Prevalence, perception and factors associated with diabetes mellitus among the adult population in central Vietnam: a population-based, cross-sectional seroepidemiological surveyReportar como inadecuado




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BMC Public Health

, 17:298

Chronic Disease epidemiology

Abstract

BackgroundDiabetes Mellitus DM has rapidly become a major public health concern in Vietnam. Although the prevalence of DM has been studied in northern and southern Vietnam, little data are available for the central region. Therefore, the aims of this survey were to estimate the prevalence of DM and to identify the perception of and factors associated with DM among the adult population in central Vietnam.

MethodsWe conducted a cross-sectional, population-based survey in Khánh Hòa Province, Vietnam in December 2014 using three-stage cluster sampling and probability proportional to size sampling in line with the World Health Organization STEPwise approach. Four hundred and eighty residents aged 20–70 years were selected from 30 villages in 10 wards-communes. After obtaining informed consent, all residents participated in interviews regarding lifestyle, medical history, and perception of DM and underwent physical measurements and blood examination for fasting blood glucose and glycated hemoglobin. Factors associated with DM were analyzed using a logistic regression model.

ResultsA total of 376 residents were enrolled response rate: 78.3%; females: 59%; rural residents: 61%. Among the participants, 14.3% and 18.9% of males and females, respectively, were classified as overweight-obese according to body mass index BMI, 37.7% and 22.1%, respectively, had hypertension, and 36.4% and 11.7% had metabolic syndrome. The prevalence of DM in the entire population was 7.2% 27-376; 95% confidence interval CI: 4.6–9.8. Participants aged 60–70 years were more likely to have DM than those aged 30–39 years adjusted odds ratio aOR: 8.7; 95%CI: 1.4–56.0, and participants classified as obese were more likely to have DM than those with normal or low BMI aOR: 10.2; 95%CI: 2.2–50.2. Furthermore, more than two-thirds 254-376, 67.6% of the participants either did not understand or had never heard of DM, and less than half of the DM cases 12-27, 44% were aware of their history of DM.

ConclusionsThe results of this study suggested that the prevalence of DM among the adult population in central Vietnam was slightly higher than that in other areas. Additional research is needed to further explore perceptions of and practices regarding DM.

KeywordsDiabetes mellitus Central Vietnam Prevalence Perception AbbreviationsaORAdjusted odds ratio

BMIBody mass index

BPBlood pressure

CHCsCommune health centers

CIConfidence interval

DMDiabetes mellitus

EDTAEthylenediaminetetraacetic acid

FPGFasting plasma glucose

HbA1cGlycosylated hemoglobin

HDL-CHigh-density lipoprotein cholesterol

HPLCHigh-performance liquid chromatography

IPNPasteur Institute Nha Trang

NCGMNational Center for Global Health and Medicine

OROdds ratio

PPSPprobability proportional to size

STEPSSTEPwise approach to noncommunicable disease risk factor surveillance

TCTotal cholesterol

WHOWorld Health Organization





Autor: Masami Miyakawa - Takayuki Shimizu - Nguyen Van Dat - Phung Thanh - Pham Thi Phuong Thuy - Nguyen Thi Hoang Anh - Nguyen

Fuente: https://link.springer.com/







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