父母收入水平和青少年患2型糖尿病的风险
Fu-Shun Yen1, James Cheng Chung Wei2,3,4, Jia-Sin Liu5
1Private practice, Taoyuan City, Taiwan.
JAMA network open
|November 30, 2023
概括
贫困增加了年轻人患2型糖尿病的风险. 与来自高收入家庭的儿童相比,来自低收入家庭的儿童面临患2型糖尿病和全因死亡的风险更高.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科 儿科 儿科
背景情况:
- 全球青年2型糖尿病的发病率正在上升,不成比例地影响弱势群体.
- 贫困与年轻人发病的2型糖尿病风险的关联仍未得到充分研究.
研究的目的:
- 调查家庭收入水平与儿童和青少年患2型糖尿病的风险之间的联系.
主要方法:
- 一项全国性,基于人口的回顾性队列研究,利用台湾2008年国家健康保险研究数据库.
- 包括5,182,893名儿童和青少年 (0-19岁),随访时间到2019年.
- 考克斯的比例危险模型分析了家庭收入 (非常低,低,中,高) 与青年发病2型糖尿病风险之间的关联.
主要成果:
- 年轻人发病的2型糖尿病的发病率在非常低收入 (0.52/1000人年) 和低收入 (0.40/1000人年) 群体中高于高收入 (0.28/1000人年) 群体.
- 来自非常低收入 (aHR,1.55),低收入 (aHR,1.34) 和中等收入 (aHR,1.27) 家庭的儿童患2型糖尿病的风险明显更高.
- 在低收入群体中也观察到所有原因死亡的风险更高.
结论:
- 较低的社会经济地位,以家庭收入为指标,与青年发病2型糖尿病的风险增加有显著关联.
- 调查结果强调需要有针对性的干预措施和进一步研究推动这种差异的因素,以确定处于危险的年轻人.
- 解决社会经济因素对于减轻年轻人群中2型糖尿病日益增加的负担至关重要.
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