在患有2型糖尿病的年轻成年人中,与收入相关的死亡率差异
Ji Yoon Kim1,2, Sojeong Park3, Minae Park3
1Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea.
JAMA network open
|November 12, 2024
概括
低收入显著增加了2型糖尿病 (T2D) 的年轻成年人死亡风险. 这凸显了迫切需要社会经济支持,以解决年轻人群中的这些差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 以前的研究表明,收入和死亡率之间存在反向关系.
- 然而,与老年人相比,收入水平对2型糖尿病 (T2D) 的年轻成年人死亡风险的具体影响仍然不清楚.
研究的目的:
- 研究2型糖尿病患者的收入水平与整体和因果特异性死亡风险之间的关联.
- 将这些风险与不同年龄组进行比较,特别关注年轻人.
主要方法:
- 韩国一项回顾性全国性队列研究分析了2008年至2013年间被诊断患有T2D的20-79岁成年人的数据,并追踪到2019年.
- 根据收入 (低,中,高) 评估了死亡风险 (所有原因,心血管,癌症),使用后勤和考克斯回归分析,按年龄组分层 (20-39,40-59,60-79).
主要成果:
- 该研究包括超过120万个人,其中超过60万人患有T2D.
- 死亡风险在T2D患者的收入较低时增加,并且与没有糖尿病的对照组相比.
- 收入和死亡率之间的反向关联在患有T2D的年轻人 (20-39岁) 中最为明显,在低收入群体中,所有原因死亡率的调整后危险比率显著更高.
结论:
- 低收入是死亡的重要风险因素,特别是在T2D的年轻人中.
- 这些发现强调了有针对性的社会经济支持的迫切需要,以减轻T2D年轻人与收入相关的健康差异.
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