Ory Marcia G, Conkling Martha, Bolin Jane N, Prochaska John D, Zhan Dongling, Burdine James N, Mier Nelda
Department of Social and Behavioral Health, Texas A&M Health Science Center, School of Rural Public Health College Station, TX 77843-1266, USA.
Ethn Dis. 2009 Summer;19(3):280-7.
An assessment of the risk or diagnosis of diabetes in a random sample of 386 adult border residents found 46% obese, 12% at risk for diabetes, and 18% diagnosed with diabetes. While obesity was associated with greater diabetes risk, > 50% of obese adults reported not being told of their diabetes risk. Independent of other characteristics, boomers were at increased risk (OR 3.88) for diabetes. Comorbidities increased the risk for actual diabetes diagnosis (OR 4.79). Skipping medications increased risk of developing diabetes (OR 2.98). Disadvantaged obese boomers are at particular risk, warranting culturally appropriate interventions before onset of chronic illnesses.
对386名成年边境居民的随机样本进行的糖尿病风险评估或诊断发现,46%的人肥胖,12%有糖尿病风险,18%被诊断患有糖尿病。虽然肥胖与更高的糖尿病风险相关,但超过50%的肥胖成年人表示未被告知其糖尿病风险。不考虑其他特征,婴儿潮一代患糖尿病的风险增加(比值比为3.88)。合并症增加了实际糖尿病诊断的风险(比值比为4.79)。不按时服药会增加患糖尿病的风险(比值比为2.98)。处于不利地位的肥胖婴儿潮一代尤其危险,需要在慢性病发病前采取适合其文化背景的干预措施。