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Evaluation of the diabetes care cascade and compliance with WHO global coverage targets in Iran based on STEPS survey 2021

Author

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  • Azadnajafabad, Sina
  • Ahmadi, Naser
  • Rezaei, Negar
  • Rashidi, Mohammad-Mahdi
  • Saeedi Moghaddam, Sahar
  • Mohammadi, Esmaeil
  • Abbasi-Kangevari, Mohsen
  • Naderian, Mohammadreza
  • Ghasemi, Erfan
  • Farzi, Yosef
  • Kazemi, Ameneh
  • Dilmaghani-Marand, Arezou
  • Yoosefi, Moein
  • Rezaei, Shahabeddin
  • Nasserinejad, Maryam
  • Fattahi, Nima
  • Rezaei, Nazila
  • Haghshenas, Rosa
  • Foroutan Mehr, Elmira
  • Koolaji, Sogol
  • Razi, Farideh
  • Djalalinia, Shirin
  • Larijani, Bagher
  • Farzadfar, Farshad

Abstract

This study aimed to investigate the diabetes mellitus (DM) and prediabetes epidemiology, care cascade, and compliance with global coverage targets. We recruited the results of the nationally representative Iran STEPS Survey 2021. Diabetes and prediabetes were two main outcomes. Diabetes awareness, treatment coverage, and glycemic control were calculated for all population with diabetes to investigate the care cascade. Four global coverage targets for diabetes developed by the World Health Organization were adopted to assess the DM diagnosis and control status. Among 18,119 participants, the national prevalence of DM and prediabetes were 14.2% (95% confidence interval 13.4–14.9) and 24.8% (23.9–25.7), respectively. The prevalence of DM treatment coverage was 65.0% (62.4–67.7), while the prevalence of good (HbA1C

Suggested Citation

  • Azadnajafabad, Sina & Ahmadi, Naser & Rezaei, Negar & Rashidi, Mohammad-Mahdi & Saeedi Moghaddam, Sahar & Mohammadi, Esmaeil & Abbasi-Kangevari, Mohsen & Naderian, Mohammadreza & Ghasemi, Erfan & Farz, 2023. "Evaluation of the diabetes care cascade and compliance with WHO global coverage targets in Iran based on STEPS survey 2021," Open Access Publications from Kiel Institute for the World Economy 279316, Kiel Institute for the World Economy (IfW Kiel).
    • Handle: RePEc:zbw:ifwkie:279316
    DOI: 10.1038/s41598-023-39433-7
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    1. Reza Mehrizi & Ali Golestani & Mohammad-Reza Malekpour & Hossein Karami & Mohammad Mahdi Nasehi & Mohammad Effatpanah & Mehdi Rezaee & Zahra Shahali & Ali Akbari Sari & Rajabali Daroudi, 2024. "Patterns of case fatality and hospitalization duration among nearly 1 million hospitalized COVID-19 patients covered by Iran Health Insurance Organization (IHIO) over two years of pandemic: An analysi," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-24, February.
    2. Pirhossein Kolivand & Peyman Saberian & Hossein Saffari & Taher Doroudi & Ali Marashi & Masoud Behzadifar & Fereshteh Karimi & Soheila Rajaei & Behzad Raei & Seyed Jafar Ehsanzadeh & Arash Parvari & S, 2024. "Patterns of diabetes mellitus by age, sex, and province among Iranian Hajj pilgrims and health care delivery during 2012–2022: A retrospective study of 469,581 participants," PLOS ONE, Public Library of Science, vol. 19(10), pages 1-14, October.

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