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一群寻求治疗的非法药物使用者中的糖尿病住院和死亡情况。

Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users.

作者信息

Aregbesola Alex, Onyeka Ifeoma N, Olubamwo Olubunmi, Ronkainen Kimmo, Tiihonen Jari, Föhr Jaana, Kauhanen Jussi

机构信息

Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.

Department of Forensic Psychiatry, University of Eastern Finland, Niuvanniemi Hospital, Kuopio, Finland.

出版信息

SAGE Open Med. 2018 May 1;6:2050312118768164. doi: 10.1177/2050312118768164. eCollection 2018.

DOI:10.1177/2050312118768164
PMID:29881602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5987891/
Abstract

BACKGROUND

Studies on diabetes among illicit drug users are scarce in Finland. This study aimed to describe hospitalization and death due to diabetes among treatment-seeking illicit drug users.

METHODS

Information of 4817 treatment-seeking drug users (3365 men and 1452 women) aged 11-65 years (mean 24.5 years) was linked to the Finnish national hospital discharge register and the national death registry to identify those clients who were hospitalized or died from diabetes mellitus during 1997-2013.

RESULTS

Fifty-three persons (42 men and 11 women) had primary diagnoses of diabetes, with a total of 146 hospitalizations (121 among men and 25 among women). The total length of stay among men (1183 days) far exceeded those of women (138 days). Overall, type 1 diabetes was the main contributor to hospitalizations (67%, n = 98/146). The proportion of Type 1 diabetes with complications was 31% in men (n = 37/121) and 44% in women (n = 11/25). All cases of deaths due to diabetes (n = 7) occurred in men.

CONCLUSION

Diabetes hospitalizations were mainly due to Type 1 diabetes. Longer length of hospital stay was observed in men, and all diabetes deaths occurred among men. Male drug users and drug users in general would require more support to reduce morbidity and mortality due to diabetes.

摘要

背景

芬兰针对非法药物使用者的糖尿病研究较少。本研究旨在描述寻求治疗的非法药物使用者中因糖尿病导致的住院和死亡情况。

方法

将4817名年龄在11 - 65岁（平均24.5岁）寻求治疗的药物使用者（3365名男性和1452名女性）的信息与芬兰国家医院出院登记册和国家死亡登记册相链接，以确定在1997 - 2013年期间因糖尿病住院或死亡的患者。

结果

53人（42名男性和11名女性）患有糖尿病的初步诊断，总共住院146次（男性121次，女性25次）。男性的总住院天数（1183天）远远超过女性（138天）。总体而言，1型糖尿病是住院的主要原因（67%，n = 98/146）。男性中伴有并发症的1型糖尿病比例为31%（n = 37/121），女性为44%（n = 11/25）。所有因糖尿病导致的死亡病例（n = 7）均发生在男性中。

结论

糖尿病住院主要归因于1型糖尿病。男性的住院时间更长，且所有糖尿病死亡病例均发生在男性中。男性吸毒者及一般吸毒者需要更多支持以降低糖尿病导致的发病率和死亡率。