Diabetes prevalence, awareness and treatment and their correlates in older persons in urban and rural population in the Astana region, Kazakhstan

Adil Supiyev,, Alibek Kossumov, Aliya Kassenova, Talgat Nurgozhin, Zhaxybay Zhumadilov, Anne Peasey, Martin Bobak

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Aims: The evidence on the prevalence and distribution of diabetes and its determinants in Central Asia is sparse. The aim of the present study was to investigate the prevalence, awareness, treatment, and control of diabetes and factors associated with these characteristics in the population of Astana (capital) city and adjacent rural area in Kazakhstan. Methods: Participants aged 50-75 years old, residing in Astana city (the capital) and Akmol village were invited to participate in a cross-sectional study. The subjects were randomly selected from polyclinic registers. A total of 953 adults were interviewed (response rate 59%), and their fasting plasma glucose, blood pressure, height and weight were measured. Diabetes was defined as fasting plasma glucose (FPG) ≥7.0 mmol/l (126 mg/dl) and/or being on diabetes medication. Results: The overall prevalence of diabetes was 12.5%, and it was almost twice higher in the urban residents (16.3%) than in the rural population (8.6%). Diabetes prevalence was associated with age, men sex, hypertension, obesity, and Russian ethnicity. Among subjects with diabetes, 72.3% were aware of their condition; 65.6% were on treatment and 27.7% had controlled fasting plasma glucose. The awareness, treatment and control of diabetes were substantially higher in the urban population and among women. Conclusions: The large differences in all diabetes indices between urban and rural regions, if confirmed in larger studies, may suggest an impact of westernised and urbanised lifestyle as well as access to health care.

Original languageEnglish
Pages (from-to)6-12
Number of pages7
JournalDiabetes Research and Clinical Practice
Volume112
DOIs
Publication statusPublished - Feb 1 2016

Fingerprint

Kazakhstan
Urban Population
Rural Population
Fasting
Glucose
Economics
Central Asia
Health Services Accessibility
Population Characteristics
Therapeutics
Life Style
Obesity
Cross-Sectional Studies
Blood Pressure
Hypertension
Weights and Measures

Keywords

  • Central Asian Countries
  • Diabetes
  • Kazakhstan
  • Socioeconomic factors

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Diabetes prevalence, awareness and treatment and their correlates in older persons in urban and rural population in the Astana region, Kazakhstan. / Supiyev, Adil; Kossumov, Alibek; Kassenova, Aliya; Nurgozhin, Talgat; Zhumadilov, Zhaxybay; Peasey, Anne; Bobak, Martin.

In: Diabetes Research and Clinical Practice, Vol. 112, 01.02.2016, p. 6-12.

Research output: Contribution to journalArticle

@article{c45898ce0e834c5fa835cecab46e3415,
title = "Diabetes prevalence, awareness and treatment and their correlates in older persons in urban and rural population in the Astana region, Kazakhstan",
abstract = "Aims: The evidence on the prevalence and distribution of diabetes and its determinants in Central Asia is sparse. The aim of the present study was to investigate the prevalence, awareness, treatment, and control of diabetes and factors associated with these characteristics in the population of Astana (capital) city and adjacent rural area in Kazakhstan. Methods: Participants aged 50-75 years old, residing in Astana city (the capital) and Akmol village were invited to participate in a cross-sectional study. The subjects were randomly selected from polyclinic registers. A total of 953 adults were interviewed (response rate 59{\%}), and their fasting plasma glucose, blood pressure, height and weight were measured. Diabetes was defined as fasting plasma glucose (FPG) ≥7.0 mmol/l (126 mg/dl) and/or being on diabetes medication. Results: The overall prevalence of diabetes was 12.5{\%}, and it was almost twice higher in the urban residents (16.3{\%}) than in the rural population (8.6{\%}). Diabetes prevalence was associated with age, men sex, hypertension, obesity, and Russian ethnicity. Among subjects with diabetes, 72.3{\%} were aware of their condition; 65.6{\%} were on treatment and 27.7{\%} had controlled fasting plasma glucose. The awareness, treatment and control of diabetes were substantially higher in the urban population and among women. Conclusions: The large differences in all diabetes indices between urban and rural regions, if confirmed in larger studies, may suggest an impact of westernised and urbanised lifestyle as well as access to health care.",
keywords = "Central Asian Countries, Diabetes, Kazakhstan, Socioeconomic factors",
author = "Adil Supiyev, and Alibek Kossumov and Aliya Kassenova and Talgat Nurgozhin and Zhaxybay Zhumadilov and Anne Peasey and Martin Bobak",
year = "2016",
month = "2",
day = "1",
doi = "10.1016/j.diabres.2015.11.011",
language = "English",
volume = "112",
pages = "6--12",
journal = "Diabetes Research and Clinical Practice",
issn = "0168-8227",
publisher = "Elsevier",

