发育残疾人的2型糖尿病相关可避免死亡风险:与其他残疾人和无残疾人进行比较:发育残疾人的2型糖尿病相关可避免死亡风险
Nan-He Yoon1, Jongnam Hwang1, Jongho Heo2,3
1Division of Social Welfare and Health Administration, Wonkwang University, Iksan, Republic of Korea.
Journal of autism and developmental disorders
|December 6, 2025
概括
患有发育障碍的人面临着更高的2型糖尿病 (T2DM) 的可避免死亡率. 有针对性的干预措施对于改善T2DM护理和减少该脆弱人群中可预防的死亡至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 关于残疾人的研究.
背景情况:
- 2型糖尿病 (T2DM) 在全球范围内是一个重大的健康问题.
- 患有发育障碍的个人经常在获得医疗保健和医疗保健结果方面存在差异.
- 了解这一群体中与T2DM相关的死亡率对于有针对性的健康干预至关重要.
研究的目的:
- 评估与2型糖尿病 (T2DM) 相关的发育障碍患者的可避免死亡率.
- 将这些死亡结果与其他残疾人和非残疾人对照者的死亡结果进行比较.
- 确定发展障碍和T2DM患者医疗保健中的潜在差异.
主要方法:
- 利用了与死亡统计数据合并的非识别的国家医疗保险索赔数据.
- 包括在2012-2016年期间被诊断患有T2DM的30岁以上的个人,具有发育障碍.
- 选择了匹配的对照组 (非残疾人,轻度残疾人,严重残疾人);使用逻辑回归来评估与T2DM相关的可避免死亡率.
主要成果:
- 诊断后1,3年和5年的与T2DM相关的可避免死亡率为发育障碍组的0.05%,0.23%和0.55%.
- 虽然1年死亡率没有显著差异,但3年 (OR=4.84) 和5年 (OR=3.82) 的死亡风险与非残疾人相比显著更高.
- 与轻度残疾人相比,5年死亡风险也更高 (OR=2.41).
结论:
- 与非残疾人和轻度残疾人群体相比,发育残疾人与T2DM相关的可避免死亡率显著更高.
- 这些发现突出了发育障碍者在医疗保健中的关键差距.
- 加强有针对性的干预和支持服务对于减少可避免的死亡和改善健康结果至关重要.
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