Al-Thani Mohammed, Al-Thani Al-Anoud, Al-Chetachi Walaa, Khalifa Shams Eldin, Vinodson Benjamin, Al-Malki Badria, Haj Bakri Ahmad, Akram Hammad
Ministry of Public Health, Doha, Qatar.
JMIR Diabetes. 2017 May 3;2(1):e7. doi: 10.2196/diabetes.7535.
Diabetes mellitus (DM) is a prominent public health problem in Qatar with one of the highest prevalence in the Gulf Cooperation Council region. Obesity continues to be a challenging public health problem in Qatar along with other social determinants contributing to the high DM prevalence.
This paper examines the data from Qatar National STEPS survey (2012) to determine diabetes prevalence among Qatari adults and identify the effect of both generalized and central obesity on it. The article also describes the contribution of selected social and demographic factors on diabetes prevalence in Qatar.
Secondary data analysis of 1471 Qatari adults (18-64 years) from STEP 3 component of the 2012 STEPS Survey was executed. Multivariate binary logistic regression analysis was carried out to assess the role of social and biomedical factors in the prevalence of DM.
Among participants, 18.97% (279/1471) of the study population had DM. Both generalized (OR 1.8, P=.005) and central obesity (OR 1.9, P<.001) were significantly associated with DM when adjusted for various respondent characteristics. Older age (P<.001), marital status of ever married (P<.001), and lower educational status (P=.01) were associated with DM. Hypertension (OR 1.5, P=.003 total cholesterol level ≥190 mg/dL (OR 2.2, P<.001) and triglyceride level ≥150 mg/dL (OR 3.6, P<.001) were significantly associated with DM among the study participants. Although family history of DM was significantly associated with development of DM (OR 1.7, P=.01), parental consanguinity was not associated with DM (OR 0.96, P=.80).
The DM prevalence in Qatar seems to be highly associated with obesity; however, various additional population characteristics and comorbidity factors should also require attention and should be incorporated while developing intervention strategies.
糖尿病(DM)是卡塔尔一个突出的公共卫生问题,在海湾合作委员会地区患病率极高。肥胖连同其他导致糖尿病高患病率的社会决定因素,仍是卡塔尔一个具有挑战性的公共卫生问题。
本文分析卡塔尔全国性STEP调查(2012年)的数据,以确定卡塔尔成年人中的糖尿病患病率,并确定全身性肥胖和中心性肥胖对其的影响。本文还描述了选定的社会和人口因素对卡塔尔糖尿病患病率的影响。
对2012年STEP调查第3部分中的1471名卡塔尔成年人(18 - 64岁)进行二次数据分析。进行多变量二元逻辑回归分析,以评估社会和生物医学因素在糖尿病患病率中的作用。
在参与者中,研究人群的18.97%(279/1471)患有糖尿病。在对各种受访者特征进行调整后,全身性肥胖(比值比1.8,P = 0.005)和中心性肥胖(比值比1.9,P < 0.001)均与糖尿病显著相关。年龄较大(P < 0.001)、已婚婚姻状况(P < 0.001)和较低的教育水平(P = 0.01)与糖尿病相关。高血压(比值比1.5,P = 0.003)、总胆固醇水平≥190 mg/dL(比值比2.2,P < 0.001)和甘油三酯水平≥150 mg/dL(比值比3.6,P < 0.001)在研究参与者中与糖尿病显著相关。虽然糖尿病家族史与糖尿病的发生显著相关(比值比1.7,P = 0.01),但父母近亲结婚与糖尿病无关(比值比0.96,P = 0.80)。
卡塔尔的糖尿病患病率似乎与肥胖高度相关;然而,在制定干预策略时,还应关注各种其他人群特征和合并症因素,并将其纳入考虑范围。