Self-care behavior among self-reported diabetes patients. aged 20 and above, NHIS 2001 Measures of Diabetes Prevention. and Control in Taiwan …
Increase in Diabetes Prevalence in Taiwan
Yu-Hsuan Lin
Center for Population and Health Survey Research Bureau of Health Promotion
Leading Causes of Death, Taiwan Area, 1981-2001
Crude Death rates per 100,000 population 150 125 100 75 50 25 0 1981 1986 1991 Cerebrovascular Diseases Accidents Heart Diseases Diabetes Mellitus Tuberculosis 1996 2001 Malignant Neoplasms Age Adjusted Death rates per 100,000 population
150 125 100 75 50 25 0 1981
Accidents Cerebrovascular Diseases Heart Diseases Diabetes Mellitus Tuberculosis Malignant Neoplasms
1986
1991
1996
2001
Age-Specific Mortality Rates for Diabetes, Taiwan Death rate per Area, 2000
100,000 population
900 800 700 600 500 400 300 200 100 0
Male
Female
Total
14
-2 4
-34
-4 4
-54
-6 4
-7 4 70
0-
20
30
40
Age
50
60
80
Facts of Diabetes in Taiwan
Prevalence rate: 4 Estimated number of patients: 900,000
30 of the patients are not taking medication
Medical Expenses:
43 times higher than non-diabetes patients 115 of National Health Insurance medical expenses 3/4 of the expenses are spent on treatment of complications
Standardized mortality rate: 335 per 100,000
Korea:201; Singapore:89; Japan:45; USA:137;
UK:49
Prevalence of Diabetes in Taiwan
Area Taiwan NAHSIT Taiwan NHIS Year Age Male Female 67 104 158 65 74 101 137 215 152 171 112 137 144 185 Criteria Diagnosed with DM and on medication; OGTT or fasting WBG180mg/dl Have ever been told by a physician or nurse self-reported Have ever been told by a physician or nurse self-reported Have ever been told by a physician or a nurse self-reported Have ever been told by a physician or a nurse self-reported Have ever been told by a physician or a nurse self-reported Have ever been told by a physician or a nurse self-reported 199365 1996 1994 2001 1989 1993 1996 1999 65 65 65 65 65 65
Taiwan Elderly survey :nonaboriginal town
Self-care behavior among self-reported diabetes patients aged 20 and above, NHIS 2001
Not controling diet Not controling body weight Not taking exercise Keep smoking 227
0 10 20 30 40 50 60 70 80 90 100
351 736 458
Ever Had blood suger checked during the past year, by age, NHIS 2001
100
Fasting blood sugar 381 202 128
Blood sugar 526
50
234
362
0 20-39 40-64 65
Percentage of diabetes patients who ever had retina checked, by age, NHIS 2001
100 546 50 644 528
0 20-39 40-64 65
100
Percentage of diabetes
patients who ever had urine albumin checked, by age, NHIS 2001 552 519
455 50
0 20-39 40-64 65
Improving the awareness of risk factors for diabetes Improving the acceptance for screening Promoting shared care system Setting up of centers for health promotion of diabetic patients Issue of diabetes passport Establishing basic data on diabetes for reference in policy-making
Measures of Diabetes Prevention and Control in Taiwan
Source:smhwecare.com
