Prevalence of diabetes mellitus and associated risk factors in Uygur population in Kashgar area of Xinjiang Uygur Autonomous Region / 中华流行病学杂志

ABSTRACT

Objective To investigate the epidemiologic characteristics of diabetes mellitus (DM) in Uygur residents in Kashgar of Xinjiang.Methods The survey was conducted among the Uygur residents aged ≥ 18 years selected through stratified cluster sampling in Kashgar by means of questionnaire survey,physical examination and basic laboratory test.The prevalence of different groups were calculated and risk factors of DM was analyzed by logistic vegression model.Results A total of 4 608 adults were surveyed.The prevalence of DM was 11.31％ (standardized prevalence10.59％) and the prevalence was 13.65％ (standardized prevalence12.34％) in males and 10.04％ (standardized prevalence9.83％) in females.The prevalence increased with age.The prevalence of DM was higher than the prevalence of impaired fasting glucose (IFG) in people aged ＞60 years,especially in females.The rates of awareness,treatment and control of DM were 28.02％,21.31％ and 5.57％,respectively.Multivariate logistic regression analysis indicated that people aged 45-55,55-65 and ＞65 years had higher risk of DM and the odds ratio were 2.08 (95％CI1.24-3.48),2.73 (95％CI1.63-4.56) and 3.90 (95％ CI2.24-6.78) for men and 2.63 (95％ CI1.71-4.02),3.14 (95％ CI2.00-4.94) and 5.56 (95％CI3.47-8.92) for woman,respectively.Family history of DM (OR=2.88 for men,95％Cl1.45-5.72;OR=2.52 for women,95％CI1.49-4.26) and BMI≥28.0 kg/m2 (OR=1.77 for men,95％CI1.19-2.64,OR.=1.80 for women,95％CI1.30-2.50) were also risk factors for DM.Conclusion The prevalence of DM was high in Uygur residents in Kashgar,but the rate of awareness,treatment and control of DM were low.It is necessary to improve the detection rate of DM and conduct targeted prevention and control of DM.