PMID- 25421066
OWN - NLM
STAT- MEDLINE
DCOM- 20150702
LR  - 20240510
IS  - 1472-6823 (Print)
IS  - 1472-6823 (Electronic)
IS  - 1472-6823 (Linking)
VI  - 14
DP  - 2014 Nov 24
TI  - Insufficient early detection of peripheral neurovasculopathy and associated 
      factors in rural diabetes residents of Taiwan: a cross-sectional study.
PG  - 89
LID - 10.1186/1472-6823-14-89 [doi]
LID - 89
AB  - BACKGROUND: Diabetic peripheral neuropathy (PN) and peripheral vasculopathy (PV) 
      are major causes of foot ulcers in patients with diabetes. The early detection of 
      PN/PV with appropriate health counseling is the best strategy for preventing foot 
      lesions. The objective of this study is to examine the prevalence and associated 
      risk factors of PN/PV among rural community residents with type 2 diabetes 
      mellitus (T2DM). METHODS: This cross-sectional descriptive study was conducted in 
      Taiwan from February to October 2012. Type 2 diabetes mellitus and health 
      promotion scale, Michigan neuropathy screening instrument, and ankle-brachial 
      pressure index values were measured. RESULTS: A total of 404 (55% women) 
      participated in and completed the program. The overall prevalence of PN and PV 
      was 34.5 and 17.1%, respectively. The majority of the participants (90%) did not 
      receive early PN/PV detection by health care providers. After adjustment for the 
      potential confounding factors, multivariate analysis indicated that the factors 
      determining PN/PV were age (P <0.001), living around sea coastal regions (P 
      <0.001), high HbA1C level (P <0.01), and fewer regular health-promoting behaviors 
      (P <0.01). CONCLUSION: There was a high prevalence of PN/PV among rural T2DM 
      residents who received insufficient early detection. The early detection of PN/PV 
      and provision of health education with customized health-promoting behaviors of 
      people with diabetes in the rural community are important issues.
FAU - Lee, Chia-Mou
AU  - Lee CM
FAU - Chang, Chang-Cheng
AU  - Chang CC
FAU - Pan, Mei-Yu
AU  - Pan MY
FAU - Chang, Chyong-Fang
AU  - Chang CF
FAU - Chen, Mei-Yen
AU  - Chen MY
AD  - College of Nursing, Chang Gung University of Science and Technology, No, 2, 
      Chia-pu Rd, West Sec, Putz City, Chiayi County 61363, Taiwan. 
      meiyen@mail.cgust.edu.tw.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20141124
PL  - England
TA  - BMC Endocr Disord
JT  - BMC endocrine disorders
JID - 101088676
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Ambulatory Care Facilities
MH  - Ankle Brachial Index
MH  - Cross-Sectional Studies
MH  - Diabetic Foot/*diagnosis/epidemiology/physiopathology
MH  - Directive Counseling
MH  - Early Diagnosis
MH  - Educational Status
MH  - Female
MH  - Health Education
MH  - Health Knowledge, Attitudes, Practice
MH  - Health Promotion
MH  - Humans
MH  - Hypertension/complications/*etiology
MH  - Male
MH  - Middle Aged
MH  - Obesity/complications/*epidemiology
MH  - Peripheral Nervous System Diseases/*diagnosis/epidemiology/physiopathology
MH  - Prevalence
MH  - Risk Factors
MH  - Rural Population
MH  - Smoking/adverse effects/*epidemiology
MH  - Taiwan/epidemiology
PMC - PMC4255455
EDAT- 2014/11/26 06:00
MHDA- 2015/07/03 06:00
PMCR- 2014/11/24
CRDT- 2014/11/26 06:00
PHST- 2014/02/08 00:00 [received]
PHST- 2014/11/17 00:00 [accepted]
PHST- 2014/11/26 06:00 [entrez]
PHST- 2014/11/26 06:00 [pubmed]
PHST- 2015/07/03 06:00 [medline]
PHST- 2014/11/24 00:00 [pmc-release]
AID - 1472-6823-14-89 [pii]
AID - 291 [pii]
AID - 10.1186/1472-6823-14-89 [doi]
PST - epublish
SO  - BMC Endocr Disord. 2014 Nov 24;14:89. doi: 10.1186/1472-6823-14-89.