Naess Siri, Eriksen John, Midthjell Kristian, Tambs Kristian
NOVA-Norwegian Social Research, P.B. 3223 Elisenberg, 0208, Oslo, Norway.
J Diabetes Complications. 2003 Nov-Dec;17(6):323-30. doi: 10.1016/s1056-8727(02)00223-4.
The prevention of diabetic complications is a challenge to the health services. A health survey was carried out in the Nord-Trøndelag county of Norway during the period 1984-1986 (77,224 respondents) and repeated in 1995-1997 (65,599 respondents). In this study, self-reports of diabetes and other diseases and impairments in the two screenings are compared. Did respondents report more or less morbidity in 1995-1997 than in 1984-1986? Comparisons between self-reports in the two surveys show higher morbidity among young people (below 40 years of age) in 1995-1997 than in 1984-1986, both among people with and without diabetes, but the change was not statistically significant. For the middle-aged (40-59 years of age), there were smaller changes. For older people (above 60 years of age) with diabetes, there was a decrease in some of the reported morbidity, namely for cerebral stroke, mobility impairment, and impairment due to other physical diseases, compared to older people without diabetes. There was a slight increase in reported vision impairment, but smaller than for people without diabetes. The changes in relative risk for people with stroke, mobility and vision impairment, and other physical disease are statistically significant. Splitting the sample according to gender, this trend was only significant among women.
预防糖尿病并发症对医疗卫生服务而言是一项挑战。1984年至1986年期间，挪威北特伦德拉格郡开展了一项健康调查（77224名受访者），并于1995年至1997年重复进行（65599名受访者）。在本研究中，对两次筛查中糖尿病及其他疾病和损伤的自我报告进行了比较。1995年至1997年期间受访者报告的发病率相较于1984年至1986年是更高还是更低呢？两项调查自我报告之间的比较显示，1995年至1997年，40岁以下的年轻人中，无论有无糖尿病，发病率均高于1984年至1986年，但这种变化无统计学意义。对于中年人（40至59岁），变化较小。对于60岁以上患有糖尿病的老年人，与无糖尿病的老年人相比，某些报告的发病率有所下降，即中风、行动不便以及其他身体疾病导致的损伤。报告的视力损伤略有增加，但低于无糖尿病的人群。中风、行动和视力损伤以及其他身体疾病患者的相对风险变化具有统计学意义。按性别对样本进行划分后，这种趋势仅在女性中显著。
