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卡纳塔克邦女性糖尿病和高血压的危险因素。

Risk factors of diabetes and hypertension among women in Karnataka.

机构信息

International Institute for Population Sciences, Mumbai, India.

Department of Epidemiology and Biostatistics, KLE University, Belgaum, 590010, Karnataka, India.

出版信息

Diabetes Metab Syndr. 2021 Jul-Aug;15(4):102139. doi: 10.1016/j.dsx.2021.05.012. Epub 2021 May 15.

Abstract

BACKGROUND AND AIMS

The growth in prevalence of diabetes and hypertension has become a major health issue for women in Karnataka. In India, for the first time, the National Family Health Survey has collected information on diabetes and hypertension across the states within India (NFHS-4, 2015-16). Hence there is the need to estimate the prevalence of diabetes and hypertension among women and the associated risk factors using the national represented data.

METHODS

This study has used data from the fourth round of the National Family Health Survey, which was conducted in 2015-16. Furthermore, the present study included 26,291 women of Karnataka aged 15-49 years. And data analysis was carried out by univariate, bivariate and Binary Logistic Regression techniques.

RESULTS

This study revealed a high prevalence of diabetes (6.3%) and hypertension (10.5%) among women in Karnataka. Overweight women were more likely to have diabetes (11.7%) and hypertension (20.6%) than normal and underweight women. The detailed analysis indicated demographic and socio-economic diversity in the burden of diabetes and hypertension. The factors responsible for co-morbidities were the changes in the demographic situation and socio-economic status, overweight and substance use.

CONCLUSIONS

The findings point to the need for raising awareness about the prevention and management of diabetes and hypertension through health education and community-based disease management programs with the help of trained peers and community health workers.

摘要

背景与目的

糖尿病和高血压患病率的增长已成为卡纳塔克邦女性的主要健康问题。在印度,国家家庭健康调查(NFHS-4,2015-16 年)首次在全国范围内收集了有关糖尿病和高血压的信息。因此,有必要利用具有全国代表性的数据来估计女性中糖尿病和高血压的患病率以及相关的危险因素。

方法

本研究使用了 2015-16 年进行的第四次国家家庭健康调查的数据。此外,本研究包括卡纳塔克邦 26291 名年龄在 15-49 岁的女性。数据分析采用单变量、双变量和二元逻辑回归技术。

结果

本研究显示,卡纳塔克邦女性的糖尿病(6.3%)和高血压(10.5%)患病率较高。超重女性患糖尿病(11.7%)和高血压(20.6%)的可能性高于正常体重和体重不足的女性。详细分析表明,糖尿病和高血压的负担存在人口统计学和社会经济方面的差异。导致合并症的因素是人口状况和社会经济地位的变化、超重和物质使用。

结论

研究结果表明,需要通过健康教育和基于社区的疾病管理计划,在经过培训的同伴和社区卫生工作者的帮助下,提高对糖尿病和高血压的预防和管理的认识。

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