title: Long-term impact of earthquake stress on fasting glucose control and diabetes prevalence among Chinese adults of Tangshan.
abstract: OBJECTIVE
  To investigate the long-term influence of stresses from the 1976 Tangshan earthquake on blood glucose control and the incidence of diabetes mellitus in Chinese people of Tangshan.
  
  
  METHODS
  1,551 adults ≥ 37 years of age were recruited for this investigation in Tangshan city of China, where one of the deadliest earthquakes occurred in 1796. All subjects finished a questionnaire. 1,030 of them who experienced that earthquake were selected into the exposure group, while 521 were gathered as the control group who have not exposed to any earthquake. The numbers of subjects who were first identified with diabetes or had normal FBG but with diabetic history were added for the calculation of diabetes prevalence. Statistic-analysis was applied on the baseline data, and incidences of IFG as well as diabetes among all groups.
  
  
  RESULTS
  Statistic comparisons indicate there is no significant difference on average fasting glucose levels between the control group and the exposure group. However, the prevalence of IFG and diabetes among the exposure group displays significant variance with the control group. The prevalence of diabetes among exposure groups is significantly higher than the control group. Women are more likely to have diabetes after experiencing earthquake stresses compared to men. The earthquake stress was linked to higher diabetes incidence as an independent factor.
  
  
  CONCLUSIONS
  The earthquake stress has long-term impacts on diabetes incidence as an independent risk factor. Emerging and long-term managements regarding the care of IFG and diabetes in populations exposed to earthquake stress should be concerned.
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Cuixia
authors.initials: C
authors.lastname: An
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Yun
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Lulu
authors.initials: L
authors.lastname: Yu
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Na
authors.initials: N
authors.lastname: Li
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Mei
authors.initials: M
authors.lastname: Song
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Lan
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Xiaochuan
authors.initials: X
authors.lastname: Zhao
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Gao
authors.affiliation: Department of Mental Health, The First Hospital of Hebei Medical University, Hebei Medical University Institute of Mental Health Shijiazhuang, China.
authors.forename: Xueyi
authors.initials: X
authors.lastname: Wang
keywords: Tangshan earthquake; diabetes mellitus; fasting blood glucose; impaired fasting glucose; stress