Department of General Practice, Institute of Public Health, University of Aarhus, Vennelyst Boulevard 6, DK 8000 Aarhus C, Denmark.
Diabet Med. 2009 May;26(5):518-25. doi: 10.1111/j.1464-5491.2009.02715.x.
The prevalence of diabetes is increasing, and screening of high-risk populations is recommended. A low attendance rate has been observed in many Type 2 diabetes screening programmes, so that an analysis of factors related to attendance is therefore relevant. This paper analyses the association between socioeconomic factors and attendance for Type 2 diabetes screening.
Persons aged 40-69 years (n = 4603) were invited to participate in a stepwise diabetes screening programme performed in general practitioners' offices in the county of Aarhus, Denmark in 2001. The study was population-based and cross-sectional with follow-up. The association between screening attendance in the high-risk population and socioeconomic factors was analysed by odds ratio.
Forty-four percent of the estimated high-risk population attended the screening programme. In those with known risk for Type 2 diabetes, attenders were more likely to be older, to be unemployed and to live in the countryside than non-attenders. The risk for Type 2 diabetes was unknown for 21% of the study population; this group was younger and less likely to be cohabitant, skilled, or employed and to have middle or high income than the study population with known risk score for diabetes.
A low attendance rate was found in this screening programme for Type 2 diabetes. No substantial socioeconomic difference was found between attenders and non-attenders in the high-risk population. Further research is needed to uncover barriers to screening of Type 2 diabetes in socioeconomically deprived persons.
糖尿病的患病率正在上升，建议对高危人群进行筛查。许多 2 型糖尿病筛查项目的参与率都很低，因此分析与参与率相关的因素是很有意义的。本文分析了社会经济因素与 2 型糖尿病筛查参与率之间的关系。
2001 年，丹麦奥胡斯县的全科医生办公室开展了一项逐步进行的糖尿病筛查计划，邀请了 40-69 岁的人群参加。该研究是基于人群的横断面研究，具有随访。通过优势比分析高危人群中筛查参与率与社会经济因素之间的关系。
估计高危人群中有 44%参加了筛查计划。在已知有 2 型糖尿病风险的人群中，与未参加者相比，参加者更可能年龄较大、失业和居住在农村地区。对于 21%的研究人群，2 型糖尿病的风险未知；这组人群更年轻，与同居者、熟练工人或就业者以及中等或高收入的可能性较小，而具有已知糖尿病风险评分的研究人群则具有这些特征。
在这项 2 型糖尿病筛查计划中，参与率较低。在高危人群中，参加者和未参加者之间没有明显的社会经济差异。需要进一步研究以揭示在社会经济弱势群体中筛查 2 型糖尿病的障碍。