}

TY - JOUR

T1 - Diabetes prevalence, awareness and treatment and their correlates in older persons in urban and rural population in the Astana region, Kazakhstan

AU - Supiyev,, Adil

AU - Kossumov, Alibek

AU - Kassenova, Aliya

AU - Nurgozhin, Talgat

AU - Zhumadilov, Zhaxybay

AU - Peasey, Anne

AU - Bobak, Martin

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Aims: The evidence on the prevalence and distribution of diabetes and its determinants in Central Asia is sparse. The aim of the present study was to investigate the prevalence, awareness, treatment, and control of diabetes and factors associated with these characteristics in the population of Astana (capital) city and adjacent rural area in Kazakhstan. Methods: Participants aged 50-75 years old, residing in Astana city (the capital) and Akmol village were invited to participate in a cross-sectional study. The subjects were randomly selected from polyclinic registers. A total of 953 adults were interviewed (response rate 59%), and their fasting plasma glucose, blood pressure, height and weight were measured. Diabetes was defined as fasting plasma glucose (FPG) ≥7.0 mmol/l (126 mg/dl) and/or being on diabetes medication. Results: The overall prevalence of diabetes was 12.5%, and it was almost twice higher in the urban residents (16.3%) than in the rural population (8.6%). Diabetes prevalence was associated with age, men sex, hypertension, obesity, and Russian ethnicity. Among subjects with diabetes, 72.3% were aware of their condition; 65.6% were on treatment and 27.7% had controlled fasting plasma glucose. The awareness, treatment and control of diabetes were substantially higher in the urban population and among women. Conclusions: The large differences in all diabetes indices between urban and rural regions, if confirmed in larger studies, may suggest an impact of westernised and urbanised lifestyle as well as access to health care.

AB - Aims: The evidence on the prevalence and distribution of diabetes and its determinants in Central Asia is sparse. The aim of the present study was to investigate the prevalence, awareness, treatment, and control of diabetes and factors associated with these characteristics in the population of Astana (capital) city and adjacent rural area in Kazakhstan. Methods: Participants aged 50-75 years old, residing in Astana city (the capital) and Akmol village were invited to participate in a cross-sectional study. The subjects were randomly selected from polyclinic registers. A total of 953 adults were interviewed (response rate 59%), and their fasting plasma glucose, blood pressure, height and weight were measured. Diabetes was defined as fasting plasma glucose (FPG) ≥7.0 mmol/l (126 mg/dl) and/or being on diabetes medication. Results: The overall prevalence of diabetes was 12.5%, and it was almost twice higher in the urban residents (16.3%) than in the rural population (8.6%). Diabetes prevalence was associated with age, men sex, hypertension, obesity, and Russian ethnicity. Among subjects with diabetes, 72.3% were aware of their condition; 65.6% were on treatment and 27.7% had controlled fasting plasma glucose. The awareness, treatment and control of diabetes were substantially higher in the urban population and among women. Conclusions: The large differences in all diabetes indices between urban and rural regions, if confirmed in larger studies, may suggest an impact of westernised and urbanised lifestyle as well as access to health care.

KW - Central Asian Countries

KW - Diabetes

KW - Kazakhstan

KW - Socioeconomic factors

UR - http://www.scopus.com/inward/record.url?scp=84957847544&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957847544&partnerID=8YFLogxK

U2 - 10.1016/j.diabres.2015.11.011

DO - 10.1016/j.diabres.2015.11.011

M3 - Article

C2 - 26706921

AN - SCOPUS:84957847544

VL - 112

SP - 6

EP - 12

JO - Diabetes Research and Clinical Practice

JF - Diabetes Research and Clinical Practice

SN - 0168-8227

ER -