Urban rural differences in prevalence of self-reported diabetes in India - The WHO-ICMR Indian NCD risk factor surveillance
Urban rural differences in prevalence of self-reported diabetes in India - The WHO-ICMR Indian NCD risk factor surveillance
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DOI：
10.1016/j.diabres.2007.11.018
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发表时间：
2008-04-01
影响因子：
5.1
通讯作者：
Shah, Bela
中科院分区：
文献类型：
--
作者：
Mohan, Viswanathan;Mathur, Prashant;Shah, Bela
最近的报告显示，城市亚裔印度人的糖尿病患病率高得惊人;然而，在国家层面比较城市、城郊和农村糖尿病患病率及其危险因素的研究很少。这项研究是2003年4月至2005年3月期间在印度不同地理位置（北部、南部、东部、西部/中部）开展的全国非传染性疾病风险因素监测的一部分。总共招募了44,523人（年龄：15-64岁），包括IS，239人来自城市，15,760人来自城郊/贫民窟，13,524人来自农村地区。采用改进的WHO STEPS方法研究主要危险因素。糖尿病的诊断是基于医生诊断的自我报告。自我报告的糖尿病患病率最低的是农村（3.1%），其次是城市周边/贫民窟（3.2%），最高的是城市（7.3%），城市地区的优势比（OR）： 2.48, 95%可信区间（Cl）： 2.21-2.79, p < 0.001)。腹部肥胖和久坐不动的城市居民自我报告的糖尿病患病率最高（11.3%），而没有腹部肥胖但进行剧烈运动的农村居民的患病率最低（0.7%）。总之，这项全国范围的非传染性疾病危险因素监测研究表明，自我报告的糖尿病患病率在城市较高，在城郊中等，在农村最低。城市居住、腹部肥胖和缺乏运动是本研究中与糖尿病相关的危险因素。2007爱思唯尔爱尔兰有限公司版权所有。
Recent reports show strikingly high prevalence of diabetes among urban Asian Indians; however, there are very few studies comparing urban, peri-urban and rural prevalence rates of diabetes and their risk factors at the national level. This study is a part of the national non-communicable diseases (NCD) risk factor surveillance conducted in different geographical locations (North, South, East, West/central) in India between April 2003 and March 2005. A total of 44,523 individuals (age: 15-64 years) inclusive of IS,239 from urban, 15,760 from peri-urban/slum and 13,524 from rural areas were recruited. Major risk factors were studied using modified WHO STEPS approach. Diabetes was diagnosed based on self-reported diabetes diagnosed by a physician. The lowest prevalence of self-reported diabetes was recorded in rural (3.1%) followed by peri-urban/slum (3.2%) and the highest in urban areas (7.3%, odds ratio (OR) for urban areas: 2.48, 95% confidence interval (Cl): 2.21-2.79, p < 0.001). Urban residents with abdominal obesity and sedentary activity had the highest prevalence of self-reported diabetes (11.3%) while rural residents without abdominal obesity performing vigorous activity had the lowest prevalence (0.7%). In conclusion, this nation-wide NCD risk factor surveillance study shows that the prevalence of self-reported diabetes is higher in urban, intermediate in peri-urban and lowest in rural areas. Urban residence, abdominal obesity and physical inactivity are the risk factors associated with diabetes in this study. (c) 2007 Elsevier Ireland Ltd. All rights reserved.