Diabetes prevalence, awareness and treatment and their correlates in older persons in urban and rural population in the Astana region, Kazakhstan

Supiyev, Adil; Kossumov, Alibek; Kassenova, Aliya; Nurgozhin, Talgat; Zhumadilov, Zhaxybay; Peasey, Anne; Bobák, Martin

doi:10.1016/j.diabres.2015.11.011

Cited by 43 publications

(44 citation statements)

References 28 publications

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“…According to the previously published analyses on diabetes and arterial hypertension [ 8 , 9 ] the subjects were invited to visit the polyclinic early in the morning after an overnight fast. The fasting status was self-reported by participants and recorded in the questionnaire.…”

Section: Measurementsmentioning

confidence: 99%

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Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

et al. 2017

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BackgroundDespite high cardiovascular mortality in Central Asian republics of the former Soviet Union, there is limited information about major risk factors, including blood lipids. We investigated the prevalence of impaired concentrations of blood lipids, the awareness, treatment and control of hypercholesterolemia, and factors associated with these indicators in urban and rural populations in Kazakhstan.MethodsWe conducted a cross-sectional study of random urban and rural population samples (the state capital Astana and Akmol village). Men and women aged 50–74 years were examined; a total of 954 adults participated (response rate 59%). Serum concentrations of total, LDL and HDL cholesterol and triglycerides and a range of other cardiovascular risk factors were measured.ResultsThe overall prevalence of hypercholesterolemia (total cholesterol ≥6.2 mmol/l) was 37%; among subjects with hypercholesterolemia, 57% were aware of their condition, 41% took medication and 23% had total cholesterol <6.2 mmol/l (4.5% <5 mmol/l). The prevalence, awareness, treatment, and control of hypercholesterolemia were all higher in the urban than the rural area. Similarly, the proportions of subjects with impaired concentrations of specific lipids fractions were also considerably higher in the urban population. Most associations with other covariates were in the expected direction.ConclusionsThis study found relatively high prevalence of dyslipidemia in the Kazakh population, and the blood lipid profile was less favourable in the urban area. These pronounced urban–rural differences may be related to urbanization, the associated nutrition transition and to access to health care.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4629-5) contains supplementary material, which is available to authorized users.

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Section: Measurementsmentioning

confidence: 99%

“…The diabetes was classified as fasting plasma glucose (FPG) concentration more than or equal to 7.0 mmol/l (126 mg/dl) or self-reported diabetes medication use; the questionnaire did not specify the type of diabetes (I or II). The measurements and derived indices were described in detail previously [ 9 ].…”

Section: Measurementsmentioning

confidence: 99%

Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

et al. 2017

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“…Firstly, the cross-sectional study design may not be appropriate way to estimate the causal relationships, yet the age of starting to brush the teeth or parent socio-demographic factors is likely to precede the development of the outcome, however we are less con dent about the remaining covariates. Secondly, the response rate in this study was moderate (68%), however many recent studies in both developed and developing countries reported roughly the same percentage (8,9,23,36). The moderate response rates may lead to both under-and overestimation of caries prevalence, but usually non-responders in dental health studies have poorer oral health than responders (37).…”

Section: Discussionmentioning

confidence: 52%

“…(6,7). Many of these risk factors might be related to societal changes after the collapse of the Soviet Union, when the newly independent states faced a rapid nutrition transition shifting towards westernized diets and increased consumption of sugar-added drinks and foods (8)(9)(10). The implications of these rapidly changing behaviours is not only the high prevalence, but also more severe dental caries experience (5,11).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of dental caries experience among adolescents in Kazakhstan: a cross-sectional study

