劳动力中的2型糖尿病严重程度:使用德国索赔数据的职业部门分析
Batoul Safieddine1, Julia Grasshoff1, Stefanie Sperlich1
1Medical Sociology Unit, Hannover Medical School, Hannover, Germany.
患有2型糖尿病 (T2D) 的男性和女性工人根据职业和年龄表现出不同的严重程度和趋势. 运输和建筑等某些行业表现出更高的T2D严重性,需要针对性的工作场所干预.
科学领域:
- 公共卫生 公共卫生
- 职业医学 职业医学 职业医学
- 糖尿病研究 糖尿病研究
背景情况:
- 工作场所是预防疾病的关键环境,2型糖尿病 (T2D) 患病率因性别,年龄和就业部门而异.
- 了解这些变化对于识别有风险的职业群体至关重要.
研究的目的:
- 通过分析T2D严重程度和趋势来定义脆弱的职业群体.
- 检查不同性别,年龄组 (18-45岁和46岁以上) 和9个职业部门的T2D严重程度和趋势.
主要方法:
- 使用了来自法定医疗保险提供商 (AOKN) 的索赔数据.
- 使用适应的糖尿病并发症严重性指数-并发症计数 (DCSI-CC) 测量T2D严重程度.
- 通过使用顺序逻辑回归分析了2012-2019年的DCSI-CC得分和趋势.
主要成果:
- 随着时间的推移,T2D的严重程度在老年男性和女性中显著增加.
- 与"卫生部门,社会工作,教学和教育"相比",运输,物流,保护和安全"和"建筑"等职业部门的T2D严重程度更高.
- 工作男性的DCSI-CC得分通常高于女性,某些部门的严重程度因性别而增加.
结论:
- 基于性别,年龄和职业部门,T2D严重程度和趋势存在显著差异.
- 考虑到职业背景的个性化预防策略对工作人员来说是有益的.
- 进一步的研究应该调查脆弱部门特定职业的T2D趋势.
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