An Investigation Of Awareness, Treatment And Control Of Diabetes Mellitus And The Influence Factors In Jilin Province

Diabetes mellitus is a multifactorial endocrine disease which is induced by theinteraction between multiple genes and numerous environmental factors. In thecurrent situation of high prevalence and low awareness, we need to develop effectivestrategies and measures for screening, early detection and early diagnosis of diabetes,and further improve the treatment and control rates. Numerous studies confirm thatdiabetes is closely associated with poor behavior and lifestyle, and the relationshipbetween awareness, treatment and control rates and gender, age, income, educationlevel, physical activity, body mass index and other factors need to be further explored.Objective: To investigate the risk factors of awareness, treatment and controlrates, and provide a scientific basis for making prevention and controlling strategiesand measures of diabetes.Methods: The data collection included an intensive investigation and householdsurvey, and the main information collected included demographic, health-relatedbehaviors, disease history, family history and other information, and its physicalmeasurements and blood glucose testing. Using EpiData version3.1establishes adatabase and data parallel double entry, and data were analyzed using the complexsamples function of SPSS version21.0. The sampling weights were obtained from the2010China population census data, and were calculated based on four factors:regional, urban/rural, gender, and age in Jilin province and all statistical wereanalysed by complex weighted computation. The Rao-Scott Chi-square tests correctedfor complex sampling design were used to compare the awareness, treatment andcontrol of diabetes in the different groups. Multivariable logistic regressions wereused to examine the socio-demographic factors associated with the levels of diabetesawareness, treatment and control and P≤0.05was considered to be statistically significant.Results1. The analyzed sample included1,854participants. Of the1854participants, theawareness, treatment and control percentages of diabetes mellitus were64.1%,52.9%and44.2%respectively, after weighted.2. Men had a lower awareness (56.4%vs.74.2%) of diabetes mellitus thanwomen. Multivariable logistic regressions results showed that men were less likely tobe aware of their blood glucose levels（OR=0.640，95%CI：0.464-0.884）. Cigarettesmokers had lower awareness (52.8%vs.68.2%) of diabetes mellitus compared tonon-smokers. Alcohol drinkers had lower probability of awareness of diabetes thannon-drinkers （OR=0.614，95%CI：0.446-0.845）.3. Alcohol drinkers had lower treatment (38.9%vs.59.3%) of diabetes mellituscompared to non-drinkers. Mental workers had a lower treatment (41.2%vs.47.6%)of diabetes mellitus compared to manual laborers.4. The percentage of control of people with a family history of diabetes wassignificantly lower in those having no family history of diabetes compared to thosehaving family history (37.5%vs.47.6%). Mental workers had lower probability ofcontrol of diabetes than manual laborers （OR=0.713，95%CI：0.523-0.971）.Conclusion1. In our study, we found that the awareness and treatment of diabetes mellitus inJilin province is higher than the data of national disease surveillance points in Jilinprovince, but much lower than other countries.2. Men, cigarette smokers and alcohol drinkers were less concerned about theirdiabetes status.3. Mental workers and alcohol drinker were less likely to take their anti-diabeticmedications.4. Mental workers and family history of diabetes were not conducive to controldiabetes status.