Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, Hamilton, Ontario, Canada.
Can J Diabetes. 2021 Jun;45(4):355-359. doi: 10.1016/j.jcjd.2020.10.005. Epub 2020 Oct 16.
This study aimed to describe the risk of developing diabetes and the probable prevalence of diabetes and prediabetes in residents of subsidized or social housing who were 55 years of age or older.
We conducted a cross-sectional study using data collected from an ongoing community health program in social housing buildings-the Community Paramedicine at Clinic (CP@clinic) program. Community paramedics staffing the CP@clinic program conducted lifestyle-related modifiable risk factor assessments of participating social housing residents who were 55 years of age or older. The Canadian Diabetes risk assessment (CANRISK) tool was administered to all participants, and those with moderate-to-high risk of developing diabetes were asked to return for a fasting capillary blood glucose (CBG) measurement. Data were collected from program participants who attended the sessions between December 2014 and May 2018.
There were 728 participants. Most were women (80.5%), aged 65 to 84 (68.1%), white (85.4%) and educated to the high school level or less (69.2%). At baseline, 71.3% were identified as having overweight or obesity, and 12.5% were diagnosed with diabetes. Of participants not diagnosed with diabetes (N=632), 66.6% were at high risk of developing diabetes, and 30.1% were categorized as moderate risk. The CBG assessments showed that 37.7% (N=158) of those with high risk and 22.0% (N=42) of those with moderate risk had blood glucose readings indicating impaired fasting glucose or probable diabetes.
This study shows that 96.7% of low-income older adults in social housing buildings had moderate-to-high risk of developing diabetes and that the probable prevalence of undiagnosed prediabetes and diabetes was 32.0%.
本研究旨在描述 55 岁及以上居住在补贴或社会住房中的居民发生糖尿病的风险以及糖尿病和糖尿病前期的可能患病率。
我们进行了一项横断面研究，使用社区医疗计划（CP@clinic 计划）中收集的社会住房居民的数据。CP@clinic 计划的社区护理人员对 55 岁及以上的参与社会住房居民进行与生活方式相关的可改变的危险因素评估。所有参与者均接受加拿大糖尿病风险评估（CANRISK）工具评估，中度至高度糖尿病发病风险者被要求进行空腹毛细血管血糖（CBG）测量。数据来自于 2014 年 12 月至 2018 年 5 月参加会议的计划参与者。
共有 728 名参与者。大多数是女性（80.5%），年龄在 65 至 84 岁（68.1%），白种人（85.4%），受教育程度为高中或以下（69.2%）。在基线时，71.3%的人被确定为超重或肥胖，12.5%被诊断患有糖尿病。在未被诊断患有糖尿病的参与者中（N=632），66.6%有发生糖尿病的高风险，30.1%为中度风险。CBG 评估显示，高风险者中有 37.7%（N=158）和中度风险者中有 22.0%（N=42）的血糖读数显示空腹血糖受损或可能患有糖尿病。
本研究表明，96.7%的社会住房中的低收入老年人有发生糖尿病的中高度风险，未确诊的糖尿病前期和糖尿病的可能患病率为 32.0%。
