{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:29:31Z","timestamp":1753892971430,"version":"3.41.2"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Type 2 diabetes mellitus (T2DM) is a grave issue in China. The annual check-up is recommended in clinical guidelines on T2DM. It plays an important role in monitoring and managing the condition and detecting and managing any comorbidities and T2DM-related complications. However, people with T2DM may miss the annual check-up, and the benefits of this check-up are lost. Therefore, this study aimed to determine the factors associated with nonattendance at the annual T2DM check-up in Ningbo, China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A case-control study was conducted using the Ningbo National Metabolic Management Center dataset. Cases were people with T2DM who were alive but did not attend the first annual check-up, scheduled between 1 March 2019 and 28 February 2022 (<jats:italic>n<\/jats:italic>\u2009=\u20091,549). Controls were people with T2DM who were alive and attended the first annual check-up during the same period (<jats:italic>n<\/jats:italic>\u2009=\u20091,354). The characteristics of cases and controls were compared using logistic regressions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The odds of being a female [odds ratio (OR) 1.26, 95% confidence interval (CI) 1.06\u20131.50], alcohol drinker (1.26, 1.06\u20131.49), and with glycated hemoglobin A1c (HbA1c) \u22657% (1.67, 1.42\u20131.97) were higher among case patients than controls. The odds of being a high school graduate (0.77, 0.66\u20130.89) and on standard treatments in addition to lifestyle modification (oral hypoglycemic drug 0.63, 0.42\u20130.96; oral hypoglycemic drug and injection therapy 0.48, 0.32\u20130.73) were lower among case patients than controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The factors associated with nonattendance at the annual T2DM check-up in Ningbo, China were female sex, not a high school graduate, alcohol drinker, HbA1c \u22657%, and only on lifestyle modification. The study findings should be used for improving attendance at the annual check-up among people with T2DM in Ningbo.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1247406","type":"journal-article","created":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T14:14:06Z","timestamp":1702563246000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with nonattendance at annual diabetes check-up in Ningbo, China: a case-control 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