Trends in diabetes and pre-diabetes prevalence and diabetes awareness, treatment and control across socioeconomic gradients in rural southwest China. (28th July 2017)

• Record Type: Journal Article
• Authors: Cai, Le; Li, Xiao; Cui, Wenlong; You, Dingyun; Golden, Allison Rabkin
• Is Part Of: Journal of public health. Volume 40:Number 2(2018:Jun.)
• Page Start: 375
• Page End: 380
• Publication Date: 2017-07-28
• Subjects: awareness -- China -- control -- diabetes -- socioeconomic factors -- temporal trend -- treatment; Public health -- Periodicals; Public health -- Great Britain -- Periodicals; Medical policy -- Periodicals; Medical policy -- Great Britain -- Periodicals; 362.1
• DOI: 10.1093/pubmed/fdx097
• Languages: English
• ISSNs: 1741-3842

Abstract

Abstract: Background: This study aimed to determine trends in pre-diabetes and diabetes prevalence and diabetes awareness, treatment and control across socioeconomic gradients in rural southwest China. Methods: Data were collected from two cross-sectional health interviews and examination surveys among individuals aged ≥35 years in rural China. Fasting blood sugar levels were measured for each participant. Results: From 2009 to 2016, the overall prevalence of pre-diabetes and diabetes increased from 8.4 and 7.7% to 19.0 and 9.5%, respectively, while awareness, treatment and control of diabetes increased from 32.7, 20.0 and 6.1% to 49.3, 32.1 and 13.5%, respectively ( P < 0.01). Participants with higher annual incomes had higher diabetes prevalence and treatment levels than their counterparts and showed a remarkably high increase in rate of pre-diabetes ( P < 0.01). Whereas prevalence of pre-diabetes and diabetes increased across all ethnic groups during the study period, increased rates of diabetes awareness, treatment and control were only observed among Han Chinese ( P < 0.01). Diabetic patients with higher levels of education had higher awareness, control and treatment of diabetes than their counterparts ( P < 0.05). Conclusions: 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.