The Appalachian Rural Health Institute (ARHI), Ohio University College of Osteopathic Medicine, Ohio University, Athens, Ohio 45701, USA.
J Rural Health. 2009 Spring;25(2):226-30. doi: 10.1111/j.1748-0361.2009.00222.x.
CONTEXT/PURPOSE: There is an epidemic of obesity and diabetes in the United States, especially in economically at-risk populations such as rural Appalachia. This survey determined the self-reported prevalence of obesity, diabetes mellitus, and associated macrovascular complications in 11 rural counties of Appalachian Ohio. The impacts of lifestyle, cardiovascular risk factors, income, and access to medical care were also determined.
A telephone survey identical to the 2004 Behavioral Risk Factor Surveillance System (BRFSS) survey was conducted. Surveys were collected from 3,927 randomly selected residents 18 years of age and older in 11 counties of Appalachian Ohio and compared to published aggregate Ohio and national 2004 BRFSS data.
The self-reported prevalence of diabetes (11.3%) was markedly higher in Appalachian Ohio counties surveyed compared to aggregate Ohio (7.8%) or national (7.2%) 2004 BRFSS data (P < .044). The prevalence of heart disease (7.6%) and stroke (4.1%) in these counties was slightly higher than aggregate Ohio or national 2004 BRFSS data. In persons with diabetes, the prevalence of heart disease was 2-fold higher (20.0%) and stroke 3-fold higher (11.4%) than among nondiabetics (P < .042) in the region and higher than aggregate Ohio and National 2004 BRFSS data. Lower-income levels and decreased access to medications and glucose monitoring supplies correlated with the increased risk for cardiovascular complications in this rural population (P < .042).
The self-reported prevalence of diabetes mellitus and its associated macrovascular complications are much higher in rural Appalachian Ohio compared to aggregate Ohio and National 2004 BRFSS data.
背景/目的：美国存在肥胖和糖尿病的流行现象，尤其是在农村阿巴拉契亚地区等经济上处于风险中的人群中。本调查旨在确定俄亥俄州阿巴拉契亚地区 11 个农村县中肥胖症、糖尿病和相关大血管并发症的自我报告患病率。同时还确定了生活方式、心血管危险因素、收入和获得医疗保健的影响。
采用与 2004 年行为风险因素监测系统（BRFSS）调查相同的电话调查方法。在阿巴拉契亚俄亥俄州的 11 个县随机抽取了 3927 名 18 岁及以上的居民进行调查，并与俄亥俄州和全国 2004 年 BRFSS 数据进行了对比。
在所调查的阿巴拉契亚俄亥俄州各县中，自我报告的糖尿病患病率（11.3%）明显高于俄亥俄州（7.8%）或全国（7.2%）2004 年 BRFSS 数据（P <.044）。这些县中心脏病（7.6%）和中风（4.1%）的患病率略高于俄亥俄州或全国 2004 年 BRFSS 数据。在患有糖尿病的人群中，心脏病的患病率是无糖尿病人群的 2 倍（20.0%），中风的患病率是无糖尿病人群的 3 倍（11.4%）（P <.042），高于该地区的俄亥俄州和全国 2004 年 BRFSS 数据。较低的收入水平和获得药物和血糖监测用品的机会减少与该农村人群心血管并发症风险增加相关（P <.042）。
与俄亥俄州和全国 2004 年 BRFSS 数据相比，农村阿巴拉契亚俄亥俄州自我报告的糖尿病患病率及其相关大血管并发症发生率要高得多。
