Diabetes-related metabolic risk factors in internal migrant workers in China: a national surveillance study

Bi, Yufang; Wang, Limin; Xu, Yu; Jiang, Yong; He, Jiang; Zhang, Mei; Zhou, Maigeng; Li, Yichong; Xu, Min; Lu, Jieli; Wang, Tiange; Ding, Lin; Dai, Meng; Zhang, Di; Chen, Chung-Shiuan; Lai, Shenghan; Wang, Weiqing; Wang, Lınhong; Ning, Guang

doi:10.1016/s2213-8587(15)00366-6

Cited by 35 publications

(58 citation statements)

References 18 publications

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“…Although migrant workers face fewer risk factors for diabetes, since most healthy migrants participate in heavy labor, 22 once they become diabetic, or even prediabetic, they are more likely to forgo medical care due to financial barriers than official urban residents. 23 Since diabetes is associated with increased mortality from a range of complications, their health status is likely to deteriorate faster than that of their official urban counterparts.…”

Section: Geographic Variationmentioning

confidence: 99%

“…23 Since diabetes is associated with increased mortality from a range of complications, their health status is likely to deteriorate faster than that of their official urban counterparts. 22 Given the low diabetes detection rates (Table 1) and the low treatment rates for those diagnosed with diabetes, there is evidence of excess mortality of diabetes patients, which points to inadequate health promotion and clinical management of diabetes. 24,25…”

Section: Geographic Variationmentioning

confidence: 99%

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Meeting the Challenge of Diabetes in China

Luo

Fabre

Rodwin

2019

Int J Health Policy Manag

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China’s estimated 114 million people with diabetes pose a massive challenge for China’s health policy-makers who have significantly extended health insurance coverage over the past decade. What China is doing now, what it has achieved, and what remains to be done should be of interest to health policy-makers, worldwide. We identify the challenges posed by China’s two principal strategies to tackle diabetes: (1) A short-term pilot strategy of health promotion, detection and control of chronic diseases in 265 national demonstration areas (NDAs); and (2) A long-term strategy to extend health promotion and strengthen primary care capacity and health system integration throughout China. Finally, we consider how Chinese innovations in artificial intelligence (AI) and Big Data may contribute to improving diagnosis, controlling complications and increasing access to care. Health system integration in China will require overcoming the fragmentation of a system that still places excessive reliance on local government financing. Moreover, what remains to be done resembles deeper challenges faced by healthcare systems worldwide: the need to upgrade primary care and reduce inequalities in access to health services.

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Section: Geographic Variationmentioning

confidence: 99%

Section: Geographic Variationmentioning

confidence: 99%

Meeting the Challenge of Diabetes in China

Luo

Fabre

Rodwin

2019

Int J Health Policy Manag

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“…50 BMI has been found to be associated with a number of other medical conditions among workers including emotional exhaustion, 51 menopausal vasomotor symptoms, 52 and diabetes-related metabolic risk factors in workers in China. 53 With rising levels of obesity among workers, employers are evaluating the impact of increasing weight not only on health care costs, but occupational injuries, absenteeism, presenteeism and thus, prompting a focus on workplace interventions to address this public health issue.…”

Section: Problem Of Obesity In the Workplacementioning

confidence: 99%

Obesity in the Workplace

Yarborough

Brethauer

Burton

et al. 2018

Journal of Occupational &Amp; Environmental Medicine

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Objective To conduct a comprehensive literature review to develop recommendations for managing obesity among workers to improve health outcomes and to explore the impact of obesity on health costs to determine if a case can be made for surgical interventions and insurance coverage. Methods We searched PubMed from 2011–2016, and CINAHL, Scopus, and Cochrane Registry of Clinical Trials for interventions addressing obesity in the workplace. Results A total of 1,419 articles were screened, resulting in 275 articles being included. Several areas were identified that require more research and investigation. Conclusions Our findings support the use of both lifestyle modification and bariatric surgery to assist appropriate patients in losing weight.

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Section: Introductionmentioning

confidence: 99%

“…Based on the Chinese national data, the prevalence of dyslipidemia was 26.7% among workers aged 18–59 years in 2012 [2], and was 33.5% among Chinese aged greater than 45-years-old [3], which was higher than those among American population (29.3%) aged 45 to 84 years [4]. The emerging pandemic was partially caused by population growth, rapidly aging and changes of diet and lifestyle [2, 3, 5]. However, recent studies indicated that the early life famine exposure also might increase the later susceptibility to some common chronic diseases [6], including metabolic syndrome [7], diabetes [8], and fatty liver disease [9].…”

Section: Introductionmentioning

confidence: 99%

Fetal and infant exposure to severe Chinese famine increases the risk of adult dyslipidemia: Results from the China health and retirement longitudinal study

Wang

Yang

et al. 2017

BMC Public Health

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BackgroundTo explore the associations between the Chinese famine exposure in early life and the dyslipidemia in adulthood.MethodsWe selected 2752 participants from the baseline survey of China Health and Retirement Longitudinal Study (CHARLS) 2011–2012 to evaluate the associations of early life the Chinese famine exposure with risk of dyslipidemia in adulthood. Dyslipidemia was defined as TC (Total Cholesterol): HDL-C (High-Density Lipoprotein Cholesterol) ratio ≥ 5.0 or use cholesterol lowering drugs. Famine exposure cohorts were categorized by birthdates of participants. Binary logistics regression model was used to examine the associations of early-life famine exposure with the risk of dyslipidemia.ResultsThe dyslipidemia prevalence of the non-exposed cohort, fetal stage-, infant stage-, and preschool stage-exposed cohorts in adulthood was 15.7%, 23.1%, 22.0%, and 18.6%, respectively. Early-life exposure to the Chinese famine significantly increased LDL cholesterol concentrations in adulthood after adjusted for age. The risks of dyslipidemia in fetal (OR = 1.58; 95% CI: 1.23–2.03; P < 0.001) and infant (OR = 1.52; 95% CI: 1.15–2.00; P = 0.003) stage-exposed cohorts were significantly higher than the non-exposed cohort after adjusted for gender and current family economic status. Following gender stratification, we found that fetal (OR = 1.80; 95% CI: 1.26–2.57; P = 0.001), infant (OR = 1.75; 95% CI: 1.17–2.62; P = 0.006), and preschool (OR = 1.63; 95% CI: 1.10–2.42; P = 0.015) -stage exposure to severe famine aggravated the risk of dyslipidemia in female adults. However, the similar association was not observed for male adults.ConclusionsEarly-life exposure to severe Chinese famine could link with the higher dyslipidemia risk in female adulthood, but not in male adulthood. This gender-specific effect might be associated with the hypothesis that parents in China prefer boys to girls traditionally or survivors’ bias.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4421-6) contains supplementary material, which is available to authorized users.

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Diabetes-related metabolic risk factors in internal migrant workers in China: a national surveillance study

Cited by 35 publications

References 18 publications

Meeting the Challenge of Diabetes in China

Meeting the Challenge of Diabetes in China

Obesity in the Workplace

Fetal and infant exposure to severe Chinese famine increases the risk of adult dyslipidemia: Results from the China health and retirement longitudinal study

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