DISTRIBUSI DAN FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KADAR HEMOGLOBIN A1C (HbA1c) PADA SUBJEK DEWASA INDONESIA

HbA1c is a parameter that can be used in predicting and diagnosing diabetes. Since diabetes is predicted to increase in Indonesia, it is necessary to know HbA1c distribution in the general population. However, those data are still limited. This study aims to determine the distribution of HbA1c and its associated factors in Indonesian adult s . We conduct cross-sectional study analyzing data from Indonesia Family Life Survey (IFLS) 2014-2015. HbA1c levels were analyzed using dried blood spot (DBS) specimen with Bio-Rad system. Univariate and bivariate analyzes were used to show the results of the study. The study involved 3,595 subjects (20-59 years) without diabetes and provided an overview of the distribution of HbA1c levels based on sociodemographic factors and smoking behaviors described in percentiles. The mean of HbA1c was 4.52 with a standard error of 0.01. The threshold value of HbA1c for prediabetes (5.7%), which is a risk factor to develop diabetes, corresponded approximately to the 90 th - 95 th percent ile . HbA1c associated with gender, age, education level, residence , and smoking behavior while work status was not associated with HbA1c. Sociodemographic factors and smoking behavior are factors associated with HbA1c levels , therefore need to be considered in diabetes prevention in Indonesia.