title: An assessment of the risk factors for type 2 diabetes among women in rural Jamaica.
abstract: This project examined risk factors (lifestyle, socio-economic and cultural) for Type 2 diabetes among 890 women in rural Jamaica in comparison to national and international trends via the Behavioural Risk Factor Surveillance System (BRFSS) and further analysis via the Kruskal Wallis and Mann-Whitney U tests. Nonparametric tests explored the relationship of body mass index (BMI) and risk factors. Women above age 36 years, sedentary women and women with health insurance showed a significant increase in BMI. Seventh Day Adventists had significantly lower BMIs compared to Protestants. Prevalence of Type 2 diabetes in rural Jamaica is complicated by the lack of adequate health insurance, health practitioners (including dieticians and social workers), and vigorous public awareness campaigns, as well as high healthcare costs. Recommendations include the establishment of a comprehensive plan targeting women to reduce their risk factors for Type 2 diabetes, including early diagnoses, continuing education for healthcare providers and community mobilization among churches, schools, banks, pharmacies and other entities.
authors.affiliation: Central Michigan University, Mt Pleasant, Michigan, USA. gerrib2@aol.com
authors.forename: G C
authors.initials: GC
authors.lastname: Bryan
authors.forename: J A
authors.initials: JA
authors.lastname: Johnson
authors.forename: L
authors.initials: L
authors.lastname: Dawes
authors.forename: C
authors.initials: C
authors.lastname: Samuel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005260:Female; D006266:Health Education; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D007563:Jamaica / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012067:Religion; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D057185:Sedentary Behavior; D055815:Young Adult