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CN 34-1304/RISSN 1674-3679

Volume 27 Issue 5
May  2023
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Article Contents
LI Xiao, SHEN Jingrong, LIU Yingnan, CUI Wenlong, ZUO Chunmei, HE Lianju, CAI Le. Analysis of diabetes prevalence and related factors among older adults in rural Yunnan Province: a structure equation modelling approach[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(5): 546-550. doi: 10.16462/j.cnki.zhjbkz.2023.05.009
Citation: LI Xiao, SHEN Jingrong, LIU Yingnan, CUI Wenlong, ZUO Chunmei, HE Lianju, CAI Le. Analysis of diabetes prevalence and related factors among older adults in rural Yunnan Province: a structure equation modelling approach[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(5): 546-550. doi: 10.16462/j.cnki.zhjbkz.2023.05.009

Analysis of diabetes prevalence and related factors among older adults in rural Yunnan Province: a structure equation modelling approach

doi: 10.16462/j.cnki.zhjbkz.2023.05.009
Funds:

National Natural Science Fund of China 71663035

Program for Innovation Team Cultivation Plan in University of Yunnan Province 202005AE160002

Program for Innovative Research Team in University of Yunnan Province (2018)134

More Information
  • Corresponding author: CAI Le,E-mail: caile002@hotmail.com
  • Received Date: 2022-01-05
  • Rev Recd Date: 2022-10-11
  • Publish Date: 2023-05-10
  •   Objective  This study aims to analyze the prevalence of diabetes and its associated influencing factors among older adults in rural Yunnan Province.  Methods  A stratified randomized method was used to select 4 833 older adults aged ≥60 years in rural Yunnan Province. Each participant underwent a questionnaire survey and health examination. The associated influencing factors were analyzed using structural equation modelling (SEM).  Results  The prevalence of diabetes among older adults in rural Yunnan Province was 10.2%. The results of SEM indicated that body fat distribution (obesity and central obesity) and physical inactivity had both direct and indirect effect on diabetes, with the path coefficients of 0.134 and 0.041, respectively. Hypertension and family history of diabetes had direct effect on diabetes, with path coefficient of 0.054 and 0.097, respectively. Gender, smoking, residential pattern and socioeconomic status (SES) had only indirect effect on diabetes, with path coefficients of 0.045, 0.005, -0.007 and -0.049, respectively.  Conclusions  The main factors influencing diabetes prevalence include body fat distribution, physical inactivity, hypertension, family history of diabetes, and smoking. Promoting healthy lifestyle education among older adults with low SEP is beneficial for diabetes prevention and control.
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