Simmons D, Williams D R, Powell M J
Sheikh Rashid Diabetes Unit, Radcliffe Infirmary, Oxford.
BMJ. 1989 Jan 7;298(6665):18-21. doi: 10.1136/bmj.298.6665.18.
To assess the prevalence of both diagnosed and undiagnosed diabetes mellitus in an area of predominantly Asian population the Coventry diabetes study is carrying out house to house screening for diabetes in people aged 20 and over in Foleshill, Coventry. In the first five of 12 areas to be studied 2130 of 2283 Asian (93.3%) and 1242 of 1710 white subjects (72.6%) aged 20-79 agreed to be screened. The prevalence of diabetes adjusted to 1987 demographic estimates was 11.2% in Asian men and 8.9% in Asian women whereas it was 2.8% in white men and 4.3% in white women. The excess of diabetes in Asian subjects was predominantly of non-insulin-dependent diabetes, and no significant differences in body mass were found to account for the higher prevalence. Diabetes had not been diagnosed previously in at least 26% of the white and 30% of the Asian diabetics screened, and it is estimated that in this community the condition remains undiagnosed in 42% of white and 40% of Asian diabetics.
为评估在一个以亚洲人口为主的地区已诊断和未诊断糖尿病的患病率,考文垂糖尿病研究正在考文垂市福尔斯希尔对20岁及以上人群逐户进行糖尿病筛查。在计划研究的12个地区中的前5个地区,年龄在20至79岁之间的2283名亚洲人中的2130名(93.3%)和1710名白人中的1242名(72.6%)同意接受筛查。根据1987年人口统计学估计值调整后的糖尿病患病率在亚洲男性中为11.2%,在亚洲女性中为8.9%,而在白人男性中为2.8%,在白人女性中为4.3%。亚洲人群中糖尿病患病率过高主要是非胰岛素依赖型糖尿病,未发现体重方面的显著差异可解释较高的患病率。在接受筛查的白人糖尿病患者中,至少26%以及亚洲糖尿病患者中30%此前未被诊断出患有糖尿病,据估计,在该社区中,42%的白人糖尿病患者和40%的亚洲糖尿病患者仍未被诊断出患有该病。