Widyahening Indah, Kayode Gbenga, Wangge Grace, Grobbee Diederick
Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
International Research Centre of Excellence, Institute of Human Virology, Abuja, Nigeria.
J ASEAN Fed Endocr Soc. 2019;34(1):80-86. doi: 10.15605/jafes.034.01.12. Epub 2019 May 7.
To determine the variation in diabetes prevalence across Asian countries and its relationship with the quality of health system and socioeconomic characteristics of the country.
An ecological analysis was conducted using publicly available data from the World Bank, the World Health Organization and the International Diabetes Federation. Geographical variation in diabetes prevalence across countries was examined using control charts while the relationships between country-level determinants and diabetes prevalence were investigated using linear regression analysis.
The control chart shows special-cause variation in diabetes prevalence in 21 (58%) of the Asian countries; nine countries were below the 99.8% control limits while twelve were above it.Fifteen (42%) countries suggest common-cause variation. Three country characteristics independently associated with diabetes prevalence were hypertension prevalence (OR 0.39, 95% CI 0.22 to 0.55; -value<0.001), obesity prevalence (OR 0.15, 95% CI 0.13 to 0.18; -value<0.001), and quality of health care governance (OR 0.18, 95% CI 0.04 to 0.34; -value=0.02).
There is a considerable geographical variation in diabetes prevalence across Asian countries. A substantial part of this variation could be explained by differences in the quality of health care governance, hypertension prevalence and obesity prevalence.
确定亚洲各国糖尿病患病率的差异及其与国家卫生系统质量和社会经济特征的关系。
利用世界银行、世界卫生组织和国际糖尿病联合会公开的数据进行生态分析。使用控制图检查各国糖尿病患病率的地理差异，同时使用线性回归分析研究国家层面的决定因素与糖尿病患病率之间的关系。
控制图显示，21个（58%）亚洲国家的糖尿病患病率存在特殊原因变异；9个国家低于99.8%的控制界限，12个国家高于该界限。15个（42%）国家显示存在共同原因变异。与糖尿病患病率独立相关的三个国家特征是高血压患病率（比值比0.39，95%置信区间0.22至0.55；P值<0.001）、肥胖患病率（比值比0.15，95%置信区间0.13至0.18；P值<0.001）和卫生保健治理质量（比值比0.18，95%置信区间0.04至0.34；P值=0.02）。
亚洲各国糖尿病患病率存在相当大的地理差异。这种差异的很大一部分可以通过卫生保健治理质量、高血压患病率和肥胖患病率的差异来解释。
