New York City Department of Health and Mental Hygiene, 42-09 28th St, 9th Floor, Queens, NY 11101-4132, USA.
Prev Chronic Dis. 2012;9:E114. doi: 10.5888/pcd9.110320. Epub 2012 Jun 14.
Prevalence and incidence of diabetes among adults are increasing in the United States. The purpose of this study was to estimate the incidence of self-reported diabetes in New York City, examine factors associated with diabetes incidence, and estimate changes in the incidence over time.
We used data from the New York City Community Health Survey in 2002, 2004, and 2008 to estimate the age-adjusted incidence of self-reported diabetes among 24,384 adults aged 18 years or older. Multiple logistic regression analysis was performed to examine factors associated with incident diabetes.
Survey results indicated that the age-adjusted incidence of diabetes per 1,000 population was 9.4 in 2002, 11.9 in 2004, and 8.6 in 2008. In multivariable-adjusted analysis, diabetes incidence was significantly associated with being aged 45 or older, being black or Hispanic, being overweight or obese, and having less than a high school diploma.
Our results suggest that the incidence of diabetes in New York City may be stabilizing. Age, black race, Hispanic ethnicity, elevated body mass index, and low educational attainment are risk factors for diabetes. Large-scale implementation of prevention efforts addressing obesity and sedentary lifestyle and targeting racial/ethnic minority groups and those with low educational attainment are essential to control diabetes in New York City.
在美国，成年人糖尿病的患病率和发病率正在上升。本研究旨在估计纽约市自我报告糖尿病的发病率，探讨与糖尿病发病相关的因素，并估计随时间变化的发病率变化。
我们使用了 2002 年、2004 年和 2008 年纽约市社区健康调查的数据，估计了 24384 名 18 岁或以上成年人的自我报告糖尿病的年龄调整发病率。采用多因素逻辑回归分析来探讨与新发糖尿病相关的因素。
调查结果表明，每 1000 人口中年龄调整的糖尿病发病率在 2002 年为 9.4，2004 年为 11.9，2008 年为 8.6。在多变量调整分析中，糖尿病发病率与年龄在 45 岁或以上、黑人和西班牙裔、超重或肥胖以及未完成高中学业显著相关。
我们的研究结果表明，纽约市的糖尿病发病率可能趋于稳定。年龄、黑种人、西班牙裔、身体质量指数升高以及教育程度低是糖尿病的危险因素。大规模实施针对肥胖和久坐生活方式的预防措施，并针对少数族裔和教育程度低的人群，对于控制纽约市的糖尿病至关重要。
