Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study

The prevalence of type 2 diabetes has rapidly increased in the Taiwanese population with the increasing prevalence of a sedentary lifestyle and high-calorie dietary intake. This study aims to determine the annual trends of the prevalence and incidence of diagnosed type 2 diabetes among adults in Tai...

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Veröffentlicht in:BMC public health 2013-04, Vol.13 (1), p.318-318, Article 318
Hauptverfasser: Lin, Cheng-Chieh, Li, Chia-Ing, Hsiao, Chih-Yi, Liu, Chiu-Shong, Yang, Sing-Yu, Lee, Cheng-Chun, Li, Tsai-Chung
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Yang, Sing-Yu
Lee, Cheng-Chun
Li, Tsai-Chung
description The prevalence of type 2 diabetes has rapidly increased in the Taiwanese population with the increasing prevalence of a sedentary lifestyle and high-calorie dietary intake. This study aims to determine the annual trends of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. A population-based study of all residents aged 20 years and over (12,191,076 in 2000 and 18,772,180 in 2007) enrolled in the National Health Insurance (NHI) program, the database of which was used to identify patients diagnosed with type 2 diabetes. The annual prevalence and incidence of diagnosed type 2 diabetes were estimated using the International Classification of Diseases, 9th Revision, Clinical Modification diagnostic codes based on age, gender, insurance premium, and urbanization degree. Logistic regression was used to estimate the odds ratios (OR) of risk factors, as well as to examine the trend in the annual prevalence or incidence of diagnosed type 2 diabetes from 2000 to 2007. The crude annual prevalence of diagnosed type 2 diabetes increased significantly from 5.79% in 2000 to 8.30% in 2007. The increase was highest in 2007, among men, individuals aged ≥ 80 years, and individuals residing in aging society areas [OR (95% CI): 1.416 (1.412-1.420), 1.033 (1.032-1.034), 31.810 (31.690-31.931), and 1.090 (1.085-1.094), respectively]. The crude incidence fluctuated throughout the study period, ranging from 7.72 per 1,000 in 2006 to 8.98 per 1,000 in 2000. The decrease was highest in 2006, among individuals with an insurance premium ≥ median value [0.933 (0.925-0.942) and 0.810 (0.805-0.815), respectively]. The greatest increase was among men, individuals aged 60 to 79 years, and individuals residing in aging society areas [1.150 (1.145-1.155), 15.452 (15.329-15.576), and 1.127 (1.113-1.142), respectively]. This study demonstrated the substantial increase in annual prevalence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. The incidence fluctuated between 2000 and 2007.
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This study aims to determine the annual trends of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. A population-based study of all residents aged 20 years and over (12,191,076 in 2000 and 18,772,180 in 2007) enrolled in the National Health Insurance (NHI) program, the database of which was used to identify patients diagnosed with type 2 diabetes. The annual prevalence and incidence of diagnosed type 2 diabetes were estimated using the International Classification of Diseases, 9th Revision, Clinical Modification diagnostic codes based on age, gender, insurance premium, and urbanization degree. Logistic regression was used to estimate the odds ratios (OR) of risk factors, as well as to examine the trend in the annual prevalence or incidence of diagnosed type 2 diabetes from 2000 to 2007. The crude annual prevalence of diagnosed type 2 diabetes increased significantly from 5.79% in 2000 to 8.30% in 2007. The increase was highest in 2007, among men, individuals aged ≥ 80 years, and individuals residing in aging society areas [OR (95% CI): 1.416 (1.412-1.420), 1.033 (1.032-1.034), 31.810 (31.690-31.931), and 1.090 (1.085-1.094), respectively]. The crude incidence fluctuated throughout the study period, ranging from 7.72 per 1,000 in 2006 to 8.98 per 1,000 in 2000. The decrease was highest in 2006, among individuals with an insurance premium ≥ median value [0.933 (0.925-0.942) and 0.810 (0.805-0.815), respectively]. The greatest increase was among men, individuals aged 60 to 79 years, and individuals residing in aging society areas [1.150 (1.145-1.155), 15.452 (15.329-15.576), and 1.127 (1.113-1.142), respectively]. This study demonstrated the substantial increase in annual prevalence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. The incidence fluctuated between 2000 and 2007.