Country Characteristics and Variation in Diabetes Prevalence among Asian Countries – an Ecological Study

  • Indah Widyahening Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
  • Gbenga Kayode International Research Centre of Excellence, Institute of Human Virology, Abuja
  • Grace Wangge Southeast Asian Ministers of Education, Regional Centre for Food and Nutrition (SEAMEO Recfon), Jakarta
  • Diederick Grobbee Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
Keywords: Asia, diabetes, prevalence, health system


Objectives. To determine the variation in diabetes prevalence across Asian countries and its relationship with the quality of health system and socioeconomic characteristics of the country.

Methodology. An ecological analysis was conducted using publicly available data from the World Bank, the World Health Organization and the International Diabetes Federation. Geographical variation in diabetes prevalence across countries was examined using control charts while the relationships between country-level determinants and diabetes prevalence were investigated using linear regression analysis.

Results. The control chart shows special-cause variation in diabetes prevalence in 21 (58%) of the Asian countries; nine countries were below the 99.8% control limits while twelve were above it.

Fifteen (42%) countries suggest common-cause variation. Three country characteristics independently associated with diabetes prevalence were hypertension prevalence (OR 0.39, 95% CI 0.22 to 0.55; p-value < 0.001), obesity prevalence (OR 0.15, 95% CI 0.13 to 0.18; p-value=0.02).

Conclusions. There is a considerable geographical variation in diabetes prevalence across Asian countries. A substantial part of this variation could be explained by differences in the quality of health care governance, hypertension prevalence and obesity prevalence.


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Author Biography

Indah Widyahening, Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
Department of Community Medicine, Faculty of Medicine


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How to Cite
Widyahening, I., Kayode, G., Wangge, G., & Grobbee, D. (2019). Country Characteristics and Variation in Diabetes Prevalence among Asian Countries – an Ecological Study. Journal of the ASEAN Federation of Endocrine Societies, 34(1), 80.
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