Titre
Diabetes Prevalence and Its Relationship With Education, Wealth, and BMI in 29 Low- and Middle-Income Countries.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Seiglie, J.A.
Auteure/Auteur
Marcus, M.E.
Auteure/Auteur
Ebert, C.
Auteure/Auteur
Prodromidis, N.
Auteure/Auteur
Geldsetzer, P.
Auteure/Auteur
Theilmann, M.
Auteure/Auteur
Agoudavi, K.
Auteure/Auteur
Andall-Brereton, G.
Auteure/Auteur
Aryal, K.K.
Auteure/Auteur
Bicaba, B.W.
Auteure/Auteur
Bovet, P.
Auteure/Auteur
Brian, G.
Auteure/Auteur
Dorobantu, M.
Auteure/Auteur
Gathecha, G.
Auteure/Auteur
Gurung, M.S.
Auteure/Auteur
Guwatudde, D.
Auteure/Auteur
Msaidié, M.
Auteure/Auteur
Houehanou, C.
Auteure/Auteur
Houinato, D.
Auteure/Auteur
Jorgensen, JMA
Auteure/Auteur
Kagaruki, G.B.
Auteure/Auteur
Karki, K.B.
Auteure/Auteur
Labadarios, D.
Auteure/Auteur
Martins, J.S.
Auteure/Auteur
Mayige, M.T.
Auteure/Auteur
Wong-McClure, R.
Auteure/Auteur
Mwangi, J.K.
Auteure/Auteur
Mwalim, O.
Auteure/Auteur
Norov, B.
Auteure/Auteur
Quesnel-Crooks, S.
Auteure/Auteur
Silver, B.K.
Auteure/Auteur
Sturua, L.
Auteure/Auteur
Tsabedze, L.
Auteure/Auteur
Wesseh, C.S.
Auteure/Auteur
Stokes, A.
Auteure/Auteur
Atun, R.
Auteure/Auteur
Davies, J.I.
Auteure/Auteur
Vollmer, S.
Auteure/Auteur
Bärnighausen, T.W.
Auteure/Auteur
Jaacks, L.M.
Auteure/Auteur
Meigs, J.B.
Auteure/Auteur
Wexler, D.J.
Auteure/Auteur
Manne-Goehler, J.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1935-5548
Statut éditorial
Publié
Date de publication
2020-04
Volume
43
Numéro
4
Première page
767
Dernière page/numéro d’article
775
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Diabetes is a rapidly growing health problem in low- and middle-income countries (LMICs), but empirical data on its prevalence and relationship to socioeconomic status are scarce. We estimated diabetes prevalence and the subset with undiagnosed diabetes in 29 LMICs and evaluated the relationship of education, household wealth, and BMI with diabetes risk.
We pooled individual-level data from 29 nationally representative surveys conducted between 2008 and 2016, totaling 588,574 participants aged ≥25 years. Diabetes prevalence and the subset with undiagnosed diabetes was calculated overall and by country, World Bank income group (WBIG), and geographic region. Multivariable Poisson regression models were used to estimate relative risk (RR).
Overall, prevalence of diabetes in 29 LMICs was 7.5% (95% CI 7.1-8.0) and of undiagnosed diabetes 4.9% (4.6-5.3). Diabetes prevalence increased with increasing WBIG: countries with low-income economies (LICs) 6.7% (5.5-8.1), lower-middle-income economies (LMIs) 7.1% (6.6-7.6), and upper-middle-income economies (UMIs) 8.2% (7.5-9.0). Compared with no formal education, greater educational attainment was associated with an increased risk of diabetes across WBIGs, after adjusting for BMI (LICs RR 1.47 [95% CI 1.22-1.78], LMIs 1.14 [1.06-1.23], and UMIs 1.28 [1.02-1.61]).
Among 29 LMICs, diabetes prevalence was substantial and increased with increasing WBIG. In contrast to the association seen in high-income countries, diabetes risk was highest among those with greater educational attainment, independent of BMI. LMICs included in this analysis may be at an advanced stage in the nutrition transition but with no reversal in the socioeconomic gradient of diabetes risk.
We pooled individual-level data from 29 nationally representative surveys conducted between 2008 and 2016, totaling 588,574 participants aged ≥25 years. Diabetes prevalence and the subset with undiagnosed diabetes was calculated overall and by country, World Bank income group (WBIG), and geographic region. Multivariable Poisson regression models were used to estimate relative risk (RR).
Overall, prevalence of diabetes in 29 LMICs was 7.5% (95% CI 7.1-8.0) and of undiagnosed diabetes 4.9% (4.6-5.3). Diabetes prevalence increased with increasing WBIG: countries with low-income economies (LICs) 6.7% (5.5-8.1), lower-middle-income economies (LMIs) 7.1% (6.6-7.6), and upper-middle-income economies (UMIs) 8.2% (7.5-9.0). Compared with no formal education, greater educational attainment was associated with an increased risk of diabetes across WBIGs, after adjusting for BMI (LICs RR 1.47 [95% CI 1.22-1.78], LMIs 1.14 [1.06-1.23], and UMIs 1.28 [1.02-1.61]).
Among 29 LMICs, diabetes prevalence was substantial and increased with increasing WBIG. In contrast to the association seen in high-income countries, diabetes risk was highest among those with greater educational attainment, independent of BMI. LMICs included in this analysis may be at an advanced stage in the nutrition transition but with no reversal in the socioeconomic gradient of diabetes risk.
PID Serval
serval:BIB_AFD5FEE38BA8
PMID
Date de création
2020-02-17T15:57:52.080Z
Date de création dans IRIS
2025-05-21T02:48:38Z