Diabetes Prevalence and Its Relationship With Education, Wealth, and BMI in 29 Low- and Middle-Income Countries

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dc.contributor.authorSeiglie, Jacqueline A.
dc.contributor.authorMarcus, Maja-Emilia
dc.contributor.authorEbert, Cara
dc.contributor.authorProdromidis, Nikolaos
dc.contributor.authorGeldsetzer, Pascal
dc.contributor.authorTheilmann, Michaela
dc.contributor.authorAgoudavi, Kokou
dc.contributor.authorAndall-Brereton, Glennis
dc.contributor.authorAryal, Krishna K.
dc.contributor.authorBicaba, Brice Wilfried
dc.contributor.authorBovet, Pascal
dc.contributor.authorBrian, Garry
dc.contributor.authorDorobantu, Maria
dc.contributor.authorGathecha, Gladwell
dc.contributor.authorSingh Gurung, Mongal
dc.contributor.authorGuwatudde, David
dc.contributor.authorMsaidie, Mohamed
dc.contributor.authorHouehanou, Corine
dc.contributor.authorHouinato, Dismand
dc.contributor.authorJorgensen, Jutta Mari Adelin
dc.contributor.authorKagaruki, Gibson B.
dc.contributor.authorKarki, Khem B.
dc.contributor.authorLabadarios, Demetre
dc.contributor.authorMartins, Joao S.
dc.contributor.authorMayige, Mary T.
dc.contributor.authorWong-McClure, Roy
dc.contributor.authorKibachio Mwangi, Joseph
dc.contributor.authorMwalim, Omar
dc.contributor.authorNorov, Bolormaa
dc.contributor.authorQuesnel-Crooks, Sarah
dc.contributor.authorSilver, Bahendeka K.
dc.contributor.authorSturua, Lela
dc.contributor.authorTsabedze, Lindiwe
dc.contributor.authorStanford Wesseh, Chea
dc.contributor.authorStokes, Andrew
dc.contributor.authorAtun, Rifat
dc.contributor.authorDavies, Justine I.
dc.contributor.authorVollmer, Sebastian
dc.contributor.authorBarnighausen, Till W.
dc.contributor.authorJaacks, Lindsay M.
dc.contributor.authorMeigs, James B.
dc.contributor.authorWexler, Deborah J.
dc.contributor.authorManne-Goehler, Jennifer
dc.date.accessioned2022-02-05T13:34:49Z
dc.date.available2022-02-05T13:34:49Z
dc.date.issued2020
dc.description.abstractDiabetes is a rapidly growing health problem in low- and middle-income countries (LMICs), but empirical data on its prevalence and relationship to socioeconomic status are scarce. We estimated diabetes prevalence and the subset with undiagnosed diabetes in 29 LMICs and evaluated the relationship of education, household wealth, and BMI with diabetes risk. RESEARCH DESIGN AND METHODS We pooled individual-level data from 29 nationally representative surveys conducted between 2008 and 2016, totaling 588,574 participants aged ‡25 years. Diabetes prevalence and the subset with undiagnosed diabetes was calculated overall and by country, World Bank income group (WBIG), and geographic region. Multivariable Poisson regression models were used to estimate relative risk (RR). RESULTS Overall, prevalence of diabetes in 29 LMICs was 7.5% (95% CI 7.1–8.0) and of undiagnosed diabetes 4.9% (4.6–5.3). Diabetes prevalence increased with increasing WBIG: countries with low-income economies (LICs) 6.7% (5.5–8.1), lowermiddle-income economies (LMIs) 7.1% (6.6–7.6), and upper-middle-income economies (UMIs) 8.2% (7.5–9.0). Compared with no formal education, greater educational attainment was associated with an increased risk of diabetes across WBIGs, after adjusting for BMI (LICs RR 1.47 [95% CI 1.22–1.78], LMIs 1.14 [1.06– 1.23], and UMIs 1.28 [1.02–1.61]). CONCLUSIONS Among 29 LMICs, diabetes prevalence was substantial and increased with increasing WBIG. In contrast to the association seen in high-income countries, diabetes risk was highest among those with greater educational attainment, independent of BMI. LMICs included in this analysis may be at an advanced stage in the nutrition transition but with no reversal in the socioeconomic gradient of diabetes risk.en_US
dc.identifier.citationSeiglie, JA, Marcus, ME, Ebert, C., Prodromidis, N., Geldsetzer, P., Theilmann, M., ... & Manne-Goehler, J. (2020). Diabetes prevalence and its relationship with education, wealth, and BMI in 29 low-and middle-income countries. Diabetes Care , 43 (4), 767-775. https://doi.org/10.2337/dc19-1782en_US
dc.identifier.urihttps://doi.org/10.2337/dc19-1782
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1950
dc.language.isoenen_US
dc.publisherDiabetes Careen_US
dc.subjectDiabetes Prevalenceen_US
dc.subjectEducationen_US
dc.subjectWealthen_US
dc.subjectLow- and Middle-Income Countriesen_US
dc.titleDiabetes Prevalence and Its Relationship With Education, Wealth, and BMI in 29 Low- and Middle-Income Countriesen_US
dc.typeArticleen_US
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