Prevalence of diabetes and associated obesity in Pennsylvania adults, 1995-2010.
Prevalence of diabetes and associated obesity in Pennsylvania adults, 1995-2010.
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DOI：
10.5888/pcd11.130330
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发表时间：
2014-07-03
影响因子：
5.5
通讯作者：
Ulbrecht JS
中科院分区：
文献类型：
--
作者：
Garcia-Dominic O;Lengerich EJ;Camacho F;Gallant NR;Wray LA;Ahern F;Bogdan G;Weinberg G;Ulbrecht JS
这项研究调查了1995年至2010年宾夕法尼亚州成年人糖尿病患病率和社会人口学分布的趋势以及糖尿病与肥胖的关系。我们使用了从1995年到2010年收集的行为风险因素监测调查数据。通过医生诊断的自我报告评估糖尿病患病率。肥胖通过自我报告的身高和体重计算的体重指数进行评估。从1995年到2010年，每年收集州一级的糖尿病和相关肥胖患病率数据。还收集了社会人口学因素（年龄、性别、种族、收入、教育）和1个已知疾病风险因素（肥胖）的数据。Logistic回归模型用于研究糖尿病、社会人口因素和肥胖之间的关系。宾夕法尼亚州的糖尿病患病率从1995年的5.6%增加到2010年的10.5%，遵循全国趋势，但在16年中的12年中，每年超过全国患病率约0.6个百分点。患病率的增加在所有社会经济群体中并不平等。在这16年中，肥胖成为糖尿病的一个更主要的危险因素。宾夕法尼亚州的糖尿病和肥胖症的负担是巨大的，而且还在增加。宾夕法尼亚州的项目经理和政策制定者在分配有限的资源和设计减少糖尿病相关疾病的项目时应该考虑这些趋势。其他州可能会考虑进行类似的研究，以监测糖尿病的患病率，并确定差异是否正在改变，以及项目和资源是否也应该转移。
This study examined trends in the prevalence and sociodemographic distributions of diabetes and the associations of diabetes with obesity over time in adult Pennsylvanians from 1995 through 2010. We used Behavioral Risk Factor Surveillance Survey data collected from 1995 through 2010. Diabetes prevalence was assessed by self-report of physician diagnosis. Obesity was assessed by body mass index computed from self-report of height and weight. State-level data for diabetes and associated obesity prevalence from 1995 through 2010 were collected for each year. Data on sociodemographic factors (age, sex, race, income, education) and 1 known disease risk factor (obesity) were also collected. Logistic regression modeling was used to examine associations between