年轻人发病的2型糖尿病与高残疾率,低教育水平和移民背景的关联:挪威一般实践的研究
Katrina Louise Bø Tibballs1, Lars Kirkebøen2, Anne Karen Jenum3
1Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway k.l.b.tibballs@medisin.uio.no.
年轻发病的2型糖尿病 (YOD) 显著增加了依赖残疾福利的风险. 非西方和南亚背景与较高的青少年死亡风险有关,而低教育影响风险主要在挪威人群中.
科学领域:
- 内分泌学和新陈代谢
- 公共卫生和流行病学
- 健康的社会经济决定因素
背景情况:
- 在40岁之前出现的2型糖尿病 (YOD) 对健康造成重大负担和早期残疾的风险.
- 社会经济地位和种族影响2型糖尿病 (T2D) 的风险,但它们对诊断时的年龄的影响还未得到充分研究.
研究的目的:
- 调查年轻人与残疾人福利之间的联系.
- 检查青年年龄,教育水平和原籍国之间的关系.
主要方法:
- 与教育和国家背景数据相关的8640名T2D个体的横截面分析.
- 与3854名工作年龄人群的残疾福利数据进行比较.
- 用于根据糖尿病发病年龄分析残疾风险和根据社会经济和种族因素分析YOD风险的负二项回归.
主要成果:
- 与普通人群相比,患有YOD的人患残疾福利的风险高出三倍.
- 低教育背景的挪威人患年轻人死亡的风险增加了三倍; 在非西方人群中,这种关联不太明显.
- 与挪威人相比,非西方人,特别是南亚人,有明显增加的青少年死亡风险.
结论:
- 年轻人有更高的终身依赖残疾福利的风险.
- 种族背景,尤其是南亚人,是青年儿童死亡的重要风险因素.
- 低教育水平主要是挪威背景的人群中青少年死亡的关键风险因素.
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