title: Prevalence and risk factors of type 2 diabetes in the adults in haikou city, hainan island, china.
abstract: BACKGROUND
  Type 2 diabetes mellitus (T2DM) occurs around the world with high prevalence and causes serious physical harm and economic burden to the afflicted. Haikou City is China's southernmost tropical island city, which has not been previously studied for its T2DM prevalence. The objective of the study in employing a cross-sectional survey is to discuss the epidemiologic status of T2DM in Haikou City and to analyze the possible determinants.
  
  
  METHODS
  A total of 12,000 community residents over 18 years old from four districts in Haikou City were stratified-randomly sampled. A questionnaire survey and physical examination were conducted. Data entry and statistical analysis were performed using SPSS17.0 software.
  
  
  RESULTS
  The prevalence of T2DM in Haikou City was 5.3% (5.15% for males and 5.46% for females). According to the multivariate analysis, the positive factors mainly associated with T2DM in the city included family history, Waist-to-Hip Ratio (WHR), triglycerides, low high-density lipoproteins (HDL), and blood pressure. For both men and women, family history was the highest independent risk factor associated with T2DM (OR= 47.128). The T2DM risk increased with increasing metabolic aggregate.
  
  
  CONCLUSIONS
  The prevalence of T2DM for the community population of Haikou City was low. The possible risk factors included age, occupation, BMI, waist circumference, WHR, overweight, systemic obesity, central obesity, systolic blood pressure, diastolic blood pressure, total cholesterol, triglycerides, low-density lipoproteins, family history, and HDL.
authors: School of Public Health, Central South University, Changsha, Hunan, China ; School of Public Health, Hainan Medical College, Haikou, Hainan, China.
authors: Zhenfang
authors: Z
authors: Xia
authors: Zhuansuo
authors: Z
authors: Wang
authors: Qunfang
authors: Q
authors: Cai
authors: Jianjun
authors: J
authors: Yang
authors: Xuan
authors: X
authors: Zhang
authors: Tubao
authors: T
authors: Yang
keywords: Diabetes type 2; Epidemiology; Haikou; Prevalence; Risk factors
references: Diabetologia. 1993 Jun;36(6):553-9
references: 8335178
references: J Diabetes Complications. 2005 Jan-Feb;19(1):1-9
references: 15642484
references: J Multidiscip Healthc. 2010 Jul 28;3:113-24
references: 21197360
references: Am J Epidemiol. 1999 Oct 1;150(7):667-74
references: 10512420
references: BMJ. 2010 Aug 18;341:c4229
references: 20724400
references: Health Qual Life Outcomes. 2008 Dec 04;6:110
references: 19055828
references: BMC Psychiatry. 2011 Feb 15;11:27
references: 21324127
references: Diabetes. 1997 Oct;46(10):1594-600
references: 9313755
references: Postgrad Med. 2009 Sep;121(5):94-107
references: 19820278
references: PLoS Med. 2007 Aug;4(8):e261
references: 17760498
references: Arch Intern Med. 2010 Jun 14;170(11):961-9
references: 20548009
references: Diabetes Care. 2000 Sep;23(9):1242-8
references: 10977013
references: Eur J Epidemiol. 2011 Feb;26(2):117-24
references: 21188479
references: Diabetes Care. 2003 Sep;26(9):2512-7
references: 12941711
references: Sichuan Da Xue Xue Bao Yi Xue Ban. 2011 Mar;42(2):264-8
references: 21500569
references: BMC Public Health. 2010 Nov 09;10:683
references: 21062480
references: Am J Cardiol. 2002 Jul 1;90(1):15-8
references: 12088772
references: J Gen Intern Med. 2009 May;24(5):557-62
references: 19308337
references: Am J Epidemiol. 2010 Mar 15;171(6):701-8
references: 20160170
references: BMC Med. 2011 Sep 08;9:103
references: 21902820
references: J Epidemiol Community Health. 2000 Aug;54(8):596-602
references: 10890871
references: J Clin Sleep Med. 2009 Jun 15;5(3):215-21
references: 19960641
references: BMC Med. 2011 Sep 27;9:108
references: 21943396