Prevalence, awareness, treatment and control of type 2 diabetes in southeast China: A population-based study

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes Investigation Pub Date : 2024-05-13 DOI:10.1111/jdi.14213

Xiangju Hu, Xin Fang, Minxia Wu

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Abstract

Aims/Introduction

To estimate the prevalence, awareness, treatment, control rate, and influence factors of type 2 diabetes in Fujian province and provide the scientific basic for prevention.

Materials and Methods

A population-based study with the analysis of binary logistic regression was carried out to estimate the odds ratios of the influencing factor on type 2 diabetes. Data of the Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) in southeast China were used. The study sample originated from 12 counties in Fujian province and included 135,352 permanent residents aged 35–75 years in 2021.

Results

The prevalence of type 2 diabetes was 18.32% (24,801/135,352). Among them, 13,921 (56.13%) were aware of their condition, 11,894 (47.96%) were receiving treatment, and 4,537 (18.29%) had achieved control of blood glucose. Multivariate logistic regression analysis showed that older age, men, low-family income, low-education level, urban locality, no medical insurance, and histories of myocardial infarction, stroke, dyslipidemia, hypertension, alcohol consumption, and obesity were associated with a higher prevalence of type 2 diabetes.

Conclusions

The prevalence of type 2 diabetes among residents aged 35–75 years in southeast China is high, whereas the status of its low awareness, treatment and control is severe, warranting a broad-based global strategy, including greater efforts in earlier screening, and more effective and affordable treatment is essential.

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中国东南地区 2 型糖尿病的患病率、认知度、治疗和控制情况：一项基于人口的研究。

目的/简介：估计福建省 2 型糖尿病的患病率、知晓率、治疗率、控制率及影响因素，为预防提供科学依据：以人群为基础，采用二元Logistic回归分析，估计2型糖尿病影响因素的几率。研究使用了中国东南地区以患者为中心的心脏事件评估（PEACE）数据。研究样本来自福建省的12个县，包括135352名2021年年龄在35-75岁之间的常住居民：结果：2 型糖尿病患病率为 18.32%（24,801/135,352）。其中，13,921 人（56.13%）了解自己的病情，11,894 人（47.96%）正在接受治疗，4,537 人（18.29%）的血糖已得到控制。多变量逻辑回归分析表明，年龄较大、男性、家庭收入低、受教育程度低、城市地区、无医疗保险以及心肌梗死、中风、血脂异常、高血压、饮酒和肥胖等病史与 2 型糖尿病患病率较高有关：结论：中国东南部地区 35-75 岁居民中 2 型糖尿病的患病率较高，但其知晓率低、治疗率低和控制率低的状况十分严重，因此必须采取广泛的全球战略，包括加大早期筛查力度，以及提供更有效、更经济的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Diabetes Investigation ENDOCRINOLOGY & METABOLISM-

CiteScore

6.50

自引率

9.40%

发文量

218

审稿时长

6-12 weeks

期刊介绍： Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).