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The prevalence of diabetes among adults aged 40 years and over in Fiji

TitleThe prevalence of diabetes among adults aged 40 years and over in Fiji
Publication TypeJournal Article
Year of Publication2010
AuthorsBrian, G, Ramke, J, Maher, L, Page, A, Szetu, J
JournalN Z Med JN Z Med J
Volume123
Pagination68-75
Date PublishedDec 17
ISBN Number1175-8716 (Electronic)<br/>0028-8446 (Linking)
Accession Number21358785
KeywordsAdult, 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
AbstractAIM: 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.