Albertorio-Diaz Juan R, Notzon Francis C, Rodriguez-Lainz Alfonso
International Statistics Program, National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Suite 2427, Hyattsville, MD 20782, USA.
Prev Chronic Dis. 2007 Apr;4(2):A28. Epub 2007 Mar 15.
The diabetes hospitalization rate for the region along the U.S. side of the U.S.-Mexico border is unknown, a situation that could limit the success of the Healthy Border 2010 program. To remedy this problem, we analyzed and compared hospital discharge data for Arizona, California, and Texas for the year 2000 and calculated the diabetes hospitalization rates.
We obtained hospital-discharge public-use data files from the health departments of three U.S. border states and looked for cases of diabetes. Only when diabetes was listed as the first diagnosis on the discharge record was it considered a case of diabetes for our study. Patients with cases of diabetes were classified as border county (BC) or nonborder county (NBC) residents. Comparisons between age-adjusted diabetes discharge rates were made using the z test.
Overall, 1.2% (86,198) of the discharge records had diabetes listed as the primary diagnosis. BC residents had a significantly higher age-adjusted diabetes discharge rate than NBC residents. BC males had higher diabetes discharge rates than BC females or NBC males. In both the BCs and the NBCs, Hispanics had higher age-adjusted diabetes discharge rates than non-Hispanics.
The results of this study provide a benchmark against which the effectiveness of the Healthy Border 2010 program can be measured.
美墨边境美国一侧地区的糖尿病住院率尚不清楚，这种情况可能会限制“2010年健康边境”计划的成效。为解决这一问题，我们分析并比较了2000年亚利桑那州、加利福尼亚州和得克萨斯州的医院出院数据，并计算了糖尿病住院率。
我们从美国三个边境州的卫生部门获取了医院出院的公共使用数据文件，并查找糖尿病病例。只有当糖尿病被列为出院记录的首要诊断时，才被视为我们研究中的糖尿病病例。糖尿病病例患者被分类为边境县（BC）居民或非边境县（NBC）居民。使用z检验对年龄调整后的糖尿病出院率进行比较。
总体而言，1.2%（86,198份）的出院记录将糖尿病列为首要诊断。边境县居民的年龄调整后糖尿病出院率显著高于非边境县居民。边境县男性的糖尿病出院率高于边境县女性或非边境县男性。在边境县和非边境县，西班牙裔的年龄调整后糖尿病出院率均高于非西班牙裔。
本研究结果提供了一个基准，可据此衡量“2010年健康边境”计划的成效。
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