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To analyze the prevalence of diabetes and self-management behaviors among elderly Dai, Hani, and Bai in rural areas of Yunnan.
A multi-stage stratified random sampling approach was used to conduct a questionnaire survey and blood glucose measurement on 4 229 rural residents aged ≥60 years from the Dai, Hani, and Bai ethnic groups in Yunnan.
The age-standardized prevalence rate of diabetes among elderly individuals in the surveyed areas was 7.6%for the Dai ethnic group, 5.0% for the Hani ethnic group, and 16.0% for the Bai ethnic group. The differences in diabetes prevalence among the three ethnic groups were statistically significant (χ2=105.856, P<0.001), with the Bai group having the highest prevalence, followed by the Dai and then the Hani. The differences in prevalence among the three ethnic groups within each age group were all statistically significant (all P<0.01). Among diabetic patients, the rates of adhering to taking prescribed medications, self-monitoring blood glucose, and taking at least one measure to control blood glucose in the past two weeks were 94.7%, 42.1%, and 100.0% for the Dai ethnic group, 79.4%, 26.5%, and 94.1% for the Hani ethnic group, and 98.2%, 57.6%,and 98.8% for the Bai ethnic group, respectively. Across all three ethnic groups, dietary control was the most commonly adopted measure for managing blood glucose in the two weeks prior to the survey. The overall blood glucose control rate among the three ethnic groups was 47.7%. The blood glucose control rates among elderly diabetic patients were 50.9% for the Dai, 58.8% for the Hani, and 44.2% for the Bai ethnic groups, with no statistically significant differences observed among the groups (P>0.05).
Significant ethnic differences in diabetes prevalence and self-management behaviors are observed among elderly individuals from the Dai, Hani, and Bai ethnic groups in rural Yunnan. Targeted health interventions and management strategies should be developed to address ethnic backgrounds and health needs of these populations.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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