title: Prevalence and determinants of diabetes and prediabetes among Vietnamese adults.
abstract: OBJECTIVE
  We estimated the prevalence of diabetes and prediabetes among Vietnamese adults, and quantitatively evaluated association with known risk factors.
  
  
  METHODS
  Subjects were 5602 men and 10,680 women in North Vietnam aged 30-69 years participating in community diabetes screening programs during 2011-2013. We calculated standardized prevalence rates and demographic projections for 2035, and used multinomial regression analysis to examine the associations of multiple risk factors with diabetes and prediabetes.
  
  
  RESULTS
  The age-, sex- and area of residence-standardized prevalence of diabetes was 6.0% and of prediabetes was 13.5%, with higher prevalence among men than women. Population aging is projected to raise the prevalence of diabetes to 7.0% and of prediabetes to 15.7% by 2035. Older age, obesity, large waist-to-hip ratio and hypertension were each associated with higher prevalence of diabetes, whereas the opposite direction of association was observed for underweight and minority ethnicity. In addition, diabetes was positively associated with family history of diabetes in women, but inversely related to physically heavy work among men.
  
  
  CONCLUSIONS
  One in 17 and one in 7 adults had diabetes and prediabetes, respectively, in Vietnam. Urbanization, population aging, increased adiposity, hypertension and sedentary work are associated with the increasing prevalence of diabetes.
authors.affiliation: Walter H. Shorenstein Asia-Pacific Research Center, Stanford University, USA; Faculty of Public Health, Thai Nguyen University of Medicine and Pharmacy, Viet Nam. Electronic address: minh.pn@tnu.edu.vn.
authors.forename: Ngoc Minh
authors.initials: NM
authors.lastname: Pham
authors.affiliation: Walter H. Shorenstein Asia-Pacific Research Center, Stanford University, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Eggleston
mesh_terms: D050154:Adiposity; D000328:Adult; D000368:Aged; D000375:Aging; D044466:Asian People; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D008913:Minority Groups; D009765:Obesity / Q000150:complications; D011236:Prediabetic State / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D014744:Vietnam / Q000453:epidemiology; D049629:Waist-Hip Ratio
keywords: Diabetes; Epidemiology; Prediabetes; Risk factors; Vietnam