Medical Sociology, 9177Hannover Medical School, Hannover, Germany.
J Aging Health. 2021 Mar;33(3-4):205-216. doi: 10.1177/0898264320970324. Epub 2020 Oct 31.
We investigated changes in the prevalence of disabilities among individuals with type 2 diabetes and analyzed the contribution of comorbidities on this change. Data were drawn from the Survey of Health, Ageing, and Retirement in Europe (SHARE). We estimated predicted probabilities of impaired (instrumental) activities of daily living (IADL and ADL) by means of logistic regression. Multivariate decomposition was employed for analyzing the impact of comorbidities on changes in disability rates. Among people with diabetes, ADL difficulties rose significantly from 11.3% (2004) to 19.1% (2015), while IADL difficulties increased among younger diabetics from 11.5% to 18.3%. Decomposition analysis revealed that the parallel increase in comorbidities contributed to the rise in disabilities. We found disability rates among people with diabetes in Germany to be increasing over time, pointing toward a growing demand of tertiary prevention for these individuals to maintain functional health and quality of life.
我们调查了 2 型糖尿病患者残疾患病率的变化，并分析了合并症对此变化的影响。数据来自欧洲健康、老龄化和退休调查（SHARE）。我们通过逻辑回归估计了受损（工具性）日常生活活动（IADL 和 ADL）的预测概率。采用多元分解分析了合并症对残疾率变化的影响。在患有糖尿病的人群中，ADL 困难从 2004 年的 11.3%显著上升至 2015 年的 19.1%，而年轻的糖尿病患者的 IADL 困难从 11.5%上升至 18.3%。分解分析显示，合并症的平行增加导致残疾率上升。我们发现，德国糖尿病患者的残疾率随时间呈上升趋势，这表明需要对这些人进行三级预防，以维持其功能健康和生活质量。
