患有2型糖尿病的伊朗患者的患病率和相关因素:一项全国性研究
Koushan Hajiuni1,2, Sarmad Salehi1,3, Zahra Rajabli4
1Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
PloS one
|February 27, 2026
概括
超过70%的伊朗成年人患有2型糖尿病,同时患有高血压和脏疾病等疾病. 这些并发症与男性性别,老年和农村生活等因素有关,需要有针对性的公共卫生战略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 内部医学 内部医学
背景情况:
- 2型糖尿病 (T2DM) 经常与高血压 (HTN),心血管疾病 (CVD) 和慢性病 (CKD) 一起发生.
- 这些并发症显著增加了疾病负担,并使管理复杂化,特别是在糖尿病患病率上升的地区,如伊朗.
- 了解T2DM并发症的患病率和决定因素对于有效的临床护理和国家卫生战略至关重要.
研究的目的:
- 确定伊朗成年T2DM患者共患病的患病率.
- 确定与T2DM患者共患病的存在相关的社会人口因素.
主要方法:
- 利用了世卫组织"非传染性疾病风险因素监测 (STEPS) 2021年在伊朗的STEPwise方法"的数据.
- 被定义为并发症的存在至少两个条件:HTN,CKD,心血管疾病史,或癌症.
- 采用多变量逻辑回归来分析社会人口统计因素和并发症之间的关联.
主要成果:
- 在2900名T2DM参与者中,33.18%患有两个或两个以上的并发症.
- 高血压是最常见的并发症 (79.62%),其次是CKD (10.66%) 和CVD (8.64%).
- 伴随性疾病与男性性别,年龄≥60岁,农村居住和BMI>30 kg/m2显著相关. 高等教育,就业和体力活动与较低的并发病率有关.
结论:
- 超过70%的伊朗成年人患有T2DM至少有一种额外的健康状况.
- 这些发现凸显了伊朗T2DM并发症对公共卫生的影响.
- 个性化和多方面的预防策略对于管理T2DM及其相关条件至关重要.
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