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Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data

Journal of Korean Academy of Nursing 2014³â 44±Ç 6È£ p.743 ~ 750
KMID : 0806120140440060743
±è¿µÁÖ ( Kim Young-Ju ) - Kangwon National University Department of Statistics

ÀÓ¸í³² ( Lim Myoung-Nam ) - Kangwon National University Hospital Regional Center for Respiratory Disease
À̵¿¼÷ ( Lee Dong-Suk ) - Kangwon National University Department of Nursing

Abstract

Purpose: The objective of this study was to provide a trend analysis of the prevalence of diabetes relative to the socioeconomic, lifestyle,and physiologic risk factors among Korean adults aged over 30 years for a 10-year period using data from the Korean National Healthand Nutrition Examination Survey.

Methods: Prevalence difference and the slope index of inequality were calculated for each risk factorsusing binomial regression by considering the repeated cross-sectional features of the data. The prevalence ratio and the relative index ofinequality were calculated using log-binomial regression. Linear trend tests were performed using SAS 9.2.
Results: Crude prevalence ofdiabetes increased over the 10-year period, and was higher for men than for women. It was very high for adults 60 years or over, consistentlyincreasing over time. The prevalence among unemployed men, women with higher level of stress, women with hypertension, andadults with serum triglyceride levels over 135 mg/dL increased over the 10-year period in comparison with the respective control group.

Conclusion: Considering the rapid economic development and associated lifestyle changes in Korea, action should be taken to controlthe prevalence of diabetes by both preventing and consistently monitoring these identified risk factors using a public-health approach.
KeyWords

Type 2 diabetes mellitus, Prevalence, Trends, Risk factors
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