美国佛罗里达州县级糖尿病相关死亡风险的预测因素:一项回顾性生态研究
Nirmalendu Deb Nath1, Agricola Odoi1
1Biomedical and Diagnostic Sciences, University of Tennessee, Knoxville, TN, United States of America.
PeerJ
|January 20, 2025
概括
佛罗里达州的糖尿病相关死亡风险 (DRMR) 显示出地理差异,特别是在农村地区. 关键预测因素包括年龄,吸烟,身体不活动,缺乏车辆,以及较高的糖尿病患病率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 地理健康差异的差异
背景情况:
- 由于糖尿病的社会经济影响,发病率和死亡率,糖尿病构成了重大的公共卫生挑战.
- 随着糖尿病相关死亡人数的增加,我们需要了解佛罗里达州人口层面的死亡风险预测因素 (DRMR).
- 识别DRMR预测因子对于有针对性的控制计划和改善人口健康结果至关重要.
研究的目的:
- 确定佛罗里达州县级糖尿病相关死亡风险 (DRMR) 的地理差异.
- 确定与这些DRMR差异相关的重要县级预测因素.
主要方法:
- 利用2019年佛罗里达州的死亡数据,使用ICD代码E10-E14识别与糖尿病相关的死亡.
- 将死亡总量汇总到县级,以计算每10万人的DRMR.
- 用于地理可视化和用于预测分析的普通最小平方 (OLS) 回归的合唱地图.
主要成果:
- 在佛罗里达州,共有6078例与糖尿病相关的死亡记录.
- 县级DRMR的差异很大,从9.6到75.6每10万.
- 较高DRMR的显著预测因素包括65岁以上人口的较高百分比,目前的吸烟者,身体活动不足的人,没有车辆的家庭和糖尿病患者.
结论:
- 佛罗里达州DRMR的地理差异很明显,北部,中部和中南部县的风险更高.
- 与城市地区相比,农村县的死亡风险相对较高.
- 研究结果为卫生专业人员提供了宝贵的见解,以有效地针对干预措施并减少糖尿病负担.
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