title: Prevalence and screening for risk factors of type 2 diabetes in Rize, Nourtheast Turkey: findings from a population-based study.
abstract: OBJECTIVE
  We aimed to determine the prevalence of diagnosed and undiagnosed diabetes, risk factors affecting the healthy population, and factors that increase diabetes risk in the adult northeast Turkish population.
  
  
  METHODS
  Using population proportional cluster sampling, 930 adults were selected. After excluding people with diabetes, risk screening was conducted in the healthy population (n: 825) using the Information Form and FINDRISK questionnaire. Fasting venous blood and biochemical parameters were measured.
  
  
  RESULTS
  Prevalence of diabetes was 13.6% (new % 2.3), translating to approximately 44 thousand adults. Among the healthy population, 37.5% had high risk. Prevalence of not exercising (78.2%), obesity (36.1%), and hypertension (24.5%) were high. Predictors of risk of diabetes were aging (OR 1.09), low education (OR 0.51), familial diabetes history (OR 15.27), not exercising (OR 0.41), obesity (OR 5.17), high waist circumference (OR 1.05), heart disease (OR 4.81), and hypertension (OR 2.60).
  
  
  CONCLUSIONS
  This study can stimulate early screening for cardiovascular diseases and hypertension and initiating aggressive treatments in people with high diabetes risk. In primary health services, number of doctors and nurses trained in diabetes should be increased and dieticians should be involved. People with high risk should receive lifestyle regulations training.
authors.affiliation: Recep Tayyip Erdoğan University (RTEU) School of Health Department of Medical Nursing Turkey. Electronic address: ayferbayindir@hotmail.com.tr.
authors.forename: A
authors.initials: A
authors.lastname: Bayındır Çevik
authors.affiliation: RTEÜ Health Care Services Vocational School Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Metin Karaaslan
authors.affiliation: RTEÜ Health Care Services Vocational School Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Koçan
authors.affiliation: RTEÜ Health Care Services Vocational School Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Pekmezci
authors.affiliation: RTEU School of Medicine Department of Endocrinology and Metabolic Diseases Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Baydur Şahin
authors.affiliation: RTEÜ School of Medicine Department of Biochemistry Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Kırbaş
authors.affiliation: RTEÜ School of Medicine Department of Internal Medicine Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Ayaz
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D016000:Cluster Analysis; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology*; D004522:Educational Status; D005260:Female; D006306:Health Surveys; D006331:Heart Diseases / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology*; D016017:Odds Ratio; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D057185:Sedentary Behavior; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology; D055105:Waist Circumference; D055815:Young Adult
keywords: Diabetes; Prevalence; Risk factors; Screening; Turkey