Keel Stuart, Foreman Joshua, Xie Jing, van Wijngaarden Peter, Taylor Hugh R, Dirani Mohamed
Centre for Eye Research Australia, Royal Victorian Eye & Ear Hospital, Melbourne, Australia.
Ophthalmology, University of Melbourne, Department of Surgery, Melbourne, Australia.
PLoS One. 2017 Jan 3;12(1):e0169211. doi: 10.1371/journal.pone.0169211. eCollection 2017.
To present the prevalence of self-reported diabetes in Indigenous and non-Indigenous participants in the National Eye Health Survey.
3098 non-Indigenous Australians aged 50-98 years and 1738 Indigenous Australians aged 40-92 years were examined in 30 randomly selected sites, stratified by remoteness. A history of diabetes was obtained using an interviewer-administered questionnaire.
13.91% (431/3098) of non-Indigenous Australians and 37.11% (645/1738) of Indigenous Australians had self-reported diabetes. The age-adjusted prevalence of self-reported diabetes for non-Indigenous and Indigenous Australians was 11.49% and 43.77%, respectively (p <0.001). The prevalence of self-reported diabetes increased markedly with age (OR = 1.04 per year, p = 0.017). Indigenous Australians living in very remote areas were more likely to have self-reported diabetes than those in major city areas (OR = 1.61, p = 0.038).
The prevalence of self-reported diabetes in Australia was high, with the prevalence being almost 4 times higher in Indigenous Australians compared with non-Indigenous Australians. With the prevalence of diabetes likely to increase, the results of this national survey may inform future policy, planning and funding allocation to assist in controlling the diabetes epidemic.
呈现全国眼部健康调查中土著和非土著参与者自我报告的糖尿病患病率。
在30个随机选取的地点对3098名年龄在50 - 98岁的非土著澳大利亚人和1738名年龄在40 - 92岁的土著澳大利亚人进行了检查,按偏远程度分层。通过访员管理的问卷获取糖尿病病史。
13.91%(431/3098)的非土著澳大利亚人和37.11%(645/1738)的土著澳大利亚人自我报告患有糖尿病。非土著和土著澳大利亚人自我报告糖尿病的年龄调整患病率分别为11.49%和43.77%(p <0.001)。自我报告糖尿病的患病率随年龄显著增加(每年OR = 1.04,p = 0.017)。生活在极偏远地区的土著澳大利亚人比主要城市地区的人更有可能自我报告患有糖尿病(OR = 1.61,p = 0.038)。
澳大利亚自我报告的糖尿病患病率很高,土著澳大利亚人的患病率几乎是非土著澳大利亚人的4倍。鉴于糖尿病患病率可能上升,这项全国性调查的结果可为未来政策、规划和资金分配提供参考,以协助控制糖尿病流行。