Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study

被引：19

作者：

De Silva, Ambepitiyawaduge Pubudu ^{[1
]}

De Silva, Sudirikku Hennadige Padmal ^{[1
]}

Liyanage, Isurujith Kongala ^{[2
]}

Rajapakse, Lalini Chandika ^{[1
]}

Jayasinghe, Kosala Saroj Amarasiri ^{[3
]}

Katulanda, Prasad ^{[3
]}

Wijeratne, Chandrika Neelakanthi ^{[4
]}

Wijeratne, Sumedha ^{[4
]}

机构：

[1] Univ Colombo, Dept Community Med, Fac Med, Colombo, Sri Lanka

[2] Gen Sir John Kotelawala Univ, Dept Clin Sci, Fac Med, Colombo, Sri Lanka

[3] Univ Colombo, Dept Clin Med, Fac Med, Colombo, Sri Lanka

[4] Univ Colombo, Dept Obstet & Gynaecol, Fac Med, Colombo, Sri Lanka

来源：

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH | 2012年 / 11卷

关键词：

Prevalence of diabetes mellitus; Social determinants of diabetes mellitus; Diabetes in plantation sector;

D O I：

10.1186/1475-9276-11-76

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction: Sri Lanka is a country that is expected to face a high burden of diabetes mellitus (DM). There is a paucity of data on social and demographic determinants of DM, especially in the plantation sector. Aims: To describe social and economic correlates and inequalities of DM in Kalutara District. Methods: A cross sectional descriptive study was carried out among adults over the age of 35 years. A sample of 1300 individuals was selected using stratified random cluster sampling method from 65 Grama Niladari Divisions (GND), which were representative of urban, rural and plantation sectors. Twenty households were randomly selected from each division and one adult was randomly selected from each household. Data were collected using a pre-tested questionnaire. Fasting plasma blood sugar of >= 126mg/dl was used to define DM. Significance of prevalence of diseases and risk factors across different socio-economic strata were determined by chi square test for trend. Results: Of 1234 adults who were screened (628 males), 202 (14.7%) had DM. Higher DM proportions (16.1%) were seen in the highest income quintile and in those educated up to Advanced Levels (AL) and above (17.3%). Prevalence in the urban, rural and plantation sectors were 23.6%, 15.5% and 8.5% respectively. Prevalence among Sinhalese, Tamils and Muslims were 14.4%, 29.0% and 20.0% respectively. There was a gradient in prevalence according to the unsatisfactory basic needs index of the GND with the highest proportion (20.7%) observed in the richest GND. The highest social status quintile demonstrated the highest proportion (17.4%) with diabetes mellitus. Conclusion: There is a higher prevalence of diabetes mellitus in the more affluent and educated segments of society. There is also a higher prevalence among urban compared to rural and estates. Sri Lanka is in an early stage of the epidemic where the wealthy people are at a higher risk of DM.

引用

页数：6

共 16 条

[1]

American Diabetes Association, 2002, DIABETES CARE, V25, pS21

[2] Socio-economic inequalities in diabetes complications, control, attitudes and health service use: a cross-sectional study [J].

Bachmann, MO ;

Eachus, J ;

Hopper, CD ;

Smith, GD ;

Propper, C ;

Pearson, NJ ;

Williams, S ;

Tallon, D ;

Frankel, S .

DIABETIC MEDICINE, 2003, 20 (11) :921-929

[3]

De Silva AP, 2010, THESIS U COLOMBO COL

[4]

[Department of Census and Statistics Department of Census and Statistics Sri Lanka], 2003, CENS 2001

[5]

DHS, 2006, ANN HLTH B 2003

[6] IMPAIRED GLUCOSE-TOLERANCE AND DIABETES-MELLITUS IN A SUBURBAN SRI-LANKAN COMMUNITY [J].

FERNANDO, DJS ;

SIRIBADDANA, S ;

DESILVA, D .

POSTGRADUATE MEDICAL JOURNAL, 1994, 70 (823) :347-349

[7]

Illangasekera U., 1998, Sri Lanka Journal of Medicine, V7, P13

[8]

Illangasekera U, 1993, Ceylon Med J, V38, P123

[9] Prevalence and projections of diabetes and pre-diabetes in adults in Sri Lanka - Sri Lanka Diabetes, Cardiovascular Study (SLDCS) [J].

Katulanda, P. ;

Constantine, G. R. ;

Mahesh, J. G. ;

Sheriff, R. ;

Seneviratne, R. D. A. ;

Wijeratne, S. ;

Wijesuriya, M. ;

McCarthy, M. I. ;

Adler, A. I. ;

Matthews, D. R. .

DIABETIC MEDICINE, 2008, 25 (09) :1062-1069

[10]

Mohideen MR, 1996, GALLE MED J, V1, P44

← 1 2 →