Diabetes self-management among unique ethnic minority diabetic patients in Yunnan province:status and influence of socioeconomic factors

Objective To examine current situation of diabetes self-management and influence of socioeconomic status among ethnic minority diabetic patients of Naxi,Lisu,Dai,and Jingpo in Yunnan province,and to provide references for intervention on diabetes self-management in the populations.Methods Multi-stage stratified random sampling was used to selected a representative sample of 5 532 Naxi,Lisu,Dai,and Jingpo residents aged 35 and over in Yulong and Yongsheng county and Dehong Dai and Jingpo Autonomous Prefecture in Yunnan province.Information were obtained via a questionnaire survey and blood glucose test among all participants.Results The self-reported prevalence rate of diabetes was 3.02%(167/5 532)among the participants.Among the diabetic patients,the rate of self-monitoring blood glucose (SMBG),medication adherence,diet control,weight control or weight loss,and smoking cessation was 36.5%,68.9%,82.6%,18.0%,37.1%,and 7.8%,respectively.After controlling for confounding factors(age,sex,ethnic),the results of multivariate logistic regression analysis showed that the diabetic patients with mid-high and high socioeconomic status (SES)were more likely to have SMBG (odds ratioOR=1.91 and 2.02))and medication adherence (OR=2.13 and 1.97)compared to those with low SES.Conclusion The rate of diabetes self-management is low among ethnic minority diabetic patients of Naxi,Lisu,Dai,and Jingpo in Yunnan province and influenced by socioeconomic status of the patients.