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. 2015 Oct 14;12(10):12792-802.
doi: 10.3390/ijerph121012792.

Prevalence of Diabetes and Associated Factors in the Uyghur and Han Population in Xinjiang, China

Haiying Gong  1 , Lize Pa  2 , Ke Wang  3 , Hebuli Mu  4 , Fen Dong  5 , Shengjiang Ya  6 , Guodong Xu  7 , Ning Tao  8 , Li Pan  9 , Bin Wang  10 , Guangliang Shan  11
Affiliations

Prevalence of Diabetes and Associated Factors in the Uyghur and Han Population in Xinjiang, China

Haiying Gong et al. Int J Environ Res Public Health. .

Abstract

Objective: To estimate the prevalence of diabetes and identify risk factors in the Uyghur and Han population in Xinjiang, China.

Methods: A cross-sectional study in urban and rural areas in Xinjiang, including 2863 members of the Uyghur population and 3060 of the Han population aged 20 to 80 years, was conducted from June 2013 to August 2013. Data on fasting plasma glucose (FPG) and personal history of diabetes were used to estimate the prevalence of diabetes. Data on demographic characteristics, lifestyle risk factors, and lipid profiles were collected to identify risks factors using the multivariate logistic regression model.

Results: In urban areas, the age- and gender-standardized prevalence of diabetes was 8.21%, and the age- and gender-standardized prevalence of diabetes was higher in the Uyghur population (10.47%) than in the Han population (7.36%). In rural areas, the age- and gender-standardized prevalence of diabetes was 6.08%, and it did not differ significantly between the Uyghur population (5.71%) and the Han population (6.59%). The results of the multivariate logistic regression analysis showed that older age, obesity, high triglycerides (TG), and hypertension were all associated with an increased risk of diabetes in the Uyghur and Han population. Urban residence and low high-density lipoprotein cholesterol (HDL-C) were associated with an increased risk of diabetes in the Uyghur population. Being an ex-drinker was associated with an increased risk of diabetes and heavy physical activity was associated with a decreased risk of diabetes in the Han population.

Conclusions: Our study indicates that diabetes is more prevalent in the Uyghur population compared with the Han population in urban areas. Strategies aimed at the prevention of diabetes require ethnic targeting.

Keywords: Han population; Uyghur population; associated factors; diabetes.

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Figures

Figure 1
Figure 1
Age-specific prevalence of diabetes in Uyghur and Han populations. (a) The age-specific prevalence of diabetes in males in Uyghur and Han populations in urban areas; (b) The age-specific prevalence of diabetes in females in Uyghur and Han populations in urban areas; (c) The crude and age- and gender-standardized prevalence of diabetes in Uyghur and Han populations in urban areas; (d) The age-specific prevalence of diabetes in males in Uyghur and Han populations in rural areas; (e) The age-specific prevalence of diabetes in females in Uyghur and Han populations in rural areas; (f) The crude and age- and gender-standardized prevalence of diabetes in Uyghur and Han populations in rural areas.
Figure 2
Figure 2
Multivariate logistic regression analysis of risk factors of diabetes in Uyghur and Han populations.
See this image and copyright information in PMC

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