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

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 Dis...

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Autores principales: Pubudu De Silva, Ambepitiyawaduge, Padmal De Silva, Sudirikku Hennadige, Liyanage, Isurujith Kongala, Rajapakse, Lalini Chandika, Jayasinghe, Kosala Saroj Amarasiri, Katulanda, Prasad, Wijeratne, Chandrika Neelakanthi, Wijeratne, Sumedha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542087/
https://www.ncbi.nlm.nih.gov/pubmed/23237051
http://dx.doi.org/10.1186/1475-9276-11-76
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author Pubudu De Silva, Ambepitiyawaduge
Padmal De Silva, Sudirikku Hennadige
Liyanage, Isurujith Kongala
Rajapakse, Lalini Chandika
Jayasinghe, Kosala Saroj Amarasiri
Katulanda, Prasad
Wijeratne, Chandrika Neelakanthi
Wijeratne, Sumedha
author_facet Pubudu De Silva, Ambepitiyawaduge
Padmal De Silva, Sudirikku Hennadige
Liyanage, Isurujith Kongala
Rajapakse, Lalini Chandika
Jayasinghe, Kosala Saroj Amarasiri
Katulanda, Prasad
Wijeratne, Chandrika Neelakanthi
Wijeratne, Sumedha
author_sort Pubudu De Silva, Ambepitiyawaduge
collection PubMed
description 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.
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spelling pubmed-35420872013-01-11 Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study Pubudu De Silva, Ambepitiyawaduge Padmal De Silva, Sudirikku Hennadige Liyanage, Isurujith Kongala Rajapakse, Lalini Chandika Jayasinghe, Kosala Saroj Amarasiri Katulanda, Prasad Wijeratne, Chandrika Neelakanthi Wijeratne, Sumedha Int J Equity Health Research 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. BioMed Central 2012-12-13 /pmc/articles/PMC3542087/ /pubmed/23237051 http://dx.doi.org/10.1186/1475-9276-11-76 Text en Copyright ©2012 Pubudu De Silva et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Pubudu De Silva, Ambepitiyawaduge
Padmal De Silva, Sudirikku Hennadige
Liyanage, Isurujith Kongala
Rajapakse, Lalini Chandika
Jayasinghe, Kosala Saroj Amarasiri
Katulanda, Prasad
Wijeratne, Chandrika Neelakanthi
Wijeratne, Sumedha
Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study
title Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study
title_full Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study
title_fullStr Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study
title_full_unstemmed Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study
title_short Social, cultural and economical determinants of diabetes mellitus in Kalutara district, Sri Lanka: a cross sectional descriptive study
title_sort social, cultural and economical determinants of diabetes mellitus in kalutara district, sri lanka: a cross sectional descriptive study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542087/
https://www.ncbi.nlm.nih.gov/pubmed/23237051
http://dx.doi.org/10.1186/1475-9276-11-76
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