</description><identifier>ISSN: 1471-2458</identifier><identifier>EISSN: 1471-2458</identifier><identifier>DOI: 10.1186/1471-2458-13-318</identifier><identifier>PMID: 23570503</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Colorectal cancer ; Dementia ; Diabetes Mellitus, Type 2 - epidemiology ; Disease ; Estimates ; Female ; Food habits ; Health aspects ; Health insurance ; Hospitals ; Humans ; Incidence ; Insurance, Health - economics ; Life style ; Liver cancer ; Male ; Medical research ; Medicine, Experimental ; Mens health ; Middle Aged ; Mortality ; Pancreatic cancer ; Patients ; Personal identification numbers ; Population ; Prevalence ; Prevalence studies (Epidemiology) ; Public health ; Risk Factors ; Sex Distribution ; Studies ; Taiwan - epidemiology ; Type 2 diabetes ; Womens health ; Young Adult</subject><ispartof>BMC public health, 2013-04, Vol.13 (1), p.318-318, Article 318</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Lin et al.; licensee BioMed Central Ltd. 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.</rights><rights>Copyright © 2013 Lin et al.; licensee BioMed Central Ltd. 2013 Lin et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b650t-2a3500ff725f7f5bd9629d672e31e9e16ff0fa646e7ff5d7133dd875732f9c83</citedby><cites>FETCH-LOGICAL-b650t-2a3500ff725f7f5bd9629d672e31e9e16ff0fa646e7ff5d7133dd875732f9c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626657/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626657/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23570503$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Cheng-Chieh</creatorcontrib><creatorcontrib>Li, Chia-Ing</creatorcontrib><creatorcontrib>Hsiao, Chih-Yi</creatorcontrib><creatorcontrib>Liu, Chiu-Shong</creatorcontrib><creatorcontrib>Yang, Sing-Yu</creatorcontrib><creatorcontrib>Lee, Cheng-Chun</creatorcontrib><creatorcontrib>Li, Tsai-Chung</creatorcontrib><title>Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study</title><title>BMC public health</title><addtitle>BMC Public Health</addtitle><description>The prevalence of type 2 diabetes has rapidly increased in the Taiwanese population with the increasing prevalence of a sedentary lifestyle and high-calorie dietary intake. This study aims to determine the annual trends of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. A population-based study of all residents aged 20 years and over (12,191,076 in 2000 and 18,772,180 in 2007) enrolled in the National Health Insurance (NHI) program, the database of which was used to identify patients diagnosed with type 2 diabetes. The annual prevalence and incidence of diagnosed type 2 diabetes were estimated using the International Classification of Diseases, 9th Revision, Clinical Modification diagnostic codes based on age, gender, insurance premium, and urbanization degree. Logistic regression was used to estimate the odds ratios (OR) of risk factors, as well as to examine the trend in the annual prevalence or incidence of diagnosed type 2 diabetes from 2000 to 2007. The crude annual prevalence of diagnosed type 2 diabetes increased significantly from 5.79% in 2000 to 8.30% in 2007. The increase was highest in 2007, among men, individuals aged ≥ 80 years, and individuals residing in aging society areas [OR (95% CI): 1.416 (1.412-1.420), 1.033 (1.032-1.034), 31.810 (31.690-31.931), and 1.090 (1.085-1.094), respectively]. The crude incidence fluctuated throughout the study period, ranging from 7.72 per 1,000 in 2006 to 8.98 per 1,000 in 2000. The decrease was highest in 2006, among individuals with an insurance premium ≥ median value [0.933 (0.925-0.942) and 0.810 (0.805-0.815), respectively]. The greatest increase was among men, individuals aged 60 to 79 years, and individuals residing in aging society areas [1.150 (1.145-1.155), 15.452 (15.329-15.576), and 1.127 (1.113-1.142), respectively]. This study demonstrated the substantial increase in annual prevalence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. The incidence fluctuated between 2000 and 2007.