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在安大略省妊娠期糖尿病患病率上升:基于人口的研究
Hardil A Bhatt1, Gillian L Booth2, Ghazal Fazli3
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Canadian journal of diabetes
|October 16, 2024
概括
在加拿大安大略省,孕期糖尿病 (GDM) 的患病率正在增加,在2015-2021年期间增加了35%. 虽然年龄和收入差异仍然存在,但大流行导致查暂时下降.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 孕期糖尿病 (GDM) 是一个重要的妊娠并发症,其全球流行率正在增加.
- 了解安大略省等特定地区的GDM趋势对于公共卫生规划至关重要.
研究的目的:
- 确定2015年至2021年在加拿大安大略省GDM的流行率.
- 分析按年龄和收入分层的GDM流行趋势.
主要方法:
- 利用基于人口的链接医疗保健行政数据库.
- 采用了经过验证的算法来识别患有GDM的女性.
- 分析了年龄标准化患病率,并使用负二项式回归来评估趋势.
主要成果:
- 根据年龄标准化的GDM患病率在2015年至2021年之间增加了35%.
- 患病率与年龄有直接关联,与收入有反向关联.
- 在COVID-19流行病的第一年观察到流行率的暂时下降.
结论:
- 越来越多的GDM患病率表明医疗保健系统的负担越来越大,尤其是低收入人群.
- 根据年龄和收入观察到的GDM患病率差异并没有随着时间的推移而恶化.
- 疫情对查的影响可能暂时掩盖了GDM率的上升.
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