Abstract
The study aimed to assess the impact of an education-based intervention to improve vertical integration and management of type 2 diabetes mellitus in primary care in rural China. Patients with type 2 diabetes mellitus in three townships in Jingjiang county, Jiangsu Province were randomly divided into intervention and control groups. Participants in the intervention group received an education-based intervention. Patients’ data including the fasting blood glucose (FBG) level, health-related quality of life (HRQoL), and sociodemographic characteristics were collected at baseline (2015) and follow-up (2016). The FBG levels decreased significantly in the intervention group compared to the control group in the overall analysis. In the stratified analysis, FBG levels and some aspects of HRQoL improved in the intervention group more for females, married persons, those with low education, and those in farming or house working. Participants in the control group deteriorated in FBG levels but improved in some aspects of HRQoL. The intervention improved in FBG levels and some aspects of HRQoL among participants. Furthermore, the intervention seemed to differentially benefit females, married persons, lowly educated persons, and those in farming or house working more than other groups. (Trial registration: ISRCTN, ISRCTN13319989. Retrospectively registered 4 April 2017).
Highlights
Type 2 diabetes mellitus is a major health problem all over the world, including in China where the national prevalence rate of diabetes was 10.9% in 2013 [1]
The present study focuses on patients with type 2 diabetes mellitus
We excluded 8.2% (22) of the questionnaires in the intervention group and 12.7% (36) in the control group according to the exclusion criteria
Summary
Type 2 diabetes mellitus is a major health problem all over the world, including in China where the national prevalence rate of diabetes was 10.9% in 2013 [1]. The prevalence of type 2 diabetes mellitus in rural China increased from 6.1% to 8.2% from 2000 to 2014 [2]. The situation in rural China is difficult, as the number of patients with type 2 diabetes mellitus is increasing faster in rural areas than in urban areas, while the awareness, treatment, and control of diabetes remains lower in rural areas [3,4]. The epidemic peak of type 2 diabetes mellitus is moving from cities to suburbs and rural areas [5]. Public Health 2019, 16, 2676; doi:10.3390/ijerph16152676 www.mdpi.com/journal/ijerph
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