title: [A study on risk factors and perceptions of diabetes among urban and suburban residents from six provinces in China].
abstract: OBJECTIVE
  To study the epidemiological status of diabetes' risk factors among urban and suburban residents and their perceptions of their own health status and risk of diabetes.
  
  
  METHODS
  Stratified multi-stage sampling method was used to conduct the survey among 18-60 years old residents from Zhejiang, Jiangsu, Shanxi, Henan, Yunnan, and Qinghai provinces in China from March to May in 2013. The Questionnaire of Health Literacy of Diabetes Mellitus of the Public in China was used to conduct the survey, and then the data were analyzed. The main contents of the questionnaire included diabetes mellitus knowledge, diabetes mellitus risk factors and diabetes mellitus risk self-assessment. The results of the survey were standardized by the 6(th) national census data.
  
  
  RESULTS
  A total of 4 416 respondents were surveyed, and 4 282 valid questionnaires were successfully collected during the survey and the response rate was 97.0%. After weighted adjustment, the overweight and obesity rate of the residents in 6 provinces was 35.3%, abdominal obesity rate was 54.7%. 77.8% of the residents without diabetes had more than one risk factor, but only 8.5% thought they might got diabetes. The residents with high risk behavior possessing rates of diabetes were in eastern areas (79.7%), urban areas (80.7%), men (84.1%), aged from 45 to 60(100.0%), below primary school education level (83.4%) and enterprise personnel (79.7%). The residents with high risk consciousness of getting diabetes were in eastern areas (11.0%), urban areas (9.7%), men (9.7%), aged from 45 to 60 (12.3%), over college education level (12.7%) and the offices (14.7%). The results of logistic regression showed that residents in the middle areas (OR = 2.148, 95% CI: 1.633-2.920), urban residents (OR = 2.100, 95% CI: 1.611-2.738), male (OR = 2.488, 95% CI: 1.962-3.154), the older (OR = 1.102, 95% CI: 1.090-1.115) had a higher risk behavior rate of diabetes mellitus. Urban residents (OR = 2.784, 95% CI: 1.497-5.175), male (OR = 1.522, 95% CI: 1.152-2.011), the older (OR = 1.022, 95% CI: 1.009-1.035), college educational level (OR = 1.685, 95% CI: 1.033-2.749), with a higher score of health awareness(OR = 1.090, 95% CI: 1.061-1.120)had a higher risk consciousness to being diabetes mellitus.
  
  
  CONCLUSIONS
  The urban and suburban residents in China had a high risk behavior possessing rates of diabetes, and a low risk consciousness of being diabetes.
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Yinghua
authors.initials: Y
authors.lastname: Li
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Xueqiong
authors.initials: X
authors.lastname: Nie
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Siwei
authors.initials: S
authors.lastname: Sun
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Xianggang
authors.initials: X
authors.lastname: Huang
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Mingfei
authors.initials: M
authors.lastname: Shi
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Fangbo
authors.initials: F
authors.lastname: Li
authors.affiliation: Division of Monitoring and Evaluation, Chinese Center for Health Education (Health News Communication Center, Ministry of Health), Beijing 100011, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wei
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D003920:Diabetes Mellitus; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009765:Obesity; D012307:Risk Factors; D013383:Suburban Population; D011795:Surveys and Questionnaires; D014505:Urban Population