Interaction between sex and rurality on the prevalence of diabetes in Guyana: a nationally representative study.

BMJ Open Diabetes Research & Care
Calvin KeJulia Lowe

Abstract

Diabetes prevalence has never been measured in Guyana. We conducted a nationally representative cross-sectional study to estimate the prevalence of diabetes and pre-diabetes, and the association between sex and diabetes. In 2016, the Ministry of Public Health led Guyana's first national STEPS survey among adults aged 18-69 years. Half of the participants were randomly selected for hemoglobin A1c and fasting blood glucose testing. We estimated the prevalence of diabetes and pre-diabetes and measured the association between sex and diabetes prevalence using logistic regression to compute adjusted ORs. We included 805 adults (511 women, 294 men, mean age 41.8 (SD 14.4) years). The national prevalence of diabetes was 18.1% (95% CI: 15.4% to 20.8%), with higher rates among women (21.4%, 95% CI: 18.0% to 24.7%) than men (15.1%, 95% CI: 10.9% to 19.3%). Sex-specific diabetes prevalence varied significantly across urban and rural areas (p=0.002 for interaction). In rural areas, diabetes was twice as common among women (24.1%, 95% CI: 20.1% to 28.2%) compared with men (11.8%, 95% CI: 7.7% to 15.9%). After adjusting for prespecified covariates, rural women had double the odds of diabetes compared with rural men (OR 2.1, 95% CI: 1.20 to 3...Continue Reading

References

Jul 2, 2003·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Henry S Fraser
Jun 24, 2008·Bulletin of the World Health Organization·Bernadette Modell, Matthew Darlison
Nov 8, 2008·The International Journal of Behavioral Nutrition and Physical Activity·Stéphanie A PrinceMark Tremblay
Sep 24, 2013·Best Practice & Research. Clinical Endocrinology & Metabolism·Naveed Sattar
Sep 2, 2014·Diabetes Research and Clinical Practice·Brian OstrowJulia Lowe
Sep 11, 2014·Diabetes Research and Clinical Practice·L GuariguataU Linnenkamp
Feb 19, 2015·Journal of Diabetes Science and Technology·Randie R LittleRobert L Schmidt
Jul 3, 2015·International Journal of Endocrinology·Li ChenFengxia Liang
May 10, 2016·Endocrine Reviews·Alexandra Kautzky-WillerGiovanni Pacini
Jun 14, 2016·Scientifica·Muhammad Kashif JavaidMuhammad Tahir
Jul 14, 2017·Clinical Diabetes and Endocrinology·Paul Z Zimmet
Dec 19, 2018·Diabetes Care·UNKNOWN American Diabetes Association
May 10, 2019·Nature·UNKNOWN NCD Risk Factor Collaboration (NCD-RisC)
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Leonor GuariguataNigel Unwin
Nov 19, 2019·Diabetes Research and Clinical Practice·J LoweB Ostrow
Feb 20, 2020·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Julia LoweBrian Ostrow
Jan 8, 2019·International Journal of Neonatal Screening·Jennifer Knight-MaddenMarie-Dominique Hardy-Dessources

❮ Previous
Next ❯

Software Mentioned

SAS

Related Concepts

Related Feeds

American Diabetes Association Journals

Discover the latest diabetes research published by the journals from the American Diabetes Association.

Related Papers

JAMA : the Journal of the American Medical Association
Yu Xu2010 China Noncommunicable Disease Surveillance Group
Diabetes Research and Clinical Practice
Ngoc Minh Pham, Karen Eggleston
JAMA : the Journal of the American Medical Association
Limin WangLinhong Wang
© 2021 Meta ULC. All rights reserved