Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China
ObjectiveTo investigate the status of glycemic control and analyze its influencing factors in patients with type 2 diabetes (T2D) in Anhui, China.Methods1,715 T2D patients aged 18–75 years old were selected from 4 counties or districts in Anhui Province in 2018, using a convenience sampling method....
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.980966/full |
| _version_ | 1811181595659337728 |
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| author | Xiu-Ya Xing Xin-Yi Wang Xin-Yi Wang Xi Fang Jing-Qiao Xu Ye-Ji Chen Wei Xu Hua-Dong Wang Zhi-Rong Liu Sha-Sha Tao |
| author_facet | Xiu-Ya Xing Xin-Yi Wang Xin-Yi Wang Xi Fang Jing-Qiao Xu Ye-Ji Chen Wei Xu Hua-Dong Wang Zhi-Rong Liu Sha-Sha Tao |
| author_sort | Xiu-Ya Xing |
| collection | DOAJ |
| description | ObjectiveTo investigate the status of glycemic control and analyze its influencing factors in patients with type 2 diabetes (T2D) in Anhui, China.Methods1,715 T2D patients aged 18–75 years old were selected from 4 counties or districts in Anhui Province in 2018, using a convenience sampling method. All patients have undergone a questionnaire survey, physical examination, and a glycosylated hemoglobin (HbA1c) test. According to the 2022 American Diabetes Association criteria, HbA1c was used to evaluate the glycemic control status of patients, and HbA1c < 7.0% was defined as good glycemic control. The influencing factors of glycemic control were analyzed by multivariate unconditional logistic regression.ResultsThe prevalence of good glycemic control among people with T2D in the Anhui Province was low (22.97%). On univariate analysis, gender, education level, occupation, region, smoking, drinking, waist circumference and disease duration (all P < 0.05) were significantly associated with glycemic control. The factors associated with pool glycemic control were female gender [OR = 0.67, 95%CI (0.52, 0.86), P = 0.001], higher level of education [OR = 0.47, 95%CI (0.27, 0.83), P = 0.001], living in rural areas [OR = 1.77, 95%CI (1.39, 2.26), P < 0.001], central obesity [OR = 1.58, 95%CI (1.19, 2.09), P = 0.001] and longer duration of disease [OR = 2.66, 95%CI (1.91, 3.69), P < 0.001].ConclusionsThe prevalence of good glycemic control in people with T2D in Anhui Province was relatively low, and gender, region, education level, central obesity and course of the disease were influencing factors. The publicity and education on the importance of glycemic control should be further strengthened in T2D patients, and targeted intervention measures should be carried out for risk groups. |
| first_indexed | 2024-04-11T09:20:06Z |
| format | Article |
| id | doaj.art-2ae6118c1b8e46eba52d8aa8b5d7ee0f |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T09:20:06Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-2ae6118c1b8e46eba52d8aa8b5d7ee0f2022-12-22T04:32:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.980966980966Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, ChinaXiu-Ya Xing0Xin-Yi Wang1Xin-Yi Wang2Xi Fang3Jing-Qiao Xu4Ye-Ji Chen5Wei Xu6Hua-Dong Wang7Zhi-Rong Liu8Sha-Sha Tao9Department of Chronic Non-communicable Disease Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei, ChinaDepartment of Radiation Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, ChinaFirst Clinical Medical College, Anhui Medical University, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaDepartment of Chronic Non-communicable Disease Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei, ChinaDepartment of Chronic Non-communicable Disease Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei, ChinaDepartment of Chronic Non-communicable Disease Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei, ChinaDepartment of Chronic Non-communicable Disease Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei, ChinaDepartment of Chronic Non-communicable Disease Prevention and Control, Anhui Provincial Center for Disease Control and Prevention, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaObjectiveTo investigate the status of glycemic control and analyze its influencing factors in patients with type 2 diabetes (T2D) in Anhui, China.Methods1,715 T2D patients aged 18–75 years old were selected from 4 counties or districts in Anhui Province in 2018, using a convenience sampling method. All patients have undergone a questionnaire survey, physical examination, and a glycosylated hemoglobin (HbA1c) test. According to the 2022 American Diabetes Association criteria, HbA1c was used to evaluate the glycemic control status of patients, and HbA1c < 7.0% was defined as good glycemic control. The influencing factors of glycemic control were analyzed by multivariate unconditional logistic regression.ResultsThe prevalence of good glycemic control among people with T2D in the Anhui Province was low (22.97%). On univariate analysis, gender, education level, occupation, region, smoking, drinking, waist circumference and disease duration (all P < 0.05) were significantly associated with glycemic control. The factors associated with pool glycemic control were female gender [OR = 0.67, 95%CI (0.52, 0.86), P = 0.001], higher level of education [OR = 0.47, 95%CI (0.27, 0.83), P = 0.001], living in rural areas [OR = 1.77, 95%CI (1.39, 2.26), P < 0.001], central obesity [OR = 1.58, 95%CI (1.19, 2.09), P = 0.001] and longer duration of disease [OR = 2.66, 95%CI (1.91, 3.69), P < 0.001].ConclusionsThe prevalence of good glycemic control in people with T2D in Anhui Province was relatively low, and gender, region, education level, central obesity and course of the disease were influencing factors. The publicity and education on the importance of glycemic control should be further strengthened in T2D patients, and targeted intervention measures should be carried out for risk groups.https://www.frontiersin.org/articles/10.3389/fpubh.2022.980966/fulltype 2 diabetes (T2D)glycemic controlepidemiological characteristicsinfluencing factorshealth education and promotion |
| spellingShingle | Xiu-Ya Xing Xin-Yi Wang Xin-Yi Wang Xi Fang Jing-Qiao Xu Ye-Ji Chen Wei Xu Hua-Dong Wang Zhi-Rong Liu Sha-Sha Tao Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China Frontiers in Public Health type 2 diabetes (T2D) glycemic control epidemiological characteristics influencing factors health education and promotion |
| title | Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China |
| title_full | Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China |
| title_fullStr | Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China |
| title_full_unstemmed | Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China |
| title_short | Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China |
| title_sort | glycemic control and its influencing factors in type 2 diabetes patients in anhui china |
| topic | type 2 diabetes (T2D) glycemic control epidemiological characteristics influencing factors health education and promotion |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.980966/full |
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