Status and influencing factors of diabetes information acquisition among rural elderly with pre-diabetes in Yiyang City, China: a cross-sectional study

BMJ Open. 2019 Jul 18;9(7):e029938. doi: 10.1136/bmjopen-2019-029938.

Abstract

Objective: This study was designed to investigate the status of diabetes information acquisition and its influencing factors among patients, 60 years and older, with pre-diabetes in rural China.

Design: This is a cross-sectional study.

Setting: The survey was conducted in 42 rural communities in Yiyang City, Hunan Province, China.

Participants: A total of 461 elderly with pre-diabetes participated in this study, and 434 of them completed the survey (434/461, 94.1%).

Outcome measures: Information on sociodemographic and diabetic information-seeking behaviours were assessed through the structured questionnaires and described by percentages, mean±SD. The influencing factors of diabetes information acquisition were analysed using multiple linear regression analysis.

Results: The average score of diabetes information acquisition in the subjects was 8.39±11.28. The most popular and trusted source of diabetes information for the subjects was doctors. The level of information acquisition not only declined as the age progressed (95% CI -3.754 to -0.143) but also proved lowest among subjects with less than 1 year of education (95% CI 0.756 to 4.326). In addition, the level of information acquisition among elderly individuals with pre-diabetes, but with no history of hyperglycaemia, was lower than among those with a history of hyperglycaemia (95% CI 3.398 to 11.945).

Conclusions: These data indicated that the lack of ability to acquire diabetes information in elderly with pre-diabetes was common in rural China. Improving the ability of rural residents to access information should be incorporated into rural diabetes prevention efforts, especially for the elderly with pre-diabetes with low education and no history of hyperglycaemia.

Trial registration number: ChiCTR-IOR-15007033; Pre-results.

Keywords: diabetes information acquisition; influencing factors; pre-diabetes; rural elderly.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • China / epidemiology
  • Cross-Sectional Studies
  • Diabetes Mellitus / etiology
  • Diabetes Mellitus / prevention & control*
  • Educational Status
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Hyperglycemia / epidemiology*
  • Information Seeking Behavior*
  • Linear Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Prediabetic State / epidemiology*
  • Risk Factors
  • Rural Population / statistics & numerical data*
  • Surveys and Questionnaires

Associated data

  • ChiCTR/ChiCTR-IOR-15007033