[A research on prevalence and risk factors of type 2 diabetes mellitus in the farmers and immigrants of Yi people in Liangshan, Sichuan province, China].

ABSTRACT

OBJECTIVE: To explore the difference on the prevalence and the risk factors of type 2 diabetes(T2DM) between Yi farmer and immigrants in Liangshan, Sichuan province. METHODS: A representative sample of 2878 Yi people (including 1549 farmers and 1329 immigrants) aged from 16 to 76 was selected by the method of multistage and cluster sampling in Liangshan, Sichuan province, China, during 2007 - 2008. The samples were divided into 5 groups by the factor of age (16-, 25-, 35-, 45- and 55-76). The standardized prevalence of T2DM was calculated by the national census data in 2000. Logistic regression analysis was used to study the related risk factors of T2DM. RESULTS: The prevalence of Yi farmer was 4.33% (67/1549) (male 6.15% (42/683), female 2.89% (25/866)), and that of Yi migrants was 9.03% (120/1329) (male 11.31% (88/778), female 5.81% (32/551)). The standardized prevalence (SP) was calculated by the data of national census 2000. The SP of Yi farmer was 5.97%in male, and that of the female was 2.40%. The SP of Yi migrant was 10.25% in male, and that of the female was 6.29%. For Yi people, sex (male versus female, OR = 1.69, 95%CI 1.02 - 2.81), age (versus the group aged 16- and 25-, group aged 35 to 54 OR = 5.04, 95%CI 2.93 - 8.69; group aged above 54 OR = 6.19, 95%CI 3.23 - 11.86), hypertension (versus normal group, borderline hypertension value OR = 1.61, 95%CI 1.08 - 2.38; hypertension group OR = 2.40, 95%CI 1.37 - 4.22), smoking (OR = 1.55, 95%CI 1.01 - 2.37), triglyceride (TG) level (OR = 1.65, 95%CI 1.10 - 2.46) and high-density lipoprotein cholesterol (HDL-C) level (OR = 1.64, 95%CI 1.13 - 2.37) were the positive factors correlated with T2DM, and drinking (the alcohol volume from 22.67 to 52.50 g/d ) was negative factor (OR = 0.53, 95%CI 0.30 - 0.95) correlated with T2DM. CONCLUSION: The prevalence of T2DM in Yi immigrants was higher than that in Yi farmers;sex, age, blood pressure, smoking, TG, HDL-C, drinking were influencing factors of T2DM.