伊朗普通人群中的非传染性疾病综合征：一项横断面研究。
Noncommunicable disease syndemic among the general population in Iran: a cross-sectional study.
作者信息
Torabi Zahra, Farzadfar Farshad, Rezaei Negar, Singer Merrill, Roshani Shahin, Tajvar Maryam, Shakibazadeh Elham
机构信息
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Noncommunicable Diseases Research Centre, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Diabetes Metab Disord. 2025 Apr 10;24(1):102. doi: 10.1007/s40200-025-01615-7. eCollection 2025 Jun.
OBJECTIVES
This study aims to investigate the status of the NCD syndemic among individuals over 25 in all provinces of Iran.
METHODS
This study was based on a national survey. Using a systematic cluster random sampling framework, 26,707 participants were selected from all 31 Iranian provinces. The data were analyzed for descriptive statistics by gender and age, followed by principal component analysis and logistic regression, using R software for the statistical analysis.
RESULTS
There was an interaction between diabetes mellitus and cardiovascular diseases, in their association with healthy life lost due to disability in the Iranian adult population. Additionally, there was a clustering of diabetes mellitus and cardiovascular diseases, partly due to the shared specific causes such as obesity, hypertension, shared baseline features, and poverty.
CONCLUSIONS
The syndemic analysis showed that social inequalities in diabetes and cardiovascular disease arise not only from exposure levels but also from varying vulnerabilities and disease outcomes. Iran's health policy should prioritize reducing these health inequalities.
目的
本研究旨在调查伊朗各省25岁以上人群中慢性病共患情况。
方法
本研究基于一项全国性调查。采用系统整群随机抽样框架，从伊朗所有31个省份中选取了26707名参与者。使用R软件进行统计分析，对数据按性别和年龄进行描述性统计分析，随后进行主成分分析和逻辑回归。
结果
在伊朗成年人群中，糖尿病与心血管疾病在因残疾导致健康生命损失方面存在相互作用。此外，糖尿病和心血管疾病存在聚集现象，部分原因是肥胖、高血压等共同的特定病因、共同的基线特征以及贫困。
结论
共患分析表明，糖尿病和心血管疾病方面的社会不平等不仅源于暴露水平，还源于不同的脆弱性和疾病结局。伊朗的卫生政策应优先减少这些健康不平等现象。
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