Diabetic Med:自报糖尿病与低收入,中等收入和高收入国家社会功能障碍的关联--世界卫生调查的结果

2018-07-04 MedSci MedSci原创

来自高收入国家的流行病学研究表明,糖尿病与社会功能障碍有关。近日,国际杂志 《Diabetic Med》上在线发表一项关于自报糖尿病与低收入,中等收入和高收入国家社会功能障碍的关联:世界卫生调查的结果的研究。由于中低收入国家为减少糖尿病的潜在社会影响能提供医疗保健系统的资源较少,因此研究人员对低收入,中等收入和高收入国家的糖尿病社会功能障碍环节进行了比较研究。 研究人员使用世界卫生调查的截面

来自高收入国家的流行病学研究表明,糖尿病与社会功能障碍有关。近日,国际杂志 《Diabetic Med》上在线发表一项关于自报糖尿病与低收入,中等收入和高收入国家社会功能障碍的关联:世界卫生调查的结果的研究。由于中低收入国家为减少糖尿病的潜在社会影响能提供医疗保健系统的资源较少,因此研究人员对低收入,中等收入和高收入国家的糖尿病社会功能障碍环节进行了比较研究。

研究人员使用世界卫生调查的截面数据(数据ñ=235 428来自10个低收入国家,29个中等收入国家和9个高收入国家的)。由自我的报告定义诊断糖尿病。如果参与者报告有人际关系或参与社区的严重或极端困难,则认为社会功能障碍。Logistic回归用于估计整体样本和收入地区的优势比(OR)和95%置信区间(CI)。对OR进行人口统计学和健康相关生活方式的校正,然后对可能解释任何观察到的关联性(即视力,情绪,认知和行动能力受损)的受损作出额外校正。

在总体样本中,研究人员证实了自我报告糖尿病与社会功能障碍之间存在相关性(OR = 1.47,95CI = 1.18-1.83)。这种关系的强度随着国家收入的减少而增加(例如低收入国家的OR = 2.23,95CI = 1.14-4.37)。在总体样本中(OR = 0.92,95CI = 0.72-1.16)和所有收入地区,相关性通过进一步纠正障碍,特别是情绪问题而大大减弱。

自我报告的糖尿病与高收入和中等收入国家的社会功能障碍有关,而这种关系在低收入国家更为强烈。相关性很大程度上可以解释为身体和精神障碍,这可能是由于糖尿病所造成的。

原始出处:

A. LoerbroksR. M. Herr A. Ickset al. The association of selfreported diabetes with impaired social functioning in low, middle and highincome countries: findings from the World Health Survey

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  5. 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  6. 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  7. 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    2019-03-15 Homburg
  8. 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  9. 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  10. 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