Epidemiological Charadristics Of Type 2 Diabetes And Its Related Factors Among Mongolian People In Inner Mongolia

Objective Through to the Inner Mongolia autonomous region field epidemiological investigation,the prevalence,awareness,treatment,and control rates of Mongolian type 2 diabetes(T2DM)in the region were assessed,and the risk factors for Mongolian T2 DM were explored to find the influence of Mongolian T2 DM.Factors associated with awareness,treatment,and control rates.Further identification of susceptible groups of Mongolian T2 DM can lay a theoretical foundation for the prevention and control of T2 DM in Mongolians,and provide a scientific basis for the development of Mongolian public health plans and related preventive intervention policies and measures in this region.Methods A population-based field cross-sectional survey was conducted among 2525 Mongolian adults aged 18 and above living in Inner Mongolia Autonomous Region from August 2018 to August 2020 using a multistage cluster random sampling method based on population proportions.The basic information such as gender,age,education level,and marital status of the respondents,lifestyle information such as drinking,exercise,and eating habits,diabetes,hypertension,dyslipidemia,and stroke,and family history of diabetes were collected.All participants underwent physical examination including height,weight,waist circumference and hip circumference,blood pressure and blood glucose levels,and peripheral venous blood was extracted for blood biochemical laboratory examination.The prevalence,awareness,treatment,and control rates of T2 DM in Mongolians were estimated.Logistic regression analysis method and Chi-squared Automatic Interaction Detector(CHAID)algorithm were used to build a decision tree model to determine the relevant influencing factors of diabetes prevalence,awareness,treatment,and control.Results(1)A total of 2336 cases were included in this study.The mean age of the study population was 51.3 ± 13.8 years,and 61.0% were female.Young participants accounted for 40.8% of the total.48.0% of the participants had primary school education and below,and 81.3% were married or cohabiting.(2)The overall prevalence of T2 DM in Mongolians was 10.5%(standardized rate was 9.4%);the prevalence of IFG was 8.9%(standardized rate was 7.7%);the awareness rate,treatment rate,and control rate of Mongolian T2 DM were as follows: 67.1%,49.0%,30.9%.(3)Multivariate Logistic regression analysis showed that male,elderly,obesity,lipid abnormality,family history of diabetes,energy,fat,carbohydrate,moderate physical activity,high physical activity and agricultural areas were associated with the risk of T2 DM in Mongolian;Elderly,coronary heart disease,semi-farming and semi-grazing areas was associated with Mongolian T2 DM awareness rate;College education or above,coronary heart disease,elderly,pastoral areas,semi-agricultural and semi-pastoral areas and family history of diabetes mellitus were associated with the treatment rate of Mongolian T2DM;Living in agricultural area,semi-agricultural and semi-pastoral area,pastoral area,hypertension,intake of aquatic products and livestock and poultry meat,central obesity,high physical activity and egg and milk intake were associated with Mongolian T2 DM control.(4)In the analysis of decision tree model,the factors affecting the prevalence of T2 DM in Mongolians included dyslipidemia,region,BMI,intake of eggs,milk,aquatic products,and livestock and poultry meat;the most important factor affecting the awareness of T2 DM in Mongolians was region.Region and family history of diabetes mellitus were the important factors influencing the treatment of Mongolian T2 DM.The most important factor affecting Mongolian T2 DM control was regional factor.Conclusion The prevalence of Mongolian T2 DM is high,but its awareness,treatment and control are lower than the national average,which has become a major public health problem for the Mongolian population in the Inner Mongolia Autonomous Region.Local governments and primary health care providers should combine the local characteristics of Mongolian T2 DM,strengthen the publicity and education of Mongolian residents in pastoral areas and semi-agricultural and semi-pastoral areas,especially for male and elderly Mongolian groups should take more active prevention and treatment measures,and at the same time establish a sound diabetes service management system as soon as possible,advocate a reasonable diet,effectively prevent and control the occurrence and development of Mongolian residents T2 DM,reduce the prevalence rate,and improve the level of awareness,treatment and control of T2 DM in this group.