Factors associated with awareness, treatment and control on diabetes in Zhejiang

Abstract

To investigate factors associated with awareness, treatment and control of diabetes in Zhejiang. Subjects under study were selected among local residents aged ≥ 18 years old by multi stage stratified-random sampling method. All participants received physical examinations including blood tests for lipids, fasting blood glucose, 2 h blood glucose and physical measurements for obesity and blood pressure in the year 2010. Totally, 17 437 residents were finally included in the study, including 1529 patients with diabetes. The rates of awareness, treatment and control of diabetes among the subjects under study, were 59.19%, 46.63% and 23.87%, respectively. Rate of treatment in patients with awareness of diabetes and the rate of under control among patients with treated diabetes were 78.78% and 51.19% respectively. Data from multivariate logistic regression method showed that factors as older age, having family history of diabetes were associated with higher awareness of diabetes, being alcohol drinker and obese patients with lower awareness etc. Treatment rate was significantly higher among those patients with primary education than those under situations as illiteracy, hypertension and longer course of diabetes. The control rate was significantly lower among patients with longer course of diabetes and dyslipidemia. Low rate on awareness, treatment and control of diabetes need to be changed.