Al-Moosa Siba, Allin Sara, Jemiai Nadia, Al-Lawati Jawad, Mossialos Elias
The London School of Economics and Political Science, LSE Health and Social Care, UK.
Popul Health Metr. 2006 Apr 24;4:5. doi: 10.1186/1478-7954-4-5.
The prevalence of type 2 diabetes in Oman is high and appears to be rising. Rising rates of diabetes and associated risk factors have been observed in populations undergoing epidemiological transition and urbanization. A previous study in Oman indicated that urban-dwellers were not significantly more likely to have diabetes. This study was undertaken to determine if a more accurate urban and rural categorization would reveal different findings.
This study included 7179 individuals aged 20 years or above who participated in a cross-sectional interviewer-administered survey in Oman including blood and anthropomorphic tests. Multiple logistic regression analyses were conducted to analyze the factors associated with diabetes, first in the whole population and then stratified according to region.
The prevalence of diabetes (fasting blood glucose > or = 7 mmol/l) in the capital region of Muscat was 17.7% compared to 10.5% in rural areas. The prevalence of self-reported diabetes was 4.3%. Urban residence was significantly associated with diabetes (adjusted odds ratio (OR) = 1.7, 95% confidence interval (CI): 1.4-2.1), as was age (OR = 1.2, 95% CI: 1.1- 1.2), obesity (abnormal waist circumference) (OR = 1.8, 95% CI: 1.5-2.1), and systolic blood pressure (SBP) 120-139 (OR = 1.4, 95% CI:1.04-1.8), SBP 140-159 (OR = 1.9, 95% CI: 1.4-2.6), SBP > or = 160 (OR = 1.7, 95% CI: 1.2-2.5). Stratified analyses revealed higher education was associated with reduced likelihood of diabetes in rural areas (OR = 0.6, 95% CI: 0.4-0.9).
A high prevalence of diabetes, obesity, hypertension and high cholesterol exist in the Omani population, particularly among urban-dwellers and older individuals. It is vital to continue monitoring chronic disease in Oman and to direct public health policy towards preventing an epidemic.
阿曼2型糖尿病的患病率很高，且呈上升趋势。在经历流行病学转变和城市化的人群中，糖尿病及相关危险因素的发生率一直在上升。阿曼此前的一项研究表明，城市居民患糖尿病的可能性并没有显著更高。本研究旨在确定更准确的城乡分类是否会得出不同的结果。
本研究纳入了7179名20岁及以上的个体，他们参与了阿曼一项由访谈员实施的横断面调查，包括血液和人体测量测试。进行了多项逻辑回归分析，首先在整个人口中分析与糖尿病相关的因素，然后根据地区进行分层分析。
马斯喀特首都地区糖尿病（空腹血糖≥7 mmol/l）的患病率为17.7%，而农村地区为10.5%。自我报告的糖尿病患病率为4.3%。城市居住与糖尿病显著相关（调整后的优势比（OR）=1.7，95%置信区间（CI）：1.4 - 2.1），年龄（OR = 1.2，95% CI：1.1 - 1.2）、肥胖（腰围异常）（OR = 1.8，95% CI：1.5 - 2.1）以及收缩压120 - 139（OR = 1.4，95% CI：1.04 - 1.8）、收缩压140 - 159（OR = 1.9，95% CI：1.4 - 2.6）、收缩压≥160（OR = 1.7，95% CI：1.2 - 2.5）也与之相关。分层分析显示，在农村地区，较高的教育水平与糖尿病发生可能性降低相关（OR = 0.6，95% CI：0.4 - 0.9）。
阿曼人群中糖尿病、肥胖、高血压和高胆固醇的患病率很高，尤其是在城市居民和老年人中。持续监测阿曼的慢性病并将公共卫生政策导向预防流行至关重要。
