Prevalence and associated factors of diabetes in the elderly population in Viçosa, Minas Gerais, Brazil
Prevalence and associated factors of diabetes in the elderly population in Viçosa, Minas Gerais, Brazil
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DOI：
10.1590/1980-5497201500040022
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发表时间：
2015-12-01
影响因子：
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通讯作者：
Ribeiro, Andréia Queiroz
中科院分区：
文献类型：
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作者：
Vitoi, Nayla Cordeiro;Fogal, Aline Siqueira;Ribeiro, Andréia Queiroz
目的：评估老年人群中糖尿病的患病率和相关因素，并验证糖尿病药物使用与疾病信息之间的相关性。方法：本流行病学横断面研究在巴西米纳斯吉拉斯州维科萨市进行，采用简单随机抽样的方法选取621例60岁及以上老年人。采用半结构化问卷作为研究工具，包括社会经济状况、生活方式、健康状况和营养状况等问题。测量了体重、身高和腰围。因变量是自我报告的糖尿病。在解释变量与自报糖尿病的关联分析中，采用稳健方差的泊松回归分析。在双变量分析中，采用p值< 0.25纳入变量进行多变量建模，在最终模型中纳入p值< 0.10关联的变量。结果：糖尿病患病率为22.4%。多变量分层分析显示：性别、自我报告健康状况、高血压/血脂异常史、多种药物和腰围与糖尿病有独立的正相关关系。老年人上学与糖尿病呈负相关。结论：需要实施教育公共政策，促进人群的行为改变，以预防和控制糖尿病及其并发症。
OBJECTIVES: To assess the prevalence and factors associated with diabetes in the elderly population and verify the correlation between the use of medications for diabetes and information about the disease.METHODS: This epidemiological cross-sectional study was conducted in Vicosa, Minas Gerais, Brazil, with 621 elderly people aged 60 years or older selected by simple random sampling. A semi-structured questionnaire was used as a research tool and included questions about socioeconomic conditions, lifestyle, health conditions, and nutritional status. The weight, height, and waist circumference were measured. The dependent variable was the self-reported diabetes. In the association analysis between explanatory variables and self-reported diabetes, the Poisson regression analysis with robust variance was used. In the bivariate analysis, a p value < 0.25 was used to include the variables for the multivariate modeling, and in the final model, the variables with p value < 0.10 association were included.RESULTS: The prevalence of diabetes was 22.4%. The multivariate hierarchical analysis showed the following factors independently and positively associated with diabetes: gender, self-reported health, history of hypertension/dyslipidemia, polypharmacy, and waist circumference. The elderly schooling was negatively associated with diabetes.CONCLUSION: The results showed the need for implementation of educational public policies to promote behavior changes of the population to prevent and control diabetes and its complications.