National Centre (Institute) for Diabetes, Endocrinology and Genetics (NCDEG), University of Jordan, Amman.
Department of Public Health and Community Medicine, Jordan University of Science and Technology (JUST), Irbid.
Diabet Med. 2019 Sep;36(9):1176-1182. doi: 10.1111/dme.13894. Epub 2019 Jan 25.
The prevalence of diabetes has been increasing over the past few decades. The objective of this study is to assess the time trends in diabetes between 1994 and 2017 in Jordan.
Surveys were conducted in 1994, 2004, 2009 and 2017 by the same investigators using generally similar methods. Fasting blood glucose was measured in all surveys. Variables were obtained using structured questionnaires designed specifically for the surveys. Crude and age-specific diabetes prevalence rates were derived for each sex, together with overall, crude and age-standardized prevalence rates.
The prevalence of diabetes in men aged ≥ 25 years increased from 14.2% in 1994 to 18.3% in 2004, 26.8% in 2009 and 32.4% in 2017. The corresponding prevalence rates in women were 12.3%, 16.9%, 18.8%, and 18.1%, respectively. The overall age-standardized prevalence rate increased from 13.0% in 1994 to 17.1% in 2004, 22.2% in 2009 and 23.7% in 2017. Known diabetes in the 2017 survey accounted for 82.6% of people with diabetes. A HbA of < 59 mmol/mol (7.5%) was observed in 41.4% of participants with known diabetes.
The results showed a high prevalence of diabetes in Jordan among people aged ≥ 25 years. Prevalence increased from 1994 to 2009, but slowed thereafter. The increase was greater in men than in women. Previously diagnosed diabetes accounted for a high percentage of people with diabetes in all surveys and was highest in 2017 survey, suggesting that the national strategy against diabetes has brought some benefits. Efforts should be made to improve glycaemic control in people with diabetes.
在过去几十年中，糖尿病的患病率一直在上升。本研究旨在评估 1994 年至 2017 年期间约旦的糖尿病时间趋势。
研究人员在 1994 年、2004 年、2009 年和 2017 年进行了调查，使用的方法大致相同。所有调查均测量空腹血糖。使用专门为调查设计的结构化问卷获取变量。为每个性别获得了粗患病率和年龄特异性糖尿病患病率，以及总体、粗和年龄标准化患病率。
≥25 岁男性的糖尿病患病率从 1994 年的 14.2%上升至 2004 年的 18.3%、2009 年的 26.8%和 2017 年的 32.4%。相应的女性患病率分别为 12.3%、16.9%、18.8%和 18.1%。1994 年至 2004 年，年龄标准化患病率从 13.0%增加到 17.1%，2009 年增加到 22.2%，2017 年增加到 23.7%。2017 年调查中已知糖尿病占糖尿病患者的 82.6%。已知糖尿病患者中，41.4%的患者 HbA1c<59mmol/mol（7.5%）。
结果显示，约旦≥25 岁人群的糖尿病患病率较高。1994 年至 2009 年期间患病率有所上升，但此后增速放缓。男性的增幅大于女性。所有调查中，以前诊断的糖尿病占糖尿病患者的比例较高，2017 年调查中这一比例最高，表明国家糖尿病防治战略带来了一些益处。应努力改善糖尿病患者的血糖控制。
