Title | The prevalence of diabetes among adults aged 40 years and over in Fiji |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Brian, G, Ramke, J, Maher, L, Page, A, Szetu, J |
Journal | N Z Med JN Z Med J |
Volume | 123 |
Pagination | 68-75 |
Date Published | Dec 17 |
ISBN Number | 1175-8716 (Electronic)<br/>0028-8446 (Linking) |
Accession Number | 21358785 |
Keywords | Adult, Age Distribution, Age Factors, Aged, Cluster Analysis, Diabetes Mellitus/diagnosis/ epidemiology/therapy, Ethnic Groups/statistics & numerical data, Female, Fiji/epidemiology, Health Surveys, Hemoglobin A, Glycosylated/metabolism, Humans, Logistic Models, Male, Middle Aged, Prevalence, Sex Distribution |
Abstract | AIM: To estimate the prevalence of diabetes among adults aged >/=40 years in Fiji, and determine the demographic characteristics associated with this diagnosis. METHOD: During a population-based survey, participant glycosylated haemoglobin (HbA1c) was determined and physician diagnosis of diabetes self-reported. HbA1c >/=6.5% or claimed previous diagnosis, independent of HbA1c, defined presence of diabetes. Results were extrapolated to the whole population. Predictors of risk for diabetes were investigated using logistic regression models. RESULTS: Of those enumerated, 1381 participated (73.0%). For 1353 with either a history of diabetes or valid HbA1c, prevalence of diabetes was 44.8% (95%CI 42.2-47.5). Adjusting for age and domicile, Indians had significantly higher risk of diabetes than Melanesians among males (OR 2.02, 95%CI 1.37-2.97, p/=40 years in Fiji was 41.0% (95%CI 38.4-43.6): 99,000 people. CONCLUSION: As identified in 1970, diabetes continues to be a substantial population health problem in Fiji. |
Ethno Med: