adults in China

“…Among patients with both hypertension and T2DM, 90% of them reported having received T2DM treatment, which was much higher than two previous studies conducted in Portugal (79.7%) and China (51.3%) among T2DM patients [27,28]. The disparity may be mainly due to different subjects and de nitions of T2DM treatment.…”