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Diabetes incidence and prevalence in Hong Kong, China during 2006-2014.
- Source :
-
Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2017 Jul; Vol. 34 (7), pp. 902-908. Date of Electronic Publication: 2016 Nov 29. - Publication Year :
- 2017
-
Abstract
- Aims: To estimate recent secular changes in the incidence and prevalence of diabetes and pre-diabetes among Hong Kong Chinese adults, and thus show possible future trends for developing mainland China.<br />Methods: Based on a complete census of the public sector health records of 6.4 million people from 2006 to 2014, diabetes cases were ascertained using different methods including the World Health Organization (WHO) 2011 guidelines (HbA <subscript>1c</subscript> , fasting plasma glucose and glucose tolerance test), American Diabetes Association (ADA) 2015 guidelines (plus random plasma glucose), and additionally recorded diagnosis codes and medication dispensation. Pre-diabetes was defined using ADA 2015 guidelines.<br />Results: We identified 697 201 people with diabetes (54.2% were incident cases); and 1 229 731 people with diabetes or pre-diabetes. In 2014, the overall incidence of diabetes was 9.46 per 1000 person-years [95% confidence interval (CI): 9.38 to 9.54], and overall prevalence was 10.29% (95% CI: 10.27% to 10.32%). Incidence of diabetes decreased significantly from 2007 to 2014 (quadratic trend, P < 0.001). From 2006 to 2014, the prevalence of diabetes increased significantly in both sexes and across all age groups (quadratic trend, P < 0.001). The overall incidence of pre-diabetes in 2014 was 18.88 per 1000 person-years (95% CI: 18.76 to 18.99), and the overall prevalence of pre-diabetes was 8.90% (95% CI: 8.87% to 8.92%).<br />Conclusions: Similar to other developed western and Asian populations, diabetes (and pre-diabetes) incidence in Hong Kong Chinese appeared to have stabilized and there have been small declines during the period of observation. Ageing and survivorship will likely drive a continued increase in the prevalence of diabetes and pre-diabetes, albeit with a decelerating growth rate if past trends persist.<br /> (© 2016 Diabetes UK.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Blood Glucose analysis
Developed Countries
Diabetes Mellitus, Type 1 blood
Diabetes Mellitus, Type 1 epidemiology
Diabetes Mellitus, Type 1 ethnology
Diabetes Mellitus, Type 2 blood
Diabetes Mellitus, Type 2 ethnology
Electronic Health Records
Female
Glycated Hemoglobin analysis
Health Surveys
Hong Kong epidemiology
Humans
Incidence
Male
Middle Aged
Prediabetic State blood
Prediabetic State ethnology
Prevalence
Risk
State Medicine
Young Adult
Diabetes Mellitus, Type 2 epidemiology
Health Transition
Prediabetic State epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1464-5491
- Volume :
- 34
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Diabetic medicine : a journal of the British Diabetic Association
- Publication Type :
- Academic Journal
- Accession number :
- 27859570
- Full Text :
- https://doi.org/10.1111/dme.13284