Analysis of Diabetes Mellitus Determinants in Indonesia: A Study from the Indonesian Basic Health Research 2013

Haerawati Idris, Hamzah Hasyim, Feranita Utama

Abstract


Background: diabetes mellitus is a silent-killer. Its prevalence and impact on health expenses increase from year to year. This study aims to investigate the characteristics and the risk factors that affect  diabetes mellitus in Indonesia.

Methods: this is a cross sectional study. Data were obtained from the Basic Health Research (RISKESDAS) in 2013. The samples were individuals aged ≥15 years, whose fasting blood glucose and 2 hours blood glucose after the imposition have been measured. 38.052 individuals were selected for this study. The variables of age, sex, marital status, level of education, employment status, living area, regional status, hypertension, obesity, smoking habit, and dyslipidemia are analyzed as risk factors for diabetes mellitus. Bivariate analysis was using chi-square test with significance level of p<0.05 and confidence interval (CI) of 95%, and multivariate analysis using multiple logistic regression test.

Results: our study showed that 13% have diabetes mellitus in 2013. Factors affecting diabetes mellitus were age>55 years (OR=5.10; 95%CI 4.42 to 5.89; p<0.001), female (OR=1.37; 95%CI 1.26 to 1.49; p<0.001), rural (OR=1.16; 95%CI 1.08 to 1.26; p<0.001), married (OR=1.31; 95%CI 1.07 to 1.58; p<0.05), unemployed (OR=1.14; 96%CI 1.05 to 1.23; p<0.05), obesity (OR=1.46; 95%CI 1.35 to 1.58; p<0.001), hypertension (OR=1.68; 95%CI 1.55 to 1.81; p<0.001) and dyslipidemia (OR=1.53; 95%CI 1.39- 1.68; P<0.001).

Conclusion: as many as 13% of individuals have diabetes mellitus in 2013. Age, gender, living area, employment status, obesity, hypertension, and dyslipidemia are the contributing factors to diabetes mellitus.


Keywords


diabetes mellitus; determinant factors; blood glucose

References


Tjekyan S. Resiko penyakit diabetes mellitus tipe 2 di kalangan peminum kopi di kotamadya palembang tahun 2006-2007. Makara Seri Kesehatan. 2007;11(2):54-60.

Handelsman Y, Mechanick J, Blonde L, Grunberger G, Bloomgarden Z, Bray G, Dagogo-Jack S, Davidson J, Einhorn D, Ganda O, Garber A. American association of clinical endocrinologists medical guidelines for clinical practice for developing a diabetes mellitus comprehensive care plan. Endocrine Practice. 2011 Apr 7.

World Health Organization. Diabetes Melitus. Available online on http://www.who.int/topics/diabetes_mellitus/en/. Sited on October 3rd, 2014.

Nainggolan O, Kristanto Y, Edison H. Determinan diabetes melitus analisis baseline data studi kohort penyakit tidak menular Bogor 2011. Buletin Penelitian Sistem Kesehatan. 2013;3(16):331-9.

Adnyana L, Gde Budhiarta AA. Penatalaksanaan pasien diabetes melitus di Poliklinik Rumah Sakit Sanglah Denpasar. journal of internal medicine. 2006;7(3).

International Diabetes Federation. Diabete Evidence Demands Real Action From The UN Summit On Non Communicable Disease. Available online on http://Www.Idf.Org/Diabetes-Evidence-Demands-Rel-Action-Un-Summit-Non-Communicable-Disease). Sited on October 3rd, 2014.

Irawan D. Prevalensi dan Faktor risiko kejadian diabetes melitus tipe 2 di daerah urban Indonesia (analisa data sekunder RISKESDAS 2007). Universitas Indonesia., Fakultas Kesehatan Masyarakat. Depok (Tesis). 2010.

Wicaksono RP. Faktor-faktor yang berhubungan dengan kejadian diabetes melitus tipe 2 (studi kasus di poliklinik penyakit dalam rumah sakit dr. kariadi (Doctoral dissertation, Faculty of Medicine). 2011.

Trisnawati SK, Setyorogo S. Faktor risiko Kejadian diabetes melitus tipe II di puskesmas kecamatan cengkareng Jakarta Barat Tahun 2012. Jurnal Ilmiah Kesehatan. 2013 Jan;5(1):6-11.

Mihardja L, Manz HS, Ghani L, Soegondo S. Prevalence and determinants of diabetes mellitus and impaired glucose tolerance in Indonesia (a part of basic health research/Riskesdas). Acta medica Indonesiana. 2009 Oct;41(4):169-74.

Yoon KH, Lee JH, Kim JW, Cho JH, Choi YH, Ko SH, Zimmet P, Son HY. Epidemic obesity and type 2 diabetes in Asia. The Lancet. 2006 Nov 17;368(9548):1681-8.

Hill J, Nielsen M, Fox MH. Understanding the social factors that contribute to diabetes: a means to informing health care and social policies for the chronically ill. The Permanente Journal. 2013;17(2):67.

Ramachandran A, Ma RC, Snehalatha C. Diabetes in Asia. The Lancet. 2010 Feb 5;375(9712):408-18.

Sujaya IN. Pola konsumsi makanan tradisional Bali sebagai faktor risiko diabetes melitus tipe 2 di Tabanan. Jurnal skala husada. 2009;6(1):75-81.

Das RN. Determinants of diabetes melitus in Pima Indian Mothers and Indian Medical students. Diabetes Journal. 2014:7:5-13.

Departemen Kesehatan RI. Pharmaceutical care untuk penyakit Diabetes Mellitus. Departemen Kesehatan RI, Jakarta. Hlm. 2005;7.

Ramaiah S. Diabetes: Cara mengetahui gejala diabetes dan mendeteksinya sejak dini. PT. Bhuana ilmu Populer. Jakarta. 2008

Bener A, Zirie M, Janahi IM, Al-Hamaq AO, Musallam M, Wareham NJ. Prevalence of diagnosed and undiagnosed diabetes mellitus and its risk factors in a population-based study of Qatar. Diabetes research and clinical practice. 2009 Apr 30;84(1):99-106.

Darmono ST, Pemayun TG, Padmomartono FS. Naskah lengkap diabetes melitus ditinjau dari berbagai aspek penyakit dalam. Semarang: Badan Penerbit Universitas Diponegoro. 2007.

Pandey MK. Association between marital status and health: examining the role of age and gender. Munich Personal Repec Archive paper; No.15923. 2008

Yamamura E. Different effects of social capital on health status among residents: Evidence from modern Japan. The Journal of Socio-Economics. 2011 Oct 31;40(5):475-9.

Pramono LA. Prevalensi dan faktor-faktor prediksi diabetes melitus tidak terdiagnosa pada penduduk usia dewasa di Indonesia (Doctoral dissertation, Tesis FKMUI. Jakarta). 2010.

Rohmah M. Hubungan merokok dengan terjadinya katarak: studi kasus pada pasien Rumah Sakit Mata Undaan tahun 2006. Available online on hhtp://www.adln.lib.unair.ac.id/go.php?id=gdlhub-gdl-sl-2006-rohmahmuji. Sited on October 3rd, 2014.


Full Text: PDF

Refbacks

  • There are currently no refbacks.