National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021

Abstract Disproportionate impact of COVID-19 on socioeconomic and behavioral variables may have impacted the prevalence of diabetes. We utilized nationwide long-term serial study from the 2009 to 2021 Korea Community Health Survey (KCHS). We explored national and regional prevalence and trends of di...

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Main Authors: Jiyeon Oh, Soeun Kim, Myeongcheol Lee, Sang Youl Rhee, Min Seo Kim, Ju-Young Shin, Hyunjung Lim, Seung Won Lee, Masoud Rahmati, Sunyoung Kim, Dong Keon Yon
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-43353-x
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author Jiyeon Oh
Soeun Kim
Myeongcheol Lee
Sang Youl Rhee
Min Seo Kim
Ju-Young Shin
Hyunjung Lim
Seung Won Lee
Masoud Rahmati
Sunyoung Kim
Dong Keon Yon
author_facet Jiyeon Oh
Soeun Kim
Myeongcheol Lee
Sang Youl Rhee
Min Seo Kim
Ju-Young Shin
Hyunjung Lim
Seung Won Lee
Masoud Rahmati
Sunyoung Kim
Dong Keon Yon
author_sort Jiyeon Oh
collection DOAJ
description Abstract Disproportionate impact of COVID-19 on socioeconomic and behavioral variables may have impacted the prevalence of diabetes. We utilized nationwide long-term serial study from the 2009 to 2021 Korea Community Health Survey (KCHS). We explored national and regional prevalence and trends of diabetes according to the socioeconomic and behavioral factors before and during the pandemic. Also, we interpreted which groups became more vulnerable to the prevalence of diagnosed diabetes during the pandemic. A total of 2,971,349 adults aged (19 to 39, 40 to 59, and ≥ 60 years) were included in the analysis. The prevalence of diagnosed diabetes increased slowly during the pandemic (11.6% [95% CI 11.5–11.7] in 2020 and 12.4% [95% CI 12.3–12.6] in 2021), compared to the pre-pandemic era (7.9% [95% CI 7.8–7.9] in 2009–2011 and 11.3% [95% CI 11.3–11.4] in 2018–2019). Also, women, low-income group, low-educational group, and infrequent walking group showed less prevalence of diagnosed diabetes than the others. The diabetic population increased slowly than expected during the pandemic. The pandemic seems to contribute to an unanticipated increase in under-diagnosis of diabetes among the already minority. This study may suggest reinforcing access to healthcare services among the minority during the pandemic.
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spelling doaj.art-06e9b72be45043978bc94ad82a9df2402023-11-19T12:54:56ZengNature PortfolioScientific Reports2045-23222023-10-011311910.1038/s41598-023-43353-xNational and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021Jiyeon Oh0Soeun Kim1Myeongcheol Lee2Sang Youl Rhee3Min Seo Kim4Ju-Young Shin5Hyunjung Lim6Seung Won Lee7Masoud Rahmati8Sunyoung Kim9Dong Keon Yon10Department of Medicine, Kyung Hee University College of MedicineCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of MedicineCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of MedicineCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of MedicineCardiovascular Disease Initiative, Broad Institute of MIT and HarvardSchool of Pharmacy, Sungkyunkwan UniversityDepartment of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee UniversityDepartment of Precision Medicine, Sungkyunkwan University School of MedicineDepartment of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan UniversityDepartment of Family Medicine, Kyung Hee University Medical Center, Kyung Hee University College of MedicineCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of MedicineAbstract Disproportionate impact of COVID-19 on socioeconomic and behavioral variables may have impacted the prevalence of diabetes. We utilized nationwide long-term serial study from the 2009 to 2021 Korea Community Health Survey (KCHS). We explored national and regional prevalence and trends of diabetes according to the socioeconomic and behavioral factors before and during the pandemic. Also, we interpreted which groups became more vulnerable to the prevalence of diagnosed diabetes during the pandemic. A total of 2,971,349 adults aged (19 to 39, 40 to 59, and ≥ 60 years) were included in the analysis. The prevalence of diagnosed diabetes increased slowly during the pandemic (11.6% [95% CI 11.5–11.7] in 2020 and 12.4% [95% CI 12.3–12.6] in 2021), compared to the pre-pandemic era (7.9% [95% CI 7.8–7.9] in 2009–2011 and 11.3% [95% CI 11.3–11.4] in 2018–2019). Also, women, low-income group, low-educational group, and infrequent walking group showed less prevalence of diagnosed diabetes than the others. The diabetic population increased slowly than expected during the pandemic. The pandemic seems to contribute to an unanticipated increase in under-diagnosis of diabetes among the already minority. This study may suggest reinforcing access to healthcare services among the minority during the pandemic.https://doi.org/10.1038/s41598-023-43353-x
spellingShingle Jiyeon Oh
Soeun Kim
Myeongcheol Lee
Sang Youl Rhee
Min Seo Kim
Ju-Young Shin
Hyunjung Lim
Seung Won Lee
Masoud Rahmati
Sunyoung Kim
Dong Keon Yon
National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021
Scientific Reports
title National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021
title_full National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021
title_fullStr National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021
title_full_unstemmed National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021
title_short National and regional trends in the prevalence of type 2 diabetes and associated risk factors among Korean adults, 2009–2021
title_sort national and regional trends in the prevalence of type 2 diabetes and associated risk factors among korean adults 2009 2021
url https://doi.org/10.1038/s41598-023-43353-x
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