Type 2 Diabetes Mellitus (T2DM) is a non-communicable disease with a continuously increasing prevalence and has become a public health concern, including among the productive age group. The occurrence of T2DM is influenced by various risk factors, including demographic, genetic, and lifestyle factors. This study aimed to analyze the factors associated with the occurrence of Type 2 Diabetes Mellitus among the productive age group in the working area of Talang Pangeran Primary Health Center, Ogan Ilir Regency, in 2026. This study employed a quantitative design with a cross-sectional approach. The research sample consisted of 93 respondents selected using the simple random sampling technique. The research variables included age, sex, education level, family history, smoking habits, Body Mass Index (BMI), dietary patterns, physical activity, and stress levels. Data analysis was performed using the Chi-Square test and multiple logistic regression. The results showed that education level (p=0.013) and family history (p=0.001) had a significant association with the occurrence of T2DM. The variables of age, sex, smoking habits, BMI, dietary patterns, physical activity, and stress levels showed no significant association (p>0.05). The multivariate analysis results indicated that family history was the most dominant factor, with an OR value of 27.452 (95% CI = 7.483–100.712; p=0.000). This study concludes that family history is the primary factor associated with the occurrence of T2DM among the productive age group. Improved screening of at-risk groups, health education, and strengthened promotive and preventive efforts are needed to prevent the occurrence of T2DM.
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