Prevalence and related factors on diabetes among HIV/AIDS receiving antiretroviral therapy in Dehong Dai and Jingpo Autonomous Prefecture
10.3760/cma.j.issn.0254-6450.2019.06.010
- VernacularTitle: 德宏傣族景颇族自治州抗病毒治疗的HIV/AIDS糖尿病患病率及其相关因素分析
- Author:
Runhua YE
1
;
Jing LI
2
;
Shitang YAO
1
;
Jibao WANG
1
;
Dongdong CAO
3
;
Yindi ZHANG
3
;
Yun SHI
4
;
Pinyin LI
5
;
Yuanwu XU
6
;
Hua WEI
7
;
Guifang XIAO
8
;
Jinting SUN
9
;
Xing DUAN
1
;
Yikui WANG
1
;
Jin YANG
1
;
Na HE
2
;
Yingying DING
2
;
Song DUAN
1
Author Information
1. Dehong Dai and Jingpo Autonomous Prefecture Center for Disease Control and Prevention, Mangshi 678400, China
2. Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China
3. Dehong Dai and Jingpo Autonomous Prefecture People’s Hospital, Mangshi 678400, China
4. Mangshi City People’s Hospital, Mangshi 678400, China
5. Ruili City People’s Hospital, Ruili 678600, China
6. Longchuan County People’s Hospital, Longchuan 678700, China
7. Yingjiang County People’s Hospital, Yingjiang 679300, China
8. Dehong Dai and Jingpo Autonomous Prefecture Hospital of Traditional Chinese Medicine, Mangshi 678400, China
9. Lianghe County People’s Hospital, Lianghe 679200, China
- Publication Type:Journal Article
- Keywords:
HIV;
Diabetes;
Prevalence;
Related factors
- From:
Chinese Journal of Epidemiology
2019;40(6):654-659
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the prevalence and correlates of diabetes among HIV/AIDS who were on antiretroviral therapy (ART) in Dehong Dai and Jingpo autonomous prefectures (Dehong), Yunnan province.
Methods:The database of HIV/AIDS receiving ART in Dehong was downloaded by using the basic information system of AIDS prevention and control in China. In this cross-sectional study, HIV/AIDS patients who were currently on ART and aged 18 years or above, were consecutively recruited, between July 2017 and June 2018, in Dehong. All the subjects underwent hemoglobin A1c (HbA1c) testing. Patient with diabetes was defined as meeting any of these indicators (HbA1c ≥6.5%, baseline FPG ≥7.0 mmol/L, FPG ≥7.0 mmol/L in the most recent visit). Both univariate and multivariate logistic regression analysis were carried on to evaluate the correlates of diabetes among the HIV/AIDS patients.
Results:In total of 4 376 HIV/AIDS patients were included for analysis, with the average age as (43.7±10.1) years, proportion of males as 53.8% (2 356/4 376) and the HCV positive rate as 24.1% (1 055/4 376). The mean years was (8.9±3.8) years after the HIV diagnosis was made, and the mean duration on treatment was (6.8±2.9) years. The prevalence of diabetes was 11.4% (500/4 376). Through multivariate logistic regression analysis, data showed that the risk factors of diabetes of HIV/AIDS on ART were: aged 40 years or above, being male, HCV positive, baseline body mass index ≥24.0 kg/m2, elevated TG ≥1.70 mmol/L in the most recent visit and baseline antiretroviral regimens under Efavirenz (EFV).
Conclusions:Prevalence rate of diabetes appeared higher in HIV/AIDS patients who were on ART in Dehong. Prevention and control measures should be targeted on HIV/AIDS patients who were with risk factors of diabetes as being elderly, male, HCV positive, overweight and higher TG. Further esearch is needed to evaluate the association between the use of EFV and diabetes.