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Colorectal cancer</subject><subject>Dementia</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Disease</subject><subject>Estimates</subject><subject>Female</subject><subject>Food habits</subject><subject>Health aspects</subject><subject>Health insurance</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Insurance, Health - economics</subject><subject>Life style</subject><subject>Liver cancer</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Mens health</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Pancreatic cancer</subject><subject>Patients</subject><subject>Personal identification numbers</subject><subject>Population</subject><subject>Prevalence</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Public health</subject><subject>Risk Factors</subject><subject>Sex Distribution</subject><subject>Studies</subject><subject>Taiwan - epidemiology</subject><subject>Type 2 diabetes</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1471-2458</issn><issn>1471-2458</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNUk1v1DAQjRCItgt3TsgSFy4p_ojthANStaKAVInL3i0nHm9dJXaInVb7O_jDON2ydFGRkA9jz7z3PJo3RfGG4HNCavGBVJKUtOJ1SVjJSP2sOD2knj-6nxRnMd5gTGTN6cvihDIuMcfstPi5cQOgNIE3SHvd76KLKFiUrgGNE9zqHnwHuWSQ850z969cN05vfYhgUNqNgOiSaCFBRHoIfou0mfsUMwdttLvTHtkpDIhijFEKS5QfkUZjGOdeJxd82epFLKbZ7F4VL6zuI7x-iKtic_l5s_5aXn3_8m19cVW2guNUUs04xtZKyq20vDWNoI0RkgIj0AAR1mKrRSVAWsuNJIwZU0suGbVNV7NV8WkvO87tAKYDnybdq3Fyg552KminjiveXattuFVMUCGyzKpY7wVaF_4hcFzpwqAWT9TiiSJMZcuyyvuHNqbwY4aY1OBiB32vPYQ5ZhintKaswv8BpTWvWMNYhr77C3oT5ikbfI8S-WMs-R_UNvusnLch99ktouqCs0rQirClw_MnUPkYGFwXPFiX80cEvCd0U4hxAnuYCcFqWdynpvD2sRkHwu9NZb8AyiznHA</recordid><startdate>20130409</startdate><enddate>20130409</enddate><creator>Lin, Cheng-Chieh</creator><creator>Li, Chia-Ing</creator><creator>Hsiao, Chih-Yi</creator><creator>Liu, Chiu-Shong</creator><creator>Yang, Sing-Yu</creator><creator>Lee, Cheng-Chun</creator><creator>Li, Tsai-Chung</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>5PM</scope></search><sort><creationdate>20130409</creationdate><title>Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study</title><author>Lin, Cheng-Chieh ; 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This study aims to determine the annual trends of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. A population-based study of all residents aged 20 years and over (12,191,076 in 2000 and 18,772,180 in 2007) enrolled in the National Health Insurance (NHI) program, the database of which was used to identify patients diagnosed with type 2 diabetes. The annual prevalence and incidence of diagnosed type 2 diabetes were estimated using the International Classification of Diseases, 9th Revision, Clinical Modification diagnostic codes based on age, gender, insurance premium, and urbanization degree. Logistic regression was used to estimate the odds ratios (OR) of risk factors, as well as to examine the trend in the annual prevalence or incidence of diagnosed type 2 diabetes from 2000 to 2007. The crude annual prevalence of diagnosed type 2 diabetes increased significantly from 5.79% in 2000 to 8.30% in 2007. The increase was highest in 2007, among men, individuals aged ≥ 80 years, and individuals residing in aging society areas [OR (95% CI): 1.416 (1.412-1.420), 1.033 (1.032-1.034), 31.810 (31.690-31.931), and 1.090 (1.085-1.094), respectively]. The crude incidence fluctuated throughout the study period, ranging from 7.72 per 1,000 in 2006 to 8.98 per 1,000 in 2000. The decrease was highest in 2006, among individuals with an insurance premium ≥ median value [0.933 (0.925-0.942) and 0.810 (0.805-0.815), respectively]. The greatest increase was among men, individuals aged 60 to 79 years, and individuals residing in aging society areas [1.150 (1.145-1.155), 15.452 (15.329-15.576), and 1.127 (1.113-1.142), respectively]. This study demonstrated the substantial increase in annual prevalence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007. The incidence fluctuated between 2000 and 2007.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23570503</pmid><doi>10.1186/1471-2458-13-318</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Age Distribution
Aged
Aged, 80 and over
Colorectal cancer
Dementia
Diabetes Mellitus, Type 2 - epidemiology
Disease
Estimates
Female
Food habits
Health aspects
Health insurance
Hospitals
Humans
Incidence
Insurance, Health - economics
Life style
Liver cancer
Male
Medical research
Medicine, Experimental
Mens health
Middle Aged
Mortality
Pancreatic cancer
Patients
Personal identification numbers
Population
Prevalence
Prevalence studies (Epidemiology)
Public health
Risk Factors
Sex Distribution
Studies
Taiwan - epidemiology
Type 2 diabetes
Womens health
Young Adult
title Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study
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