Yi MO, Huifang LI, Chunmei ZUO, Jinbo LI, Jingrong SHEN, Xia WU, Le CAI. Study on the Trends in Prevalence,Awareness,Treatment, and Control of Diabetes among NaXi Ethnic Minority in Yunnan Province[J]. Journal of Kunming Medical University, 2022, 43(10): 16-21. doi: 10.12259/j.issn.2095-610X.S20221015
Citation: Yi MO, Huifang LI, Chunmei ZUO, Jinbo LI, Jingrong SHEN, Xia WU, Le CAI. Study on the Trends in Prevalence,Awareness,Treatment, and Control of Diabetes among NaXi Ethnic Minority in Yunnan Province[J]. Journal of Kunming Medical University, 2022, 43(10): 16-21. doi: 10.12259/j.issn.2095-610X.S20221015

Study on the Trends in Prevalence,Awareness,Treatment, and Control of Diabetes among NaXi Ethnic Minority in Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20221015
  • Received Date: 2022-06-05
    Available Online: 2022-10-08
  • Publish Date: 2022-10-31
  •   Objective  To analyze the trends in prevalence, awareness, treatment, and control of diabetes mellitus (DM) among NaXi ethnic minority people in Yunnan Province.   Methods  A repeated cross-sectional design was adopted, and a total of 1402 permanent NaXi residents aged ≥35 years in 2013 and 1426 in 2018 were selected by multi-stage stratified random sampling. Participants received a questionnaire survey and physical examination.   Results   In 2018, the prevalence of prediabetes and DM among the surveyed population were 19.5% and 8.6%, while the awareness, treatment, and control of diabetes were 52.8%, 89.2%, and 29.2%, respectively. From 2013 to 2018, there was no significant change in the prevalence of pre-diabetes among the surveyed population, whereas the prevalence of prediabetes among the elderly aged 65 years and over, those with junior high school educational level and above, and those with high annual household income increased from 21.5%, 17.7%, and 17.9% to 28.9%, 22.3%, and 23.6%, respectively (all P < 0.05). The prevalence of DM increased from 4.1% to 8.6% (P < 0.001). And the prevalence of DM among the subgroups categorized by sex, age, education level, and income level this increasing rate was also observed in upward trends (all P < 0.05). The awareness rate of DM decreased from 69.0% to 52.8% (P < 0.05). There was no significant change in treatment and control rate of DM (all P > 0.05), whereas the rate of treatment among diabetic persons who are female, aged 55-64 years and persons with primary school educational level and below, and persons with low annual household income increased from 71.4%, 62.5%, 57.9%, and 71.4% to 93.9%, 95.0%, 88.9%, and 90.5% respectively (all P < 0.05).  Conclusion   The prevalence of DM among NaXi residents shows an increasing trend, while the awareness rate shows a decreasing trend. There is no significant change in the treatment rate and control rate. It should take specific effective measures to reduce the prevalence of prediabetes and DM, and improve the awareness rate and control rate, so as to delay the occurrence and development of DM.
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