2型糖尿病患者死亡时的多病症:加拿大安大略省的一项基于人口的研究
Laura C Rosella1,2,3,4, Ednah Negatu5, Kathy Kornas5
1Dalla Lana School of Public Health, University of Toronto, Health Sciences Building, 6th floor, 155 College Street, Toronto, ON, M5T 3M7, Canada. laura.rosella@utoronto.ca.
BMC endocrine disorders
|June 1, 2023
概括
患有2型糖尿病的人在死亡时会出现更多的慢性疾病. 移民和患有糖尿病的低收入群体面临更高的死亡风险,突出了健康的社会决定因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是指老年学的学科.
背景情况:
- 2型糖尿病经常与多病症相关,导致一生中出现多种慢性疾病.
- 了解死亡率模式和死亡时的慢性疾病对于有效的公共卫生干预至关重要.
研究的目的:
- 在一个基于人口的大群中确定死亡原因和死亡时存在的慢性疾病.
- 分析糖尿病在死亡时如何因不同收入水平和移民身份而有所不同.
主要方法:
- 一项回顾性队列研究分析了1992年至2017年在加拿大安大略省2,199,801名成年人的死亡情况.
- 计算了患有慢性疾病的死亡人数和死亡原因的比例.
- 逻辑二项回归模拟了死亡时糖尿病风险,调整了社会人口统计因素.
主要成果:
- 心血管疾病和癌症是导致死亡的主要原因.
- 患有糖尿病的死者患有高血压,关节炎,慢性冠状动脉综合征,情绪障碍和充血性心力衰竭等疾病的患病率更高.
- 与相关参考组相比,移民 (19%),难民 (15%) 和最低收入五分位数 (19%) 的死亡糖尿病风险较高.
结论:
- 糖尿病患者在死亡时承担着更大的多病症负担.
- 糖尿病患者多种慢性疾病的有效管理是必不可少的.
- 健康的社会决定因素,包括收入和移民身份,显著影响与糖尿病有关的死亡率结果.
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