苏格兰2型糖尿病患病率存在显著且不断扩大的社会经济不平等现象。

Marked and widening socioeconomic inequalities in type 2 diabetes prevalence in Scotland.

作者信息

Wang Jack, Wild Sarah H

机构信息

The University of Edinburgh College of Medicine and Veterinary Medicine, Edinburgh, UK

The University of Edinburgh Medical School, Edinburgh, UK.

出版信息

J Epidemiol Community Health. 2021 Oct 11. doi: 10.1136/jech-2021-217747.

DOI:10.1136/jech-2021-217747

PMID:34635549

Abstract

BACKGROUND

This study investigated the association between socioeconomic status and type 2 diabetes (T2D) prevalence in Scotland in 2021 and tested the null hypothesis that inequalities had not changed since they were last described for 2001-2007.

METHODS

Data from a national population-based diabetes database for 35-to-84-year-olds in Scotland for 2021 and mid-year population estimates for 2019 stratified by sex and fifths of the Scottish Index of Multiple Deprivation were used to calculate age-specific prevalence of T2D. Age-standardised prevalence was estimated using the European Standard Population with relative risks (RRs) compared between the most (Q1) and least (Q5) deprived fifths for each sex, and compared against similar estimates from 2001 to 2007.

RESULTS

Complete data were available for 255 764 people (98.9%) with T2D. Age-standardised prevalence was lowest for women in Q5 (3.4%) and highest for men in Q1 (11.6%). RRs have increased from 2.00 (95% CI 1.52 to 2.62) in 2001-2007 to 2.48 (95% CI 2.43 to 2.53) in 2021 for women and from 1.58 (95% CI 1.20 to 2.07) in 2007 to 1.89 (95% CI 1.86 to 1.92) in 2021 for men.

CONCLUSIONS

Socioeconomic inequalities in T2D prevalence have widened between 2001-2007 and 2021. Further research is required to investigate potential medium-term effects of the COVID-19 pandemic.

摘要

背景

本研究调查了2021年苏格兰社会经济地位与2型糖尿病（T2D）患病率之间的关联，并检验了自上次描述2001 - 2007年以来不平等现象未发生变化的零假设。

方法

使用来自苏格兰全国基于人群的糖尿病数据库中2021年35至84岁人群的数据以及按性别和苏格兰多重贫困指数五等分分层的2019年年中人口估计数，计算T2D的年龄特异性患病率。使用欧洲标准人口估计年龄标准化患病率，并比较每种性别中最贫困（第一五分位数，Q1）和最不贫困（第五五分位数，Q5）五分位数之间的相对风险（RRs），并与2001年至2007年的类似估计值进行比较。

结果

共有255764名（98.9%）T2D患者获得了完整数据。年龄标准化患病率在Q5的女性中最低（3.4%），在Q1的男性中最高（11.6%）。女性的RRs从2001 - 2007年的2.00（95%置信区间1.52至2.62）增加到2021年的2.48（95%置信区间2.43至2.53），男性的RRs从2007年的1.58（95%置信区间1.20至2.07）增加到2021年的1.89（95%置信区间1.86至1.92）。