カナダのオンタリオ州における糖尿病の罹患率,発生率,死亡率の動向 (1995年~2005年):人口ベースの研究
Lorraine L Lipscombe1, Janet E Hux2
1Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Women's College Hospital, Toronto, ON, Canada.
Lancet (London, England)
|March 6, 2007
まとめ
カナダのオンタリオ州における糖尿病の罹患率は,1995年から2005年の間に69%増加し,世界の2030年予測を上回りました. この増加は,発症率の増加と死亡率の減少によるもので,公衆衛生の介入が必要である.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 糖尿病に関する研究
背景:
- 世界的に糖尿病の罹患率が上昇しており,WHOの予測は増加を潜在的に過小評価している.
- この研究は,カナダのオンタリオ州の糖尿病の傾向に焦点を当てており,人口統計と健康の変化が著しい地域である.
研究 の 目的:
- カナダのオンタリオ州における糖尿病の流行,発生,死亡率の時間的傾向を評価する.
- オンタリオの糖尿病率と世界の予測を比較し,これらの傾向に影響を与える主要な人口統計的要因を特定する.
主な方法:
- 人口ベースのデータとカナダのオンタリオ州から検証された糖尿病データベースを使用した.
- 20歳以上の成人における糖尿病の罹患率 (1995年−2005年),罹患率 (1997年−2003年),死亡率 (1995年−2005年) を調査した.
- 人口統計の変動を考慮するために,年齢調整と性別調整の分析が行われました.
主要な成果:
- 年齢調整型糖尿病の罹患率は,1995年の5.2%から2005年の8.8%に69%急増した.
- 糖尿病の発生率は6年間で31%増加した (1997年−2003年),若い成人 (20~49歳) では94%増加した.
- 糖尿病関連の死亡率が25%減少したにもかかわらず,全般的な罹患率は著しく上昇し,特に若年層では増加した.
結論:
- オンタリオ州における糖尿病の罹患率は10年間で大幅に増加し,2005年までに2030年の世界の予測を上回りました.
- 増加する罹患率と減少する死亡率は,増加する糖尿病負担の主要な要因です.
- 糖尿病の予防のための緊急の公衆衛生の介入と,糖尿病の高齢化人口に対する管理戦略の改善は極めて重要です.
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