Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control study

BackgroundType 2 diabetes mellitus (T2DM) is a grave issue in China. The annual check-up is recommended in clinical guidelines on T2DM. It plays an important role in monitoring and managing the condition and detecting and managing any comorbidities and T2DM-related complications. However, people wit...

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Main Authors: Ling Li, Kaushik Chattopadhyay, Xueyu Li, Jingjia Yu, Miao Xu, Xueqin Chen, Li Li, Jialin Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1247406/full
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author Ling Li
Ling Li
Kaushik Chattopadhyay
Xueyu Li
Jingjia Yu
Miao Xu
Xueqin Chen
Li Li
Jialin Li
author_facet Ling Li
Ling Li
Kaushik Chattopadhyay
Xueyu Li
Jingjia Yu
Miao Xu
Xueqin Chen
Li Li
Jialin Li
author_sort Ling Li
collection DOAJ
description BackgroundType 2 diabetes mellitus (T2DM) is a grave issue in China. The annual check-up is recommended in clinical guidelines on T2DM. It plays an important role in monitoring and managing the condition and detecting and managing any comorbidities and T2DM-related complications. However, people with T2DM may miss the annual check-up, and the benefits of this check-up are lost. Therefore, this study aimed to determine the factors associated with nonattendance at the annual T2DM check-up in Ningbo, China.MethodsA case-control study was conducted using the Ningbo National Metabolic Management Center dataset. Cases were people with T2DM who were alive but did not attend the first annual check-up, scheduled between 1 March 2019 and 28 February 2022 (n = 1,549). Controls were people with T2DM who were alive and attended the first annual check-up during the same period (n = 1,354). The characteristics of cases and controls were compared using logistic regressions.ResultsThe odds of being a female [odds ratio (OR) 1.26, 95% confidence interval (CI) 1.06–1.50], alcohol drinker (1.26, 1.06–1.49), and with glycated hemoglobin A1c (HbA1c) ≥7% (1.67, 1.42–1.97) were higher among case patients than controls. The odds of being a high school graduate (0.77, 0.66–0.89) and on standard treatments in addition to lifestyle modification (oral hypoglycemic drug 0.63, 0.42–0.96; oral hypoglycemic drug and injection therapy 0.48, 0.32–0.73) were lower among case patients than controls.ConclusionThe factors associated with nonattendance at the annual T2DM check-up in Ningbo, China were female sex, not a high school graduate, alcohol drinker, HbA1c ≥7%, and only on lifestyle modification. The study findings should be used for improving attendance at the annual check-up among people with T2DM in Ningbo.
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spelling doaj.art-7ea58db5f1f543bda0b2a2a3ba96ee832023-12-14T14:13:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.12474061247406Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control studyLing Li0Ling Li1Kaushik Chattopadhyay2Xueyu Li3Jingjia Yu4Miao Xu5Xueqin Chen6Li Li7Jialin Li8Health Science Center, Ningbo University, Ningbo, ChinaDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaLifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, United KingdomDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaDepartment of Traditional Chinese Medicine, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Ningbo University, Ningbo, ChinaBackgroundType 2 diabetes mellitus (T2DM) is a grave issue in China. The annual check-up is recommended in clinical guidelines on T2DM. It plays an important role in monitoring and managing the condition and detecting and managing any comorbidities and T2DM-related complications. However, people with T2DM may miss the annual check-up, and the benefits of this check-up are lost. Therefore, this study aimed to determine the factors associated with nonattendance at the annual T2DM check-up in Ningbo, China.MethodsA case-control study was conducted using the Ningbo National Metabolic Management Center dataset. Cases were people with T2DM who were alive but did not attend the first annual check-up, scheduled between 1 March 2019 and 28 February 2022 (n = 1,549). Controls were people with T2DM who were alive and attended the first annual check-up during the same period (n = 1,354). The characteristics of cases and controls were compared using logistic regressions.ResultsThe odds of being a female [odds ratio (OR) 1.26, 95% confidence interval (CI) 1.06–1.50], alcohol drinker (1.26, 1.06–1.49), and with glycated hemoglobin A1c (HbA1c) ≥7% (1.67, 1.42–1.97) were higher among case patients than controls. The odds of being a high school graduate (0.77, 0.66–0.89) and on standard treatments in addition to lifestyle modification (oral hypoglycemic drug 0.63, 0.42–0.96; oral hypoglycemic drug and injection therapy 0.48, 0.32–0.73) were lower among case patients than controls.ConclusionThe factors associated with nonattendance at the annual T2DM check-up in Ningbo, China were female sex, not a high school graduate, alcohol drinker, HbA1c ≥7%, and only on lifestyle modification. The study findings should be used for improving attendance at the annual check-up among people with T2DM in Ningbo.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1247406/fulltype 2 diabetes mellituschronic disease managementannual checkupattendanceChina
spellingShingle Ling Li
Ling Li
Kaushik Chattopadhyay
Xueyu Li
Jingjia Yu
Miao Xu
Xueqin Chen
Li Li
Jialin Li
Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control study
Frontiers in Public Health
type 2 diabetes mellitus
chronic disease management
annual checkup
attendance
China
title Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control study
title_full Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control study
title_fullStr Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control study
title_full_unstemmed Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control study
title_short Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control study
title_sort factors associated with nonattendance at annual diabetes check up in ningbo china a case control study
topic type 2 diabetes mellitus
chronic disease management
annual checkup
attendance
China
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1247406/full
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