Health related factors and prediabetes among middle-aged adults in Mandalay, Myanmar
DOI:
https://doi.org/10.62992/v0a5pq40Keywords:
Health related factors, Mandalay region, PrediabetesAbstract
Background: Prediabetes indicates a higher risk for the development of overt type 2 diabetes mellitus, and an already heightened risk of cardiovascular diseases (CVD). In Myanmar, diabetes is the fourth leading cause of mortality among the top ten causes of death.
Objectives: This study aimed to identify the association between health-related factors and prediabetes among middle-aged adults in Mandalay, Myanmar.
Methods: A cross-sectional analytical study was conducted among middle-aged (40-59 years) who were recruited through multistage random sampling. Data were collected using a structured, interviewer-administered questionnaire. Multiple logistic regression was used for data analysis.
Results: The prevalence of prediabetes among middle-aged adults in the Mandalay Region was 41.73% (95% Confidence Interval [CI]: 37.50-46.08). Participants with limited health literacy were 1.61 times more likely to have prediabetes compared to those with adequate health literacy (adjusted odds ratio [AOR]=1.61, 95% CI: 1.01–2.55). Other factors significantly associated with an increased risk of prediabetes included Lisu ethnicity (AOR=3.63, 95% CI: 1.99–6.61), former or current use of tobacco products (AOR=1.52, 95% CI: 1.01–2.26), presence of chronic diseases (AOR=2.41, 95% CI: 1.37–4.22), a family history of non-communicable diseases (AOR=2.12, 95% CI: 1.22–3.69), hypertension (AOR=2.05, 95% CI: 1.28–3.28), moderate to severe stress (AOR=3.14, 95% CI: 1.77–5.57), frequent consumption of plant-based protein (AOR=1.91, 95% CI: 1.05–3.47), and low diabetes knowledge (AOR=2.05, 95% CI: 1.23–3.43).
Conclusion: The prevalence of prediabetes is notably high among middle-aged adults in the Mandalay Region, Myanmar and is significantly associated with health literacy, socio-demographics, health behaviours, physical and mental health status. Public health interventions focusing on improving diabetes awareness, promoting healthy lifestyles and enhancing health literacy are critical to reducing the burden of prediabetes in this population.
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