美国糖尿病相关并发症的趋势和不平等. 成年人,2000年至2020年时间段
Ryan Saelee1, Kai McKeever Bullard1, Israel A Hora1
1Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
自2009年以来,美国糖尿病成年人中心力衰竭,中风和截肢的住院率有所上升. 糖尿病并发症的不平等在不同年龄,性别和种族/种族群体中变得更加严重.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 糖尿病影响了数百万美国成年人,增加了严重并发症的风险.
- 了解糖尿病相关并发症的趋势对于公共卫生干预至关重要.
- 以前的研究表明下降,但最近的趋势需要更新分析.
研究的目的:
- 检查2000年至2020年糖尿病相关并发症的国家趋势.
- 分析按年龄,种族/种族和性别的趋势.
- 评估这些并发症的健康不平等的变化.
主要方法:
- 利用国家 (全国) 住院患者样本 (2000-2020年) 来获取住院数据.
- 美国脏数据系统用于末期脏疾病 (ESRD) 发病率.
- 估计美国成人糖尿病患病率使用国家健康访谈调查.
主要成果:
- 由于心力衰竭 (HF),中风和下肢截肢 (NLEA) 的住院病例在2009年后增加.
- 高血糖危机住院病例稳步上升,而心肌梗塞 (MI) 住院病例下降,然后停滞不前.
- 对于几个关键的糖尿病并发症,年龄,性别和种族/民族不平等情况恶化.
结论:
- 几种与糖尿病相关的并发症在过去十年中出现了令人担忧的增加.
- 与年龄,性别和种族/种族相关的现有健康差异在某些并发症中被加剧.
- 迫切需要公共卫生战略来解决日益增加的并发症率和不平等问题.
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