老年囚犯中糖尿病-抑郁症的共病及其与残疾的关系。
The comorbidity of diabetes-depression and its association with disability amongst elderly prison inmates.
机构信息
School of Rehabilitation Therapies. Faculty of Medical Technology. Federico Villarreal National University. Lima. Peru.
School of Clinical Laboratory Practice and Pathological Anatomy. Faculty of Medical Technology. Federico Villarreal National University. Lima. Peru.
出版信息
Rev Esp Sanid Penit. 2022 May-Aug;24(2):56-65. doi: 10.18176/resp.00051.
OBJECTIVES
The objective of the study was to verify the strength of association of depression as a comorbidity of diabetes with the presence of six types of disability in the elderly in prison.
MATERIAL AND METHOD
Cross-sectional association study based on a secondary analysis of the 2016 Peru National Penitentiary Census. The population were older adults, who were held in prisons in Peru. Inmates 60 years of age or older, and both sexes were included. The response variables were the six types of permanent disability. The exposure variables were the self-report of diabetes, depression and the comorbidity of depression with diabetes diagnosed by a health professional. The sample was constituted by 2. 658 older adults.
RESULTS
There was an increase in the probability of presenting the six disabilities analyzed due to the presence of comorbid diabetes with depression (p <0.05). The measure of greatest strength of association is for the disability to relate OR(a) 10.23, followed by the disability to move OR(a) 6.12 and the lowest strength of association found was for the hearing impairment OR(a) 2.80.
DISCUSSION
A significant increase was found in the probability of presenting the six disabilities analyzed due to the presence of comorbid diabetes with depression compared to suffering from only one of these conditions or not suffering from them.
目的
本研究旨在验证糖尿病合并抑郁症作为一种共病与老年人在监狱中存在六种残疾类型之间的关联强度。
材料和方法
这是一项基于 2016 年秘鲁国家监狱普查的二次分析的横断面关联研究。研究对象为秘鲁监狱中关押的老年人。包括 60 岁及以上的男性和女性囚犯。因变量为六种永久性残疾类型。暴露变量为自我报告的糖尿病、抑郁症以及由医疗保健专业人员诊断的糖尿病合并抑郁症。样本由 2658 名老年人组成。
结果
由于存在合并糖尿病的抑郁症，六种残疾类型的出现概率均增加（p＜0.05）。关联强度最大的测量指标是残疾相关的 OR（a）为 10.23，其次是残疾移动相关的 OR（a）为 6.12，关联强度最小的是听力障碍相关的 OR（a）为 2.80。
讨论
与仅患有其中一种疾病或不患有这些疾病的人相比，由于合并糖尿病的抑郁症的存在，分析的六种残疾类型的出现概率显著增加。
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