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由于糖尿病病导致的功能衰竭在澳大利亚年龄小于45岁的人群中,2000-2022年:基于人口的地理空间分析
Robert J Ellis1,2,3, Christopher E Davies4,5, Dominic Keuskamp4,5
1Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Nephrology (Carlton, Vic.)
|March 14, 2025
概括
澳大利亚年轻人 (年龄≤45岁) 糖尿病导致的功能衰竭在过去二十年中有所增加. 风险与社会决定因素如生活在偏远地区,社会经济劣势和土著地位密切相关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 糖尿病是全球功能衰竭的主要原因之一.
- 了解年轻人中功能衰竭的发病率和风险因素对于有针对性的干预至关重要.
- 在澳大利亚,卫生结果的区域级差异是一个重大问题.
研究的目的:
- 为了评估澳大利亚45岁及以下的澳大利亚人中因糖尿病而导致功能衰竭的区域级发病率.
- 确定与风险增加相关的地理和社会经济因素.
主要方法:
- 利用了2000年至2022年澳大利亚登记和人口普查数据.
- 由于糖尿病而导致的衰竭 (开始替代疗法) 的计算发病率和患病率.
- 在地理区域的比较率,根据年龄和性别进行调整.
主要成果:
- 在2000-2011年和2012-2022年期间,澳大利亚45岁以下的澳大利亚人因糖尿病而出现功能衰竭的发生率从每10万年增加了0.72至1.13,从2000-2011年至2012-2022年.
- 观察到显著的差异,偏远地区,社会经济劣势,以及土著和托雷斯海峡岛民的种族表现出更高的风险.
- 北领地的发病率明显高于其他司法管辖区.
结论:
- 在过去的二十年里,澳大利亚年轻人因糖尿病而出现功能衰竭的情况显著增加.
- 健康的社会决定因素,包括地理位置,社会经济地位和土著地位,与功能衰竭的风险密切相关.
- 针对这些社会决定因素的有针对性的公共卫生战略对于减轻糖尿病相关功能衰竭的负担至关重要.
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