Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences

Urban-Rural Differences in the Prevalence of Self-Reported Diabetes and its Risk Factors: The WHO STEPS Iranian Noncommunicable Disease Risk Factor Surveillance in 2011

Document Type : Brief Report(s)

Authors

Zahra Khorrami 1
Shahin Yarahmadi 2
Koorosh Etemad 1
Soheila Khodakarim 1
Mohammad Esmaeil Kameli 3
Ali Reza Mahdavi Hazaveh 2

1 Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Center for Noncommunicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran

3 Department of Health, Ministry of Health and Medical Education, Tehran, Iran

Abstract
AbstractThe high prevalence of diabetes in Iran and other developing countries is chiefly attributed to urbanization. The objectives of the present study were to assess the prevalence of self-reported diabetes and to determine its associated risk factors. This study is a part of the national noncommunicable disease risk factor surveillance, conducted in 31 provinces of Iran in 2011. First, 10069 individuals, between 20 and 70 years old (3036 individuals from rural and 7033 from urban areas), were recruited. The major risk factors were studied using a modified WHO STEPS approach. Diabetes was considered based on self-reported diabetes. The prevalence of self-reported diabetes was 10% overall. The prevalence in the rural and urban settings was 7.4% and 11.1%, respectively. Moderate physical activity (OR=0.45, 95% CI=0.29–0.71) and family history of diabetes) OR=6.53, 95% CI=4.29–9.93) were the most important risk factors among the rural residents and systolic blood pressure (OR=1.01, 95% CI=1–1.02), waist circumference (OR=1.02, 95% CI=1.01–1.03), and overweight (OR=1.36, 95% CI= 1–1.84) were significantly associated with self-reported diabetes in the urban residents. The prevalence of self-reported diabetes in the urban setting was higher than that in the rural setting. Physical inactivity, abdominal obesity, and high blood pressure were the most important risk factors associated with self-reported diabetes in Iran.

Keywords

Self report
prevalence
Risk factors
Non-communicable disease
Iran
Iranian Journal of Medical Sciences
Volume 42, Issue 5 - Serial Number 5
88
September 2017
Pages 481-487

  • Received 07 November 2016
  • Accepted 24 December 2018

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