Zhumadilova¹,

Supiyev²,

Abralina³

et al. 2020

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Background The information on dental caries experience and its determinants in Central Asia is limited. The aim of the present study was to provide estimates of the mean levels, prevalence and severity of dental caries, and to identify the factors associated with these characteristics in the population of school-aged children from four regions in Kazakhstan.Methods We examined 2149 schoolchildren aged 11–15 years from 4 regions of Kazakhstan. The overall response rate was 68%. Dental caries experience was assessed clinically, and standardized questionnaire was used to gather sociodemographic and oral health behavior information. Caries experience was measured by using DMFT (decayed, missing, and filled teeth) index. Negative binomial hurdle regression model was used to assess the relationship between the caries experience and covariates.Results The overall prevalence of dental caries was 74%, obvious decayed teeth was found in 44% of subjects, while only 6% had missing teeth and 24% had their teeth treated. The mean DMFT index was 2.48 among 12-year-olds and 3.9 among 15-year-olds. There were large differences of dental caries experience between the regions, with all indicators (decayed, missed and filled teeth) being less favourable in Semey region. The caries prevalence experience in the studied population was associated with higher age, geographic region, ethnicity, mother’s education, material deprivation, frequent consumption of sugar-added drinks, age of start brushing the teeth and dental attendance pattern. Age, region, ethnicity, dietary habits and dental attendance pattern were found to be significantly associated with the predicted degree of caries experience among those with caries experience.Conclusions The high prevalence of dental caries and large differences in caries indices between the regions in Kazakhstan might be related to rapid westernization in the Central Asian region and associated nutrition transition. Also, the increasing burden of untreated caries in less advantaged populations was observed. Parent education and material deprivation may be a very important determinants of the oral health among adolescents in Kazakhstan.

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“…This study is consistent with studies in Ethiopia, Myanmar, Iran, India, and Kazakhstan. 6,22,24,25,37 Affluent people live in urban areas, reducing the number of people living in traditional rural livelihoods, which might result in obesity associated with rising living standards. 1,6,25,38 Likewise, urban life is a more complicated, stressful, and competitive life compared with the rural ones.…”

Section: Discussionmentioning

confidence: 99%

<p>Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia</p>

Gebremedhin

Enqueselassie

Deyessa

et al. 2020

DMSO

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This study carried out to describe urban-rural differences in the trend of type 1 and type 2 diabetes among adults who have received medical treatment from public hospitals over the last five years. Methods: The trends of adult diabetes assessed from September 1, 2013, to August 31, 2018, using hospital-based retrospective medical records of 299,806 adult patients in the adult medical outpatient and emergency units. Data were collected using a uniform data abstraction format. An extended Mantel-Haenszel chi-square test of the linear trend used to examine the trend over time. Results: Of the total 299,806 adult patients, 3056 (1.02% (95% CI: 0.98-1.06)) patients were confirmed diabetes patients. The overall trend in the proportion of diabetes had increased from 6.8 to 14.3 per 1000 adult patients. The trend of type 1 diabetes increased for both urban from 1.0 to 2.2 per 1000 adult urban residents and rural from 1.2 to 2.6 per 1000 adult rural residents, with statistically a significant increase (χ 2 = 9.1, P=0.002) and (χ 2 =17.8, P<0.001) for linear trend, respectively. The trend of type 2 diabetes increased for both urban from 6.9 to 14.0 per 1000 adult urban residents and rural from 4.0 to 9.5 per 1000 adult rural residents, with a statistically significant increase (χ 2 =68.4, P<0.001) and (χ 2 =74.2, P<0.001) for linear trend, respectively. The higher increase in the proportion of both type 1 and type 2 diabetes observed among women patients. Conclusion: The trend in the proportion of type 1 and type 2 diabetes increasing for both urban and rural residents, with a higher increase observed among women. These findings highlight health-care professionals and policymakers to design effective public health policies to treat each type of disease.

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Diabetes prevalence, awareness and treatment and their correlates in older persons in urban and rural population in the Astana region, Kazakhstan

Abstract: The large differences in all diabetes indices between urban and rural regions, if confirmed in larger studies, may suggest an impact of westernised and urbanised lifestyle as well as access to health care.

Cited by 43 publications

References 28 publications

Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

Prevalence, awareness, treatment and control of dyslipidemia in older persons in urban and rural population in the Astana region, Kazakhstan

Prevalence and determinants of dental caries experience among adolescents in Kazakhstan: a cross-sectional study

<p>Urban-Rural Differences in the Trends of Type 1 and Type 2 Diabetes Among Adults Who Received Medical Treatment from Public Hospitals in Resource-Poor Community Tigray, Ethiopia</p>

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