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- Title
Prediabetes, diagnosed and undiagnosed diabetes, their risk factors and association with knowledge of diabetes in rural Bangladesh: The Bangladesh Population-based Diabetes and Eye Study 孟加拉国农村地区的糖尿病前期、已经诊断与未诊断的糖尿病、它们的危险因素以及它们与糖尿病知识的关系:基于孟加拉国人群的糖尿病与眼病研究
- Authors
Islam, Fakir M. Amirul; Chakrabarti, Rahul; Islam, M. Tauhidul; Wahab, Mohammad; Lamoureux, Ecosse; Finger, Robert P.; Shaw, Jonathan E.
- Abstract
Background The aim of the present study was to determine the prevalence and risk factors of prediabetes and diagnosed and undiagnosed diabetes mellitus ( DM) in rural Bangladesh. Methods Using a population-based cluster random sampling strategy, 3104 adults aged ≥30 years were recruited. Fasting capillary blood glucose, blood pressure, height, weight, waist circumference, and knowledge, attitudes, and practice related to diabetes were recorded. Diabetes was defined as fasting glucose ( FG) ≥7.0 mmol/L or a self-reported diagnosis of diabetes; impaired FG ( IFG) was defined as FG ≥ 6.1 and <7.0 mmol/L. Results The overall crude prevalence of DM was 7.2% (95% confidence interval [ CI] 6.3%-8.1%; n = 222), of which 55% ( n = 123) was previously undiagnosed ( UDM). The prevalence of IFG was 5.3% (95% CI 4.5%-6.1%; n = 163). The age-standardized prevalence of DM and IFG was 6.6% and 5.0%, respectively. The prevalence of UDM was higher in people of lower socioeconomic status (59% vs 31%; P < 0.001). Of those with known DM, 56% had poor glycemic control ( FG ≥ 7.0 mmol/L) and 37% were not on medication. Overall knowledge of DM was poor; only 16.3%, 17.8%, and 13.4% of those with UDM, IFG, and normal FG knew that diabetes causes eye disease, compared with 55.6% of those with known DM ( Ptrend < 0.001). Conclusions In this rural Bangladeshi community, UDM was high. Lower socioeconomic status was associated with a higher risk of UDM. Overall knowledge of DM was poor. Public health programmes should target those of low socioeconomic status and aim to increase knowledge of DM in rural Bangladesh.
- Subjects
BANGLADESH; PREDIABETIC state; DIAGNOSIS of diabetes; DIABETES risk factors; DISEASE prevalence; HEALTH promotion
- Publication
Journal of Diabetes, 2016, Vol 8, Issue 2, p260
- ISSN
1753-0393
- Publication type
Article
- DOI
10.1111/1753-0407.12294