title: Prevalence of Diabetes and Health-Related Quality of Life Among Rural-to-Urban Nong Zhuan Fei Migrants in an Urban Area of Northern China, 2013.
abstract: OBJECTIVE
  In China's Nong Zhuan Fei (NZF) communities, farmers living in rural villages are uprooted and moved into newly constructed urban apartments when the government purchases their land for residential and commercial development. With their relocation from a traditional rural setting to a modern urban setting, residents of NZF communities face lifestyle-based risk factors for diabetes and other chronic diseases. We reported estimates of diabetes prevalence, risk factors, and health-related quality of life among adult Chinese NZF rural-to-urban migrants.
  
  
  METHODS
  We conducted a descriptive cross-sectional study through a U.S.-China partnership with an NZF community of 3,184 residents. Health and disease history, risk factors, and sociodemographic information were collected by questionnaire. Participants completed a 24-hour diet recall, three-day physical activity recall, a health-related quality of life Short-Form 36 (SF-36) health survey, the Beck Depression Inventory, and fasting blood glucose tests.
  
  
  RESULTS
  We gathered complete data from 1,150 of 1,772 eligible participants. The prevalence of diabetes was 11.6% (95% confidence interval 9.8, 13.6). Diabetes risk increased significantly with age, income, obesity, and hypertension. Based on SF-36 scores, residents aged ≥60 years with diabetes reported significantly greater physical (47.7 v. 70.2, p=0.001) and emotional (76.9 vs. 89.7, p=0.006) limitations, more bodily pain (79.7 vs. 84.9, p=0.021), and worse overall physical health (67.6 vs. 76.0, p=0.015) than those without diabetes.
  
  
  CONCLUSIONS
  The Chinese government hopes to integrate an additional 250 million people into city living by 2025. As the NZF population increases, so may the prevalence of diabetes associated with the change from a rural to an urban lifestyle. Action is needed now by public health professionals to prevent a possible diabetes crisis in NZF communities in the future.
authors: 4th Affiliated Hospital of Harbin Medical University, Department of Endocrinology and Metabolism, Harbin, Heilongjiang Province, China.
authors: Shuang
authors: S
authors: Yan
authors: 4th Affiliated Hospital of Harbin Medical University, Department of Endocrinology and Metabolism, Harbin, Heilongjiang Province, China.
authors: Xincai
authors: X
authors: Hong
authors: 4th Affiliated Hospital of Harbin Medical University, Department of Endocrinology and Metabolism, Harbin, Heilongjiang Province, China.
authors: Haiqiao
authors: H
authors: Yu
authors: 4th Affiliated Hospital of Harbin Medical University, Department of Endocrinology and Metabolism, Harbin, Heilongjiang Province, China.
authors: Zhen
authors: Z
authors: Yang
authors: 4th Affiliated Hospital of Harbin Medical University, Department of Endocrinology and Metabolism, Harbin, Heilongjiang Province, China.
authors: Siying
authors: S
authors: Liu
authors: 4th Affiliated Hospital of Harbin Medical University, Department of Endocrinology and Metabolism, Harbin, Heilongjiang Province, China.
authors: Wei
authors: W
authors: Quan
authors: Harbin Medical University, College of Bio-informatics Science and Technology, Harbin, Heilongjiang Province, China.
authors: Jiankai
authors: J
authors: Xu
authors: 4th Affiliated Hospital of Harbin Medical University, Department of Infectious Diseases, Harbin, Heilongjiang Province, China.
authors: Liying
authors: L
authors: Zhu
authors: Harbin Medical University, Harbin, Heilongjiang Province, China.
authors: Weilun
authors: W
authors: Cheng
authors: University of Texas Southwestern Clinically Affiliated Physicians, Dallas, TX.
authors: Hong
authors: H
authors: Xiao
authors: University of North Texas, Health Science Center, Texas Prevention Institute, Fort Worth, TX.
authors: Heather
authors: H
authors: Kitzman-Ulrich
authors: University of North Carolina at Charlotte, College of Health and Human Services, Academy for Research on Community Health, Engagement, and Services (ARCHES), Charlotte, NC.
authors: Mark J
authors: MJ
authors: DeHaven
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D012959:Socioeconomic Factors; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult