Trends in diabetes and pre-diabetes prevalence and diabetes awareness, treatment and control across socioeconomic gradients in rural southwest China

Cai, Le; Li, Xiao; Cui, Wenlong; You, Dingyun; Golden, Allison Rabkin

doi:10.1093/pubmed/fdx097

Cited by 22 publications

(20 citation statements)

References 22 publications

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“…The present study revealed that older individuals with higher education levels had higher awareness and control rates of diabetes than those with lower education levels. This is consistent with the results of some studies [32][33][34]. Previous studies have con rmed that education level is positively correlated with the health literacy level in patients with diabetes [35].…”

Section: Discussionsupporting

confidence: 92%

Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

Liu

Yan

et al. 2022

Preprint

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Background: Type 2 diabetes mellitus is an expanding global public health issue, especially in developing countries. This study aimed to investigate the prevalence, awareness and control rate of type 2 diabetes mellitus, and assess its risk factors in elderly Chinese individuals.Methods: The health screening data of 376,702 individuals aged ≥65 years in Wuhan, China, were collected to analyse the prevalence, awareness, and control rates of diabetes. Indices, including fasting plasma glucose and other biochemical indicators, were measured for all participants using standard methods at the central laboratory. Multilevel logistic regression analysis was performed to assess the key determinants of the prevalence, awareness, and control rates of diabetes.Results: The prevalence, awareness, and control rates of diabetes in the Chinese individuals aged ≥65 years were 18.80%, 77.14%, and 41.33%, respectively. There were statistically significant differences in the prevalence, awareness, and control rates by gender. Factors associated with diabetes prevalence were age, body mass index (BMI), and central obesity; while those associated with awareness and control were gender, education level, marital status, physical activity, alcohol consumption, BMI, and central obesity.Conclusions: Diabetes is an important public health problem in the elderly in China. The awareness and control rates have improved, but overall remained poor. Therefore, effective measures to raise awareness and control the rates of diabetes should be undertaken to circumvent the growing disease burden in elderly Chinese people.

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Section: Discussionsupporting

confidence: 92%

Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

Liu

Yan

et al. 2022

Preprint

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“…Nonetheless, our findings are similar to those of a study in Chi Linh, a northern city in which 15.9% of those aged 50-69 years were living with diabetes [10], a study in the south central coast of Vietnam that reported prevalence rates of 8.1% for diabetes and 50.1% for prediabetes [9], and a study conducted in the South Central Coast province, namely Khanh Hoa that reported a 20% prevalence of diabetes among those aged over 40 years [21]. Our results also align with those of other Asian middle-aged populations, for example, Thailand ( > 13.5% with diabetes in 2014) or China ( > 11.3% with diabetes in 2016) [22], Japanese adults aged over 40 years (men: 19.4%; women: 9.1%) [23], and adults in the United States [24]. Nevertheless, the estimate was lower than that of a study conducted during 2006-2014 in Hong Kong, China, which found that roughly 40% of the age group 40-79 years had diabetes [25].…”

Section: Discussionsupporting

confidence: 86%

Examining prevalence trends of pre-diabetes and diabetes and associated risk factors in Vietnamese adults

et al. 2020

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The prevalence of diabetes mellitus is rapidly increasing in Vietnam, particularly among adults aged over 45 years. This study estimated trends in diabetes and prediabetes prevalence and determined risk factors in Vietnamese adults (over 45 years). METHODS: A cross-sectional study was conducted based on data from an annual diabetes screening program among people aged 45-69 years in an urban city in central Vietnam (Da Nang). Joinpoint regression analyses were performed to calculate the annual percentage change and p trend-values. Multinomial logistic regression analysis was used to determine risk factors. RESULTS: In total, 3,765 men and 9,149 women were included in this analysis. The age-adjusted prevalence of diabetes and prediabetes in 2017 was 11.4% and 52.9%, respectively. The prevalence of diabetes was higher in men (15.1%) than in women (10.3%), but that of prediabetes was similar in both genders (53.4% vs. 52.8%). The prevalence of prediabetes significantly increased during the study period, whereas no upward or downward trend for diabetes was observed. The prevalence of obesity, abdominal obesity, hypertension, and dyslipidemia showed no obvious trend. Obesity, a high waist-to-hip ratio, hypertension, more severe abdominal obesity, and dyslipidemia were significantly associated with a higher risk of diabetes and prediabetes. CONCLUSIONS: Diabetes and prediabetes were more prevalent among people aged over 45 years than in the general population. Da Nang has experienced a marked increase in the prevalence of prediabetes. These findings have significant implications regarding the need for nationwide public health interventions and management aiming at diabetes prevention and control.

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“…Risk factor control in high CVD risk individuals is seen as an essential method of CVD primary prevention. However, several studies have demonstrated that the control of CVD risk factors was insufficient [12][13][14][15]. The same may be said for our studies on high CVD risk individuals in Inner Mongolia [16].…”

Section: Introductionsupporting

confidence: 65%

The Impact of Risk Factor Control on Health-Related Quality of Life in Individuals with High Cardiovascular Disease Risk: A Cross-sectional Study Based on EQ-5D Utility Scores in Inner Mongolia, China

Cao

Hao

Niu

et al. 2022

J Epidemiol Glob Health

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Objectives To assess the impact of cardiovascular disease (CVD) risk factor control on health-related quality of life (HRQoL), as well as the other influencing factors of HRQoL among high CVD risk individuals. Methods From 2015 to 2017, residents of six villages or communities in Inner Mongolia, selected using a multi-stage stratified cluster random sampling method, were invited to complete a questionnaire and undergo physical examination and laboratory testing. We selected participants whose predicted 10-year risk for CVD exceeded 10% as those with high CVD risk. HRQoL in individuals with high CVD risk was investigated based on the EuroQol-5 Dimension (EQ-5D) scale. The Chinese utility value integral system was used to calculate EQ-5D utility scores, and the Tobit regression model was used to analyze the influencing factors of HRQoL among individuals with high CVD risk. Results Of 13,359 participants with high CVD risk, 65.63% reported no problems in any of the five dimensions; the most frequently reported difficulty was pain/discomfort. The median utility score was 1.000 (0.869, 1.000). Participants with hypertension, and uncontrolled glycemic and blood lipids had lower HRQoL. In addition, sex, age, living environment, education level, household income, and medical insurance were influencing factors of HRQoL. Conclusion Sex, age, living environment, education level, household income, medical insurance, hypertension, and whether glycemic and blood lipids control or not are related to HRQoL of high CVD risk individuals.

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Trends in diabetes and pre-diabetes prevalence and diabetes awareness, treatment and control across socioeconomic gradients in rural southwest China

Abstract: The prevalence of pre-diabetes and diabetes and the level of diabetes awareness, treatment and control increased substantially across all socioeconomic gradients in rural southwest China.

Cited by 22 publications

References 22 publications

Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

Examining prevalence trends of pre-diabetes and diabetes and associated risk factors in Vietnamese adults

The Impact of Risk Factor Control on Health-Related Quality of Life in Individuals with High Cardiovascular Disease Risk: A Cross-sectional Study Based on EQ-5D Utility Scores in Inner Mongolia, China

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