Urban-rural distinction of potential determinants for prediabetes in Indonesian population aged ≥15 years: a cross-sectional analysis of Indonesian Basic Health Research 2018 among normoglycemic and prediabetic individuals

BMC Public Health

Sarwo Handayani¹  Rita Marleta Dewi¹  Kambang Sariadji¹  Frans Dany¹  Delima Delima²  Nunik Kusumawardani³  Julianty Pradono³  Dwi Hapsari Tjandrarini³ 

[1] Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia;Centre for Research and Development of Health Resources and Services, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia;Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia;

关键词: Prediabetes;    Determinants;    Urban;    Rural;    Indonesia;   

DOI  :  10.1186/s12889-020-09592-7

来源: Springer

【 摘 要 】

BackgroundBased on Basic Health Research (RISKESDAS) conducted by Ministry of Health, Indonesia, prediabetes prevalence tends to increase from 2007 until 2018. The numbers are relatively higher in rural than those in urban area despite of small discrepancies between the two (~ 2–4%). The purpose of this study was to identify urban-rural differences in potential determinants for prediabetes in Indonesia.MethodsThis analysis used secondary data collected from nationwide Health Survey in 2018. Respondents were aged ≥15 years who met inclusion criteria of analysis with no history of diabetes mellitus. Prediabetes criteria followed American Diabetes Association 2019. Multiple logistic regression was also employed to assess the transition probability of potential determinants for prediabetes in urban and rural Indonesia.ResultsUp to 44.8% of rural respondents were prediabetics versus their urban counterparts at 34.9%, yet non-response bias was observed in the two. Young adults aged 30 years were already at risk of prediabetes. Urban-rural distinction for marital status and triglyceride level was observed while other determinants tended to overlap across residence. Several modifiable factors might contribute differently in both population with careful interpretation.ConclusionsThe minimum age limit for early prediabetes screening may start from 30 years old in Indonesia. Urban-rural distinction for marital status and triglyceride level was observed, yet non-response bias between the two groups could not be excluded. A proper model for early prediabetes screening need to be developed from a cohort study with adequate sample size.

【 授权许可】

CC BY