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巴西各首府城市自我报告糖尿病的患病率、相关因素及描述——电话调查结果

Prevalence, correlates, and description of self-reported diabetes in brazilian capitals - results from a telephone survey.

作者信息

Iser Betine Pinto Moehlecke, Malta Deborah Carvalho, Duncan Bruce Bartholow, de Moura Lenildo, Vigo Alvaro, Schmidt Maria Inês

机构信息

Post Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre-RS, Brazil; Department of Non Communicable Diseases Surveillance and Health Promotion, Secretariat for Health Surveillance, Ministry of Health, Brasilia-DF, Brazil.

Department of Non Communicable Diseases Surveillance and Health Promotion, Secretariat for Health Surveillance, Ministry of Health, Brasilia-DF, Brazil.

出版信息

PLoS One. 2014 Sep 25;9(9):e108044. doi: 10.1371/journal.pone.0108044. eCollection 2014.

Abstract

INTRODUCTION

The prevalence of diabetes is increasing worldwide. The objective of this study is to estimate the prevalence of self-reported diabetes in Brazilian adults and to describe its population correlates as well as the clinical characteristics of the reported cases.

METHODS

We analyzed basic and supplementary data of 54.144 subjects participating in VIGITEL 2011 (Surveillance System for Risk and Protective Factors for Chronic Diseases), a telephone survey based on a probabilistic sample of subjects ≥ 18 years old residing in Brazilian state capitals and the Federal District. Estimates reported are weighted so as to represent the surveyed population.

RESULTS

The prevalence of self-reported diabetes was 6.3% (95% CI 5.9-6.7), increasing markedly with age and nutritional status, and decreasing with level of education. Prevalence was higher among those self-declaring their race/color as black. Most cases (90%) reported the diagnosis being made at 35 years or older. The vast majority (99.8%) of self-reported cases informed having previously performed at least one glucose test, and 76% of those not reporting diabetes also informed having previously performed glucose testing. Most cases (92.6%) reported following some form of diabetes treatment, 79% taking medication.

CONCLUSION

The estimated prevalence of known diabetes found, 6.3%, is consistent with estimates given by international summaries. The additional data collected in VIGITEL 2011 regarding previous glucose testing and current treatment support the use of telephone-based information to monitor the prevalence of known diabetes in Brazilian capitals.

摘要

引言

糖尿病在全球的患病率正在上升。本研究的目的是估计巴西成年人中自我报告的糖尿病患病率,并描述其人口统计学相关因素以及报告病例的临床特征。

方法

我们分析了参与2011年VIGITEL(慢性病风险和保护因素监测系统)的54144名受试者的基本数据和补充数据,这是一项基于居住在巴西州首府和联邦区的18岁及以上受试者概率样本的电话调查。报告的估计值经过加权处理,以代表被调查人群。

结果

自我报告的糖尿病患病率为6.3%(95%置信区间5.9 - 6.7),随年龄和营养状况显著增加,随教育程度降低。自我宣称种族/肤色为黑人的人群中患病率更高。大多数病例(90%)报告诊断时间在35岁及以上。绝大多数(99.8%)自我报告的病例表示之前至少进行过一次血糖检测,76%未报告患糖尿病的人也表示之前进行过血糖检测。大多数病例(92.6%)报告遵循某种形式的糖尿病治疗,79%正在服药。

结论

所发现的已知糖尿病估计患病率6.3%与国际综述给出的估计值一致。2011年VIGITEL收集的关于既往血糖检测和当前治疗的额外数据支持使用基于电话的信息来监测巴西各首府已知糖尿病的患病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6591/4177870/959a4171bcf1/pone.0108044.g001.jpg

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