Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Time Series Changes in Indices of Diabetes Management from the 2008-2022 Korea Community Health Survey

지역사회건강조사에서 본 당뇨병 관리 지표의 2008년부터 2022년까지 시계열적 변화

  • So Yeon Ryu (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • Seong Woo Choi (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • So Jung Jeong (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • Hyae Min Gu (Department of Preventive Medicine, College of Medicine, Chosun University)
  • 류소연 (조선대학교 의과대학 예방의학교실) ;
  • 최성우 (조선대학교 의과대학 예방의학교실) ;
  • 정소정 (조선대학교 의과대학 예방의학교실) ;
  • 구혜민 (조선대학교 의과대학 예방의학교실)
  • Received : 2024.05.27
  • Accepted : 2024.09.21
  • Published : 2024.09.30
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Abstract

Objectives: This study aimed to determine the time-series changes in provincial diabetes management indices using by results of the 2008-2022 Korea Community Health Survey. Methods: We collected diabetes diagnosis experience rate, treatment rate for people diagnosed with diabetes, annual screening rate for diabetic eye disease complications, and annual screening rate for diabetic kidney disease complications with age-standardized rates from the Regional Health Statistics. The unit of analysis was the nation and 17 provinces and the time-series trend analysis was performed by joinpoint regression using the Joinpoint Regression Program, and the annual percent change (APC) and average APC (AAPC) were estimated, and statistical significance was tested using 95% confidence interval (CI). Results: From 2008-2022, the national AAPC (95% CI) for diabetes diagnosis experience rate steadily increased to 2.77 (2.25-3.27), increasing in all regions, excluding Sejong. The national AAPC for treatment rate for people diagnosed with diabetes was 0.75 (0.47-1.04), with a slight but steady trend toward improvement, excluding Daejeon, Sejong, and Jeonbuk, which showed significant improvement. The national AAPCs for annual screening rates for diabetic eye disease and kidney disease complications were 1.82 (0.99-2.66) and 1.95 (0.60-3. 41), respectively, and the area with the largest change was Sejong. Conclusions: In Korea, the diabetes management indices tended to increase and improve, but the trends among provinces varied. Therefore, efforts are needed to address regional disparities in diabetes management.

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References

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