在被诊断为糖尿病的成年人中使用GLP-1注射剂:美国,2024年
NCHS data brief
|September 29, 2025
概括
在2024年,26.5%的被诊断为糖尿病的成年人使用了可注射的葡萄糖类-1 (GLP-1) 受体激动剂. 使用因年龄,种族和BMI而异,年轻人和某些种族群体的患病率更高.
科学领域:
- 内分泌学和新陈代谢学
- 公共卫生监督 公共卫生监督
- 糖尿病管理 糖尿病管理
背景情况:
- 可注射的葡萄糖类-1 (GLP-1) 受体激活剂越来越多地用于2型糖尿病管理.
- 了解GLP-1注射剂的当前吸收和人口结构模式对于公共卫生倡议至关重要.
- 2024年国家健康访谈调查 (NHIS) 为评估这些趋势提供了有价值的数据集.
研究的目的:
- 确定2024年使用注射GLP-1受体激动剂诊断出糖尿病的美国成人的百分比.
- 检查GLP-1注射剂使用与所选的人口和临床特征之间的关联.
- 确定GLP-1注射剂在不同年龄组,种族/民族背景和药物治疗方案中的使用趋势.
主要方法:
- 分析了2024年国家健康访谈调查 (NHIS) 的数据.
- 基于自我报告的使用非胰岛素注射药物来控制血糖或减肥的GLP-1注射使用者的识别.
- 使用SAS可调用的SUDAAN软件进行统计分析,以解释复杂的调查设计,在0.05级进行显著性测试.
主要成果:
- 到2024年,26.5%的被诊断为糖尿病的成年人报告使用注射GLP-1受体激活剂.
- 随着年龄的增长,GLP-1注射剂的使用呈现出反转的U形趋势,在50-64岁年龄组达到峰值 (33.3%),在年轻人 (18-34岁: 25.3%) 和老年人 (≥65: 20.8%) 中降低.
- 在西班牙裔 (31.3%),非西班牙裔黑人 (26.5%) 和白人非西班牙裔 (26.2%) 成年人中,与亚洲裔非西班牙裔成年人 (12.1%) 相比,使用率更高.
- 使用与更高的体重指数和同时使用胰岛素或口服降血糖药物有关.
结论:
- 注射GLP-1受体激素的使用在2024年在美国成年糖尿病患者中相当大.
- 在人口群体之间存在大量的吸收差异,突出了潜在的差异或有针对性的处方模式.
- 进一步的研究应该探索驱动这些利用模式的因素及其对糖尿病结果的影响.
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