Neves Rosália Garcia, Tomasi Elaine, Duro Suele Manjourany Silva, Saes-Silva Elizabet, Saes Mirelle de Oliveira
Secretaria Estadual de Saúde do Rio Grande do Sul, 3ª Coordenadoria Regional de Saúde. R. Marechal Floriano 204, Centro. 96015-440 Pelotas RS Brasil.
Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel). Pelotas RS Brasil.
Cien Saude Colet. 2023 Nov;28(11):3183-3190. doi: 10.1590/1413-812320232811.11882022. Epub 2023 Apr 19.
Inadequate management of diabetes mellitus (DM) can lead to complications that affect quality of life. The prevalence of DM and its complications is increasing, presenting an uneven distribution in the population. The objective was to estimate the prevalence of complications due to DM and to assess inequalities in the Brazilian population. It involved a cross-sectional study, with data from the 2019 National Health Survey (NHS). The complications evaluated were: diabetic coma, heart attack/cerebrovascular accident/stroke; kidney problem; vision problem and foot ulcer or amputation. The related factors were schooling and income. The prevalence of complications was calculated separately, combination in pairs, presence of any complications and number of complications. Inequality was estimated through adjusted analysis and the slope index (SII) and concentration index (CIX) indices. The sample consisted of 6,317 people with DM. More than a third (37.8%) reported having some complication. Vision problems (30.6%) and kidney problems (9.7%) were the most prevalent. The prevalence of having "one" and "two or more" complications were 25.4% and 12.4%, respectively. Inequalities were found with a higher prevalence of complications among the least educated and the poorest.
糖尿病（DM）管理不当会导致影响生活质量的并发症。DM及其并发症的患病率正在上升，在人群中呈现出不均衡的分布。目的是估计巴西人群中DM所致并发症的患病率，并评估不平等情况。这是一项横断面研究，使用了2019年全国健康调查（NHS）的数据。评估的并发症包括：糖尿病昏迷、心脏病发作/脑血管意外/中风；肾脏问题；视力问题以及足部溃疡或截肢。相关因素为受教育程度和收入。分别计算并发症的患病率、成对组合的患病率、任何并发症的存在情况以及并发症的数量。通过调整分析以及斜率指数（SII）和集中指数（CIX）来估计不平等情况。样本包括6317名糖尿病患者。超过三分之一（37.8%）的人报告有某种并发症。视力问题（30.6%）和肾脏问题（9.7%）最为普遍。有“一种”和“两种或更多种”并发症的患病率分别为25.4%和12.4%。研究发现，受教育程度最低和最贫困人群的并发症患病率更高，存在不平等情况。
