Analysis Of Economic Burden Of Diabetes Attributable To Obesity In Guan Du District Of Kunming

Objective To analyze the prevalence of obesity and central obesity, and the economic burden of diabetes attributable to obesity and central obesity in Guan Du district of Kunming. The results would provide some suggestions or evidence for the local relevant departments to formulate strategies to prevent and control diabetes.Methods This cross-sectional study selected information from self-questionnaire interview and medical examination in Guan Du district of Kunming. There are9townships in this district. Surveyed population was coveried the entire region. Probability proportional to size (PPS) sampling method was used to select representative sample from each township of Guan Du district. Three villages were chosen from each township. In each selected village, we chosen at least170local individuals aged≥18years from the villege committees, and simple random sampling was used to select individuals from each village. We selected4595residents as the study participant from this region. Each participant received questionnaire interview. On site questionnaire includes:general information such as gender, age, occupation, income, the history of diseases and family history of diseases, cost of medical, smoking, drinking and diet, etc. The medical examinations includes:height, weight and waist, waist circumference, and fasting plasma glucose. Building a database and entering the survey results used the Epidata3.1software. All statistical analysis use SPSS17.0software.Results We collected4595valid questionnaires, with a response rate was94.2%. The survey included2167male (47.2%) and2428female (52.8%), nationality was 4380, accounting for95.3%, minority was215, accounting for4.68%.In the study population, the overall prevalence of obesity and central obesity was11.2%(8.9% for male,13.3% for female),52.6%(46.6% for male,57.9% for female), respectively. Female had obviously higher prevalence of obesity and central obesity than male (P<0.05). With age increased, the prevalence of central obesity also increased (P<0.01). Educational level and the prevalence of obesity and central obesity were negatively correlated (P<0.01). The highest rate of obesity and central obesity was widowed group (P<0.05). The people whose family history of diabetes, and family history of high cholesterol were higher prevalence of obesity and central obesity than those without family history (P<0.05).The population of hypertension family history was higher prevalence of central obesity than those without family history (P<0.05).In Guan Du district of Kunming, the prevalence of diabetes was6.2%, which was5.6% for male,6.8% for female. The higher prevalence of diabetes was older age (P<0.01).The lower educational level, the higher prevalence of diabetes (P<0.01). Dairy intake and the prevalence of diabetes was positively correlated (P<0.05); There were negatively correlated between sports frequency and the prevalence of diabetes (P<0.05); Someone who were obesity and central obesity was higher prevalence of diabetes than non-obesity and central obesity(P<0.01). The population of family history of diabetes has a higher prevalence of diabetes than those without a family history of diabetes (P<0.05).Regression logistic factors of diabetes showed that there was a strong association between obesity and central obesity and risk for diabets (OR=1.529,1.353). If removed the risk factors, the rate of diabetes could decreased5.59%and15.71%, respectively.The per capita direct and indirect economic burdens of diabetes were3,464.49yuan (4200.04yuan for male,3036.91yuan for female) and225.54yuan (332.54yuan for male,429.29yuan for female) in Guan Du District of Kunming. The total direct economic burden and indirect economic burden of diabetes were183.30million (male v.s. female=104.49million v.s.84.49million), and11.93million (male v.s. female=8.27million v.s.11.94million).The economic burden of diabetes attributed to obesity and central obesity were10.91million and30.67million. For male, the economic burden were5.07million and28.38million, whereas were6.33million and21.47million for female. The economic burden of diabetes due to central obesity was significantly higher than that attributed to obesity. The direct costs of diabetes represented the largest component of economic burden due to obesity. The economic burden of female was higher than male. On the contrary, male than female were higher in the economic burden of diabetes attributed to the central obesity.Conclusion The diabetes was attributed to obesity and central obesity have become one of the main diseases for influencing the rural residents’health of Guan Du district in Kunming. The diabetes caused a large of economic burden, and wasted a lot of health recourses. So, we should be obese as an important part of primary prevention, and adopt strategies prevention and treatment measures on the obesity and diabetes. We should enhance health education and health promotion, suggeste a kind of health life style to controlling obesity. The findings suggest implementing effective strategies to control obesity and central obesity is helpful to reduce the economic burden of diabetes in the study region.