Urban rural difference in prevalence of self reported diabetes in India – The WHO - ICMR Indian NCD risk factor Surveillance.

dc.contributor.authorMohan,V
dc.contributor.authorMathur, P
dc.contributor.authorDeepa, R
dc.contributor.authorDeepa, M
dc.contributor.authorShukla, DK
dc.contributor.authorMenon, GR
dc.contributor.authorAnand, K
dc.contributor.authorDesai, NG
dc.contributor.authorJoshi, PP
dc.contributor.authorMahanta, J
dc.contributor.authorThankappan, KR
dc.contributor.authorShah, B
dc.date.accessioned2015-07-29T07:46:43Z
dc.date.available2015-07-29T07:46:43Z
dc.date.issued2008
dc.description.abstractRecent reports show strikingly high prevalence of diabetes among urban Asian Indians; however, there are very few studies comparing urban, peri-urban and rural prevalence rates of diabetes and their risk factors at the national level. This study is a part of the national non-communicable diseases (NCD) risk factor surveillance conducted in different geographical locations (North, South, East, West/Central) in India between April 2003 and March 2005. A total of 44,523 individuals (age: 15-64 years) inclusive of 15,239 from urban, 15,760 from peri-urban/slum and 13,524 from rural areas were recruited. Major risk factors were studied using modified WHO STEPS approach. Diabetes was diagnosed based on self-reported diabetes diagnosed by a physician. The lowest prevalence of self-reported diabetes was recorded in rural (3.1%) followed by peri-urban/slum (3.2%) and the highest in urban areas (7.3%, odds ratio (OR) for urban areas: 2.48, 95% confidence interval (CI): 2.21-2.79, p<0.001). Urban residents with abdominal obesity and sedentary activity had the highest prevalence of self-reported diabetes (11.3%) while rural residents without abdominal obesity performing vigorous activity had the lowest prevalence (0.7%). In conclusion, this nation-wide NCD risk factor surveillance study shows that the prevalence of self-reported diabetes is higher in urban, intermediate in peri-urban and lowest in rural areas. Urban residence, abdominal obesity and physical inactivity are the risk factors associated with diabetes in this study.
dc.identifier.citationDiabetes Res. 80;1;159-68. doi: 10.1016/j.diabres.2007.11.018. Epub 2008 Jan 30.en_US
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pubmed/18237817
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/2575
dc.publisherDiabetes Research and Clinical Practice
dc.subjectPublic Health
dc.titleUrban rural difference in prevalence of self reported diabetes in India – The WHO - ICMR Indian NCD risk factor Surveillance.
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