Epidemiology Survey And Risk Factors Of Diabetes Mellitus In Adults Of Jiangxi Province

Objective:With the development of economy,the change of lifestyle and aging of population,the prevalence of diabetes has been increasing among Chinese population. whereas,the diabetes mellitus epidemical data is less in Jiangxi province,the most recent survey was five years ago,so it was necessary to get a thorough understanding of the prevalence of diabetes in Jiangxi.This survey was to investigate the prevalence and analyze the risk factors of diabetes mellitus in adults of Jiangxi province in 2015,get the information of the prevalence and awareness rate of diabetes mellitus,provide decision basis for diabetes mellitus and other chronic disease prevention and control. Methods:A total of 2665 permanent residents aged 18 to 79 years old were selected in Nanchang and Shangrao regions from April to August in 2015 and the multi-stage stratified cluster random sampling method was used.Questionnaire survey that included personal statistics information and diabetes related disease,fasting blood glucose,blood lipid,uric acid,hemoglobin,weight,height and blood pressure test were needed for all participants.The person who was not diabetes before needed to accept oral glucose tolerance test and measure the 2-hour postprandial blood glucose.Using Epidata 3.1 software to build database by double entry.SPSS 17.0 software for statistical analysis,using chi-square to test the comparison of rate and multivariate Logistic regression analysis for risk factors of diabetes. Result:1.According to the WHO diagnostic criteria,the overall prevalence of diabetes and prediabetes among adults in Jiangxi was 9.5% and 17.4%.The prevalence among urban and rural residents was 10.3% and 8.6%.The prevalence of diabetes among men was 10.6% and 8.3%,it was higher among men than women;According to the ADA diagnostic criteria,the overall prevalence of diabetes and prediabetes among adults in Jiangxi was 12.3% and 48.6%.The prevalence among urban and rural residents was 14.4% and 9.9%,it was higher among urban residents than rural residents.The prevalence of diabetes among men was 13.7% and 10.8%,it was higher among men than women.The prevalence of diabetes among adults was on the rise as the growth of age in Jiangxi province.2.The awareness rate of diabetes was not high,it was 48.6% according to the WHO diagnostic criteria and 37.5% according to the ADA diagnostic criteria.3.The success control rate of diabetes was low,it was 28.6% on the basis of glycosylated hemoglobin less than 7.0%,if the glycosylated hemoglobin below 6.5% for the standard,the success control rate was 15.1%.4.The Logistic regression analysis indicated that urban residents,male,high cholesterol,high blood pressure,overweight,obesity,expanded waist circumference, elder age, a positive family history of diabetes,degree of education were the independent risk factors for diabetes in Jiangxi province combined with the two kinds of diagnostic criteria. Conclusion:1.The overall prevalence of diabetes and prediabetes among adults in Jiangxi was 9.5% and 17.4% according to the WHO diagnostic criteria.2.The overall prevalence of diabetes and prediabetes among adults in Jiangxi was 12.3% and 48.6% according to the ADA diagnostic criteria.3.The awareness rate of diabetes was not high,it was 48.6% according to the WHO diagnostic criteria and 37.5% according to the ADA diagnostic criteria.4.The success control rate of diabetes was 28.6% on the basis of glycosylated hemoglobin less than 7.0% after treatment,if the glycosylated hemoglobin below 6.5% for the standard,the success control rate was 15.1%.5.Combined with the two kinds of diagnostic criteria urban residents,male,high cholesterol,high blood pressure,overweight,obesity,high waist circumference,elder age,a positive family history of diabetes,poor education background were the independent risk factors for diabetes in Jiangxi province6.The prevalence of diabetes was on the rise in Jiangxi province,we should strengthen the screening of high-risk groups.