The rising tide of diabetes mellitus in a Chinese population: a population-based household survey on 121,895 persons
- 297 Downloads
We studied the prevalence of self-reported diabetes mellitus in selected years from 2001 to 2008, and evaluated the factors associated with diabetes.
From territory-wide household interviews in a Chinese population in the years 2001, 2002, 2005 and 2008, we evaluated the trend of self-reported diabetes with respect to age, sex and household income. Binary logistic regression analyses were conducted to study the independent factors associated with diabetes.
From 121,895 respondents in the household surveys, 103,367 were adults aged 15 years or older. Among male respondents, the age- and sex-adjusted prevalence of diabetes in 2001, 2002, 2005 and 2008 was 2.80, 2.87, 3.32 and 4.66 %, respectively; while among female respondents the respective prevalence was 3.25, 3.37, 3.77 and 4.31 %. In all the years, the prevalence escalated with age and increased sharply among the poor. From binary logistic regression analyses, advanced age and low monthly household income were significantly associated with self-report of diabetes.
This study showed a rising trend of diabetes mellitus in a large Chinese population and found a strong association between population demography and diabetes.
KeywordsDiabetes mellitus Prevalence Age Gender Socioeconomic status
Conflict of interest
The authors declare that they have no conflict of interest.
The surveys comply with the current laws of the country in which they were performed.
- American Diabetes Association (2010) Standards of medical care in diabetes-2010. Diabetes Care 33 (Suppl 1):S11–S61Google Scholar
- Census and Statistics Department (2010) The Government of the Hong Kong special administrative region. http://www.censtatd.gov.hk/hong_kong_statistics/social_topics_studies/index.jsp. Accessed 30 Aug 2010
- Department of Health, The Government of Hong Kong Special Administrative Region (2012) Heart health survey 2004/2005. http://www.chp.gov.hk/files/pdf/Heart_Health_Survey_en_20071109.pdf. Accessed 31 March 2012
- Diabetes Hong Kong (2008) Response to the “Your Health, Your Life”. Healthcare Reform Consultation June 2008. http://www.fhb.gov.hk/beStrong/files/organizations/O017.pdf. Accessed 01 Oct 2011
- Feinglos MN, Bethel MA (eds) (2007) Contemporary endocrinology: type 2 diabetes mellitus. An evidence-based approach to practical management. Humana Press, Totowa, NJ, USA. ISBN: 978-1-58829-794-5Google Scholar
- Gu D, Reynolds K, Duan X, Xin X, Chen J, Wu X, Mo J, Whelton PK, He J, for the InterASIA collaborative Group et al (2003) Prevalence of diabetes and impaired fasting glucose in the Chinese adult population: international collaborative study of cardiovascular disease in Asia (InterASIA). Diabetologia 46:1190–1198PubMedCrossRefGoogle Scholar
- Hong Kong Reference Framework for Diabetes Care for Adults in Primary Care Settings (2011) http://www.fhb.gov.hk/en/press_and_publications/otherinfo/101231_reference_framework/index.html. Accessed 11 Jan 2011
- International Diabetes Federation (2006) Diabetes atlas, 3rd edn. International Diabetes Federation, BrusselsGoogle Scholar
- Janus ED, Wat NM, Lam KS, Cockram CS, Siu ST, Liu LJ et al (2000) The prevalence of diabetes, association with cardiovascular risk factors and implications of diagnostic criteria (ADA 1997 and WHO 1998) in a 1996 community-based population study in Hong Kong Chinese. Diabet Med 17:741–745PubMedCrossRefGoogle Scholar
- Steel RGD, Torrie JH (1960) Principles and procedures of statistics. McGraw-Hill, New York, pp 187, 287Google Scholar