THE EFFECTIVENESS OF THE COMMUNITY INTERVENTION TO PREVENT PREDIABETES IN CAU NGANG DISTRICT, TRA VINH PROVINCE
Objectives: To determine the prevalence and characteristics of prediabetes and evaluating the effectiveness of the community intervention to prevent prediabetes in Cau Ngang district, Tra Vinh province. Subjects and Method: People aged 45 years and older living in Cau Ngang district were researched by a cross – sectional study and a community – intervention study. Results and Discussion: The prediabetes prevalence with n = 2216 were 19.3%. The prevalence of subjects at the age of 65 and older seems greater than that of the 45 - <65 years-old group: 24.4% vs 16.9%. The prediabetes prevalence of Kinh group and Khmer group are 19.5% and 18.9% (p > 0.05) respectively. Levels of education are not probably relative with prediabetes. The physical occupation group has prediabetes prevalence of 17.6%, lower than that of the mental occupation group 18.9% and the non-occupation group 22.6% (p<0.05). The prediabetes prevalence in farmers of 16.6% seems greatly lower than the others. Religion is not likely to affect the prediabetes prevalence. After the community – intervention: The prediabetes prevalence of the intervened group is 13.2%, which is significantly smaller than that of the control group 16.2% (p < 0.05). The interventional efficiency is 32.7%. The prediabetes prevalence in the control group has not showed significant difference. There is a greatly positive change in the health behavior index of the intervened group. Conclusion: The prediabetes prevalence in Cau Ngang district is 19.3% (n=2216). Intervening in community to prevent prediabetes has showed a positive effect, with the interventional efficiency of 32.7%.