High prevalence of hyperglycaemia and the impact of high household income in transforming Rural China

BMC Public Health

Research Article

Yue Chen¹  Chaowei Fu²  Qingwu Jiang²  Jiangen Song³  Xuecai Wang³  Fadi Wang³ 

[1] Department of Epidemiology and Community Medicine, University of Ottawa, K1H 8M5, Ottawa, Ontario, Canada;Department of Epidemiology, School of Public Health, Fudan University; Key Laboratory of Public Health Safety, Ministry of Education, 200032, Shanghai, China;Deqing County Centre of Disease Prevention and Control, Deqing County, 313200, Zhejiang Province, China;

关键词: Household Income;    Alcohol Drinking;    Impair Fasting Glucose;    Multinomial Logistic Regression;    High Household Income;   

DOI  :  10.1186/1471-2458-11-862

 received in 2011-03-29, accepted in 2011-11-12,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe prevalence of hyperglycaemia and its association with socioeconomic factors have been well studied in developed countries, however, little is known about them in transforming rural China.MethodsA cross-sectional study was carried out in 4 rural communities of Deqing County located in East China in 2006-07, including 4,506 subjects aged 18 to 64 years. Fasting plasma glucose (FPG) was measured. Subjects were considered to have impaired fasting glucose (IFG) if FPG was in the range from 5.6 to 6.9 mmol/L and to have diabetes mellitus (DM) if FG was 7.0 mmol/L or above.ResultsThe crude prevalences of IFG and DM were 5.4% and 2.2%, respectively. The average ratio of IFG/DM was 2.5, and tended to be higher for those under the age of 35 years than older subjects. After adjustment for covariates including age (continuous), sex, BMI (continuous), smoking, alcohol drinking, and regular leisure physical activity, subjects in the high household income group had a significantly higher risk of IFG compared with the medium household income group (OR: 1.74, 95% CI: 1.11-2.72) and no significant difference in IFG was observed between the low and medium household income groups. Education and farmer occupation were not significantly associated with IFG.ConclusionsHigh household income was significantly associated with an increased risk of IFG. A high ratio of IFG/DM suggests a high risk of diabetes in foreseeable future in the Chinese transforming rural communities.

【 授权许可】

Unknown   
© Fu et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.