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Risk factors for self-reported diabetes among Bhutanese adults: A nationally representative survey data analysis

Wangdi, Kinley; Jamtsho, Tshering

Description

Background Bhutan, a small land-locked country in the eastern Himalayas has been undergoing an epidemiological and nutritional transition in the last two decades. The objective of this paper was to determine the prevalence and explore the risk factors of self-reported diabetes among Bhutanese adults. Methods We conducted a secondary data analysis among adults 18 years and older Bhutanese using the data from the National Health Survey 2012 (NHS, 2012) of Bhutan. The self-reported information on...[Show more]

dc.contributor.authorWangdi, Kinley
dc.contributor.authorJamtsho, Tshering
dc.date.accessioned2019-04-29T04:33:39Z
dc.date.available2019-04-29T04:33:39Z
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/1885/160746
dc.description.abstractBackground Bhutan, a small land-locked country in the eastern Himalayas has been undergoing an epidemiological and nutritional transition in the last two decades. The objective of this paper was to determine the prevalence and explore the risk factors of self-reported diabetes among Bhutanese adults. Methods We conducted a secondary data analysis among adults 18 years and older Bhutanese using the data from the National Health Survey 2012 (NHS, 2012) of Bhutan. The self-reported information on risk factors was obtained using standard protocols of the WHO STEPwise approach to Surveillance. The outcome of interest was self-reported diabetes on medication. Adjusted and unadjusted logistic regression analyses were performed to identify the risk factor of diabetes. Results A total of 31,066 participants aged 18 years and older were included for the analysis. The prevalence of self-reported hypertension was 1.8% (491). Risk factors for diabetes were: age groups: 35–44 years adjusted odds ratio (AOR) = 2.82 (95% CI, 1.07, 7.41), 45–54 years AOR = 6.02 (95% CI, 2.29, 15.83), 55–64 year AOR = 15.7 (95% CI 5.93, 41.55) and >65 years AOR = 19.60 (95% CI, 6.93, 55.71); high school and diploma/certificate education AOR = 2.57, (95% CI 1.62, 4.07) and AOR = 3.92 (95% CI 1.70, 9.07); and urban dwellers AOR = 2.37, (95% 1.58, 3.57); hypertension AOR = 3.3, (95% CI 2.47, 4.41); and fruit servings of 1–3 per week AOR = 1.63 (95% CI 1.15, 2.31). Conclusion The number of Bhutanese adults with diabetes and co-morbidities associated with it is likely to increase with the ageing of the population, nutrition transition, and high rural-urban migration in the near future. This calls for an urgent need to implement strategies to prevent diabetes in the Bhutanese population targeting risk factors including healthy lifestyle with increased physical activities and reduced smoking. At the same time treating other chronic morbidities including hypertension.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherPublic Library of Science
dc.rights© 2018 Wangdi, Jamtsho.
dc.sourcePLOS ONE
dc.titleRisk factors for self-reported diabetes among Bhutanese adults: A nationally representative survey data analysis
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume13
dc.date.issued2018
local.identifier.absfor160305 - Population Trends and Policies
local.identifier.ariespublicationu4485658xPUB2639
local.publisher.urlhttps://www.plos.org/
local.type.statusPublished Version
local.contributor.affiliationWangdi, Kinley, College of Health and Medicine, ANU
local.contributor.affiliationJamtsho, Tshering, College of Arts and Social Sciences, ANU
local.bibliographicCitation.issue11
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage13
local.identifier.doi10.1371/journal.pone.0206034
dc.date.updated2019-03-12T07:35:16Z
local.identifier.scopusID2-s2.0-85056539911
dcterms.accessRightsOpen Access
dc.provenanceThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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