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印度糖尿病患者自觉症状的模式与严重程度中的性别差异。

Gender differential in the pattern and severity of perceived symptoms among diabetes patients in India.

作者信息

Ranjan Shubham, Thakur Ramna

机构信息

School of Humanities and Social Sciences, Indian Institute of Technology Mandi, Mandi, Himachal Pradesh 175005 India.

出版信息

Diabetol Int. 2023 Dec 16;15(2):223-236. doi: 10.1007/s13340-023-00673-7. eCollection 2024 Apr.

Abstract

OBJECTIVE

To analyze the pattern of diabetes symptoms and to estimate the association between diabetes symptom severity (level of discomfort perceived by a patient due to diabetes symptoms) among different socio-demographic variables for both women and men.

METHODS

Primary cross-sectional data of 583 diagnosed patients (51.3% and 48.7%, women and men, respectively) were collected from Punjab, India. Frequency percentage distribution and negative binomial regressions (NBR) were used for analysis.

RESULTS

More men were asymptomatic compared to women. Both genders perceived increased hunger, thirst, and frequent urination in their early stages of diabetes. More women than men have experienced hormonal change as their first symptom with a higher severity level. NBR analyzed the association between discomfort perceived by both genders due to symptoms among different socio-demographic categories. Urban patients (incidence rate ratio-IRR: 0.90) were significantly (0.056) less likely to perceive discomfort than their rural counterparts, whereas men (IRR: 0.93) reported more significant discomfort than women (IRR: 0.88) in the urban area. Literate patients [Up to class 10 (IRR: 0.87), (0.013) and 11-above (IRR: 0.85), (0.022) categories] were significantly less likely to perceive discomfort. In all education categories, women professed more significant discomfort than men.

CONCLUSION

Given the differences in symptoms between the two genders, this paper will help comprehend the disease development process and limit the possibilities of misdiagnosis. This study will assist in identifying the order of the symptoms among both genders.

摘要

目的

分析糖尿病症状模式,并评估不同社会人口统计学变量中男性和女性的糖尿病症状严重程度(患者因糖尿病症状所感受到的不适程度)之间的关联。

方法

从印度旁遮普邦收集了583名确诊患者的原始横断面数据(女性和男性分别占51.3%和48.7%)。采用频率百分比分布和负二项回归(NBR)进行分析。

结果

与女性相比,无症状的男性更多。在糖尿病早期,两性均感到饥饿、口渴和尿频增加。更多女性将激素变化作为首发症状,且严重程度更高。NBR分析了不同社会人口统计学类别中两性因症状所感受到的不适之间的关联。城市患者(发病率比-IRR:0.90)比农村患者明显(0.056)更不容易感到不适,而在城市地区,男性(IRR:0.93)报告的不适比女性(IRR:0.88)更明显。识字患者[10年级及以下(IRR:0.87),(0.013)和11年级及以上(IRR:0.85),(0.022)类别]明显更不容易感到不适。在所有教育类别中,女性表示的不适比男性更明显。

结论

鉴于两性症状存在差异,本文将有助于理解疾病发展过程并减少误诊的可能性。本研究将有助于确定两性症状的顺序。

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Sex and gender: modifiers of health, disease, and medicine.性别与健康、疾病和医学。
Lancet. 2020 Aug 22;396(10250):565-582. doi: 10.1016/S0140-6736(20)31561-0.

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