Prevalence, awareness, treatment, control of type 2 diabetes mellitus and risk factors in Chinese rural population: the RuralDiab study

Abstract

The study aimed to investigate prevalence, awareness, treatment and control of type 2 diabetes mellitus (T2DM), and to explore potential risk factors in rural areas of China. A total of 16413 individuals aged 18–74 years in rural districts were recruited from the Rural Diabetes, Obesity and Lifestyle (RuralDiab) study for the epidemiological research. Meanwhile, a meta-analysis including 7 published studies was conducted to validate the result of the cross-sectional study. The rates of crude and age-standardized prevalence, awareness, treatment and control of T2DM were 12.19%, 67.00%, 62.35%, 22.20% and 6.98%, 60.11%, 54.85%, 18.77%, respectively. The prevalence, awareness, treatment and control of T2DM displayed increased trends with age (Ptrend < 0.01) and were strongly associated with education, drinking, more vegetable and fruit intake, physical activity, family history of diabetes, body mass index (BMI). The results of this meta-analysis showed that the pooled prevalence, awareness, treatment and control of T2DM in China countryside were 7.3% (5.3–9.4%), 57.3% (36.9–77.6%), 48.4% (32.4–64.5%) and 21.0% (9.9–32.1%), respectively. The prevalence of T2DM was high with inadequate awareness, treatment and control of T2DM in China rural areas. Healthy lifestyles should be advocated to reduce prevalence and improve awareness, treatment, and control of T2DM in Chinese rural residents.

Diabetes in Shenzhen, China: epidemiological investigation and health care challenges

“…A number of studies have shown that age is an important risk factor for diabetes [21]. However, the prevalence rate of diabetes in the current study had the peak in 50 to 59 age group, then a decreasing trend was observed, which is in conflict with the national study by Bragg et al [1].…”

Tip 2 Diyabet hastalarının hastalıkları, tedavisi ve tedavi yan etkileri hususundaki farkındalıklarının değerlendirilmesi

“…Gender distribution of the participants reveals female predominance (59.66 %, 6th decade) which is consistent with Arslantas [8] and Liu [9] et al's studies (77.2%, 7th decade and 64.9%, 6th and 7th decade). These results may indicate the incidence of T2DM is higher than men around 6th decade which would be related with post-menopausal changes.…”

Prevalence and risk factors of chronic kidney disease and diabetic kidney disease in a central Chinese urban population: a cross-sectional survey

“…In the same year, Ho and Hwang et al demonstrated that diabetic kidney disease (DKD) was responsible for 46.2 and 43.2% of ESRD cases in Hong Kong and Taiwan, respectively [11,12]. The inadequate awareness and control of diabetes and hypertension has aggravated the health and socioeconomic burden of CKD and DKD in the Chinese population in several aspects, such as lower life expectancy, poor quality of daily life and the high cost of medical care [13][14][15][16]. Insufficient contracts with health services, delayed health-seeking behavior and frequent use of Chinese herbal medicines have also contributed to the high incidence and progression of CKD [17,18].…”