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哥伦比亚麦德林维持生计型工作者的社会人口统计学、劳动条件、习惯、生活方式与糖尿病

Sociodemographic, labor conditions, habits, lifestyles and diabetes in workers with subsistence jobs, Medellín-Colombia.

作者信息

Garzón-Duque María Osley, Rodríguez-Ospina Fabio León, Cardona Doris, Segura-Cardona Ángela María, Borbón María Camila, Zuluaga-Giraldo Ana María, Echeverri-Loor José Ignacio

机构信息

Universidad CES, Facultad de Medicina - Medellín (ANT), Colombia.

Universidad de Antioquia, Facultad Nacional de Salud Pública - Medellín (ANT), Colombia.

出版信息

Rev Bras Med Trab. 2021 Feb 11;18(3):280-292. doi: 10.47626/1679-4435-2020-560.

DOI:10.47626/1679-4435-2020-560
PMID:33597978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7879464/
Abstract

INTRODUCTION

According to American Diabetes Association, diabetes is a metabolic change characterized by the presence de hyperglycemia caused by a deficiency and/or malfunctioning of insulin secretion.

OBJECTIVES

To determine sociodemographic and labor conditions, habits and lifestyles that explain diabetes in a group of informal street workers in downtown Medellín, Colombia.

METHODS

This is a cross-sectional study with analytical intent based on primary sources information and on a survey with a sample of 686 workers in 2016, after obtaining informed consent. Study variables included sociodemographic and labor conditions, habits, lifestyles, and diagnosis of diabetes. Univariate, bivariate and multivariate analyses were performed.

RESULTS

Workers with 50 years, 57.6% men, with a partner (56.8%), and more than 20 years in their profession. Higher prevalence of diabetes in those aged 18 to 44 and 45 to 59 years of age, lower schooling, consumed mid-morning, mid-afternoon, and evening snacks, and of households with food insecurity. Higher prevalence of diabetes was explained by: lower age, higher education, consumption of sugars, sweets, and desserts; and lower prevalence by consumption of mid-morning snacks, and household food insecurity.

CONCLUSIONS

This disease of public health concern is explained by modifiable factors that can be controlled and avoided to improve the living and health conditions of this workers' population.

摘要

引言

根据美国糖尿病协会的说法,糖尿病是一种代谢变化,其特征是由于胰岛素分泌不足和/或功能失调导致高血糖症的存在。

目的

确定哥伦比亚麦德林市中心一群非正规街头工作者中导致糖尿病的社会人口统计学和劳动条件、习惯及生活方式。

方法

这是一项基于原始资料信息且有分析意图的横断面研究,于2016年对686名工作者进行抽样调查并获得知情同意后开展。研究变量包括社会人口统计学和劳动条件、习惯、生活方式以及糖尿病诊断。进行了单变量、双变量和多变量分析。

结果

工作者年龄为50岁,男性占57.6%,有伴侣(56.8%),从事该职业超过20年。18至44岁以及45至59岁年龄段、受教育程度较低、食用上午中间时段、下午中间时段和晚间小吃以及家庭粮食不安全的人群中糖尿病患病率较高。糖尿病患病率较高的原因包括:年龄较小、教育程度较高、食用糖、甜食和甜点;而上午中间时段食用小吃和家庭粮食不安全则导致患病率较低。

结论

这种引起公共卫生关注的疾病可通过可控制和避免的可改变因素来解释,以改善这群工作者的生活和健康状况。