UMR 6578 laboratoire d'anthropologie bioculturelle, CNRS, établissement français du sang, faculté de médecine secteur Nord, université de la Méditerranée, boulevard Pierre-Dramard, 13955 Marseille cedex 15, France.
Diabetes Metab. 2012 Oct;38(4):332-6. doi: 10.1016/j.diabet.2012.02.011. Epub 2012 Apr 19.
The aim of this study was to estimate the prevalence of diabetes in the urban population living in Dakar, Senegal, and to investigate the factors associated with diabetes.
Data from a 2009 survey of 600 individuals, aged 20 years or above and considered representative of the population of the city of Dakar, were evaluated. Socioeconomic characteristics, hypertension, capillary whole blood glucose, and weight and height measurements of these subjects were collected during face-to-face interviews. The statistical analyses used chi-square (chi2) tests and binary logistic regressions.
The percentage of participants with fasting blood glucose levels greater than or equal to 1.10 g/L and/or currently being treated for diabetes was 17.9% (n=107, 95% CI: 14.7-20.8). Observed rates of diabetes were significantly higher among women (chi2 = 6.3; P < 0.05), in subjects aged > 40 years (chi2=33.6; P < 0.001), in those with low educational levels (chi2=11.9; P < 0.05) and in those with hypertension (chi2 = 13.9; P < 0.001), and in those who were overweight (BMI ≥ 25 kg/m2 and < 30 kg/m2) or obese (BMI ≥ 30 kg/m2; chi2=40.3; P < 0.001). After adjusting for gender, age, educational level, BMI and blood pressure, the results showed that gender, age and BMI were associated with diabetes: women, older people and those with a higher BMI had significantly greater chances of being diabetic than the rest of the population, whatever their blood pressure and educational level.
Diabetes is becoming a pressing public-health problem in Senegal, and the major risk factors for the increasing diabetes prevalence in the city of Dakar are gender, age and body mass index.
本研究旨在估计塞内加尔达喀尔市城市人口的糖尿病患病率，并探讨与糖尿病相关的因素。
评估了 2009 年对 600 名年龄在 20 岁及以上、被认为代表达喀尔市人口的个体进行的一项调查的数据。在面对面访谈中收集了这些个体的社会经济特征、高血压、毛细血管全血葡萄糖以及体重和身高测量值。使用卡方（chi2）检验和二项逻辑回归进行统计分析。
空腹血糖水平≥1.10 g/L 和/或目前正在接受糖尿病治疗的参与者百分比为 17.9%（n=107，95%置信区间：14.7-20.8）。女性（chi2 = 6.3；P < 0.05）、年龄>40 岁（chi2=33.6；P < 0.001）、教育水平低（chi2=11.9；P < 0.05）、高血压（chi2 = 13.9；P < 0.001）、超重（BMI≥25 kg/m2且<30 kg/m2）或肥胖（BMI≥30 kg/m2；chi2 = 40.3；P < 0.001）的参与者中，观察到的糖尿病发病率明显更高。在调整了性别、年龄、教育程度、BMI 和血压后，结果表明性别、年龄和 BMI 与糖尿病有关：女性、老年人和 BMI 较高的人患糖尿病的几率明显高于其他人群，无论其血压和教育程度如何。
糖尿病在塞内加尔正成为一个紧迫的公共卫生问题，达喀尔市糖尿病患病率上升的主要危险因素是性别、年龄和体重指数。
