Prevalence and risk factor of diabetes among the elderly people in West Bengal: evidence-based LASI 1st wave

Abstract

Background The complication of Diabetes is one of the important health issues among the older adult population in any region. The higher risks of diabetes prevalence among older adult people in the countries was due to social-cultural changes such as increasing urbanization, dietary changes, without physical activity, and unhealthy lifestyle behavior. The present study examines the prevalence and associated risk factors of diabetes among older adults in the state of West Bengal. Methods The first wave of the Longitudinal Ageing Study in India 2017-18 was used to achieve the study objectives. Descriptive statistics with multinomial logistic regression models were used to carry out crude and adjusted odds ratios with 95% confidence intervals and examine the associated risk factors of diabetes prevalence among older adults. Results The findings of the study indicate that the overall prevalence of diabetes among the study participants was found to be 12.4% which was significantly higher in urban areas (19%) compare to rural areas (6%). The socio-economic and bio-demographic factors like educational status, richest background family, marital status, obesity, and family history of diabetes were significantly associated with higher risks of diabetes prevalence among the older adult population in West Bengal. The risks of diabetes in the richest adult people were significantly higher than in the poorest adult people (OR = 2.78; 95% CI: 1.974–3.917). The higher risks of diabetes mellitus among the richest wealthy people are because of lifestyle behavior, smoking, and tobacco consumption respectively. Conclusion The study needs to policy and awareness program to reduce economic inequality and prevention of diabetes care and treatment-seeking behavior, especially for the older adult population in West Bengal.

Urban–Rural Differences in the Prevalence of Diabetes Among Adults in Haryana, India: The ICMR-INDIAB Study (ICMR-INDIAB-18)

“…Diabetes was more prevalent among the illiterate participants. In other studies, educational status has also been significantly linked to diabetes [ 26 , 30 ]. The high prevalence of diabetes in urban areas may be attributed to awareness about diabetes, increased screening and better health facilities.…”

“…We observed significant socioeconomic disparities in the prevalence of diabetes. The risk of diabetes increases with age [ 4 , 29 , 30 ]. People ≥ 60 years had 2.4 times the risk of diabetes than the 20–44 years age group.…”

“…However, the effect of sex on the prevalence was non-significant on logistic regression. Most previous studies report a higher prevalence of diabetes in men [ 4 , 29 , 30 ]. The rising prevalence in women reflects the lesser protective effect of female physiology, as stated in the past [ 28 ].…”