Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, China
In this study, we aimed to investigate the prevalence, awareness, treatment, and control of diabetes in Shanghai, China. A sample of 3600 residents aged from 18 to 80 years selected by a randomized stratified multiple-stage sampling method in Shanghai was investigated, with blood samples collected....
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2016-05-01
|
Series: | International Journal of Environmental Research and Public Health |
Subjects: | |
Online Access: | http://www.mdpi.com/1660-4601/13/5/512 |
id |
doaj-43e2af5685c54c02a57b869d28c8e6c2 |
---|---|
record_format |
Article |
spelling |
doaj-43e2af5685c54c02a57b869d28c8e6c22020-11-24T23:18:55ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012016-05-0113551210.3390/ijerph13050512ijerph13050512Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, ChinaYuchen Qin0Rui Wang1Xiuqiang Ma2Yanfang Zhao3Jian Lu4Cheng Wu5Jia He6Department of Health Statistics, Second Military Medical University, No. 800 Xiang Yin Road, Shanghai 200433, ChinaDepartment of Health Statistics, Second Military Medical University, No. 800 Xiang Yin Road, Shanghai 200433, ChinaDepartment of Health Statistics, Second Military Medical University, No. 800 Xiang Yin Road, Shanghai 200433, ChinaDepartment of Health Statistics, Second Military Medical University, No. 800 Xiang Yin Road, Shanghai 200433, ChinaDepartment of Health Statistics, Second Military Medical University, No. 800 Xiang Yin Road, Shanghai 200433, ChinaDepartment of Health Statistics, Second Military Medical University, No. 800 Xiang Yin Road, Shanghai 200433, ChinaDepartment of Health Statistics, Second Military Medical University, No. 800 Xiang Yin Road, Shanghai 200433, ChinaIn this study, we aimed to investigate the prevalence, awareness, treatment, and control of diabetes in Shanghai, China. A sample of 3600 residents aged from 18 to 80 years selected by a randomized stratified multiple-stage sampling method in Shanghai was investigated, with blood samples collected. Diabetes was defined as fasting plasma glucose (FPG) ≥ 7.0 mmol/L, or glycated haemoglobin (HbA1c) ≥ 6.5% (48 mmol/mol), or previous diagnosis by a physician. Adequate control of diabetes was taken as a level of HbA1c < 7.0% (53 mmol/mol) among people with treated diabetes. Multivariable regression analysis was used to explore associated factors for diabetes and prediabetes. In the 3136 participants suitable for analysis, the prevalences of diabetes, prediabetes, and previously diagnosed diabetes were 15.91%, 37.37%, and 4.46%, respectively. Among those with diabetes, only 28.06% were aware of their condition, 25.85% were currently undergoing medication treatment, and 12.42% achieved glycaemic control. Logistic regression showed that old age, preobesity, obesity, elevated triglyceride (TG), elevated C-reactive protein (CRP), and lower education level were associated with an increased risk of diabetes; old age, obesity, elevated TG, and elevated low-density lipoprotein (LDL) were associated with an increased risk of prediabetes, while male sex and rural residence were associated with a decreased risk of prediabetes. In summary, the state of diabetes in China is alarming; the rates of awareness, treatment, and control were relatively low. More efforts should be made to promote the prevention and control of diabetes in china.http://www.mdpi.com/1660-4601/13/5/512diabetesprediabetesprevalenceawarenesscontrolHbAlc |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuchen Qin Rui Wang Xiuqiang Ma Yanfang Zhao Jian Lu Cheng Wu Jia He |
spellingShingle |
Yuchen Qin Rui Wang Xiuqiang Ma Yanfang Zhao Jian Lu Cheng Wu Jia He Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, China International Journal of Environmental Research and Public Health diabetes prediabetes prevalence awareness control HbAlc |
author_facet |
Yuchen Qin Rui Wang Xiuqiang Ma Yanfang Zhao Jian Lu Cheng Wu Jia He |
author_sort |
Yuchen Qin |
title |
Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, China |
title_short |
Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, China |
title_full |
Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, China |
title_fullStr |
Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, China |
title_full_unstemmed |
Prevalence, Awareness, Treatment and Control of Diabetes Mellitus—A Population Based Study in Shanghai, China |
title_sort |
prevalence, awareness, treatment and control of diabetes mellitus—a population based study in shanghai, china |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2016-05-01 |
description |
In this study, we aimed to investigate the prevalence, awareness, treatment, and control of diabetes in Shanghai, China. A sample of 3600 residents aged from 18 to 80 years selected by a randomized stratified multiple-stage sampling method in Shanghai was investigated, with blood samples collected. Diabetes was defined as fasting plasma glucose (FPG) ≥ 7.0 mmol/L, or glycated haemoglobin (HbA1c) ≥ 6.5% (48 mmol/mol), or previous diagnosis by a physician. Adequate control of diabetes was taken as a level of HbA1c < 7.0% (53 mmol/mol) among people with treated diabetes. Multivariable regression analysis was used to explore associated factors for diabetes and prediabetes. In the 3136 participants suitable for analysis, the prevalences of diabetes, prediabetes, and previously diagnosed diabetes were 15.91%, 37.37%, and 4.46%, respectively. Among those with diabetes, only 28.06% were aware of their condition, 25.85% were currently undergoing medication treatment, and 12.42% achieved glycaemic control. Logistic regression showed that old age, preobesity, obesity, elevated triglyceride (TG), elevated C-reactive protein (CRP), and lower education level were associated with an increased risk of diabetes; old age, obesity, elevated TG, and elevated low-density lipoprotein (LDL) were associated with an increased risk of prediabetes, while male sex and rural residence were associated with a decreased risk of prediabetes. In summary, the state of diabetes in China is alarming; the rates of awareness, treatment, and control were relatively low. More efforts should be made to promote the prevention and control of diabetes in china. |
topic |
diabetes prediabetes prevalence awareness control HbAlc |
url |
http://www.mdpi.com/1660-4601/13/5/512 |
work_keys_str_mv |
AT yuchenqin prevalenceawarenesstreatmentandcontrolofdiabetesmellitusapopulationbasedstudyinshanghaichina AT ruiwang prevalenceawarenesstreatmentandcontrolofdiabetesmellitusapopulationbasedstudyinshanghaichina AT xiuqiangma prevalenceawarenesstreatmentandcontrolofdiabetesmellitusapopulationbasedstudyinshanghaichina AT yanfangzhao prevalenceawarenesstreatmentandcontrolofdiabetesmellitusapopulationbasedstudyinshanghaichina AT jianlu prevalenceawarenesstreatmentandcontrolofdiabetesmellitusapopulationbasedstudyinshanghaichina AT chengwu prevalenceawarenesstreatmentandcontrolofdiabetesmellitusapopulationbasedstudyinshanghaichina AT jiahe prevalenceawarenesstreatmentandcontrolofdiabetesmellitusapopulationbasedstudyinshanghaichina |
_version_ |
1725579399343898624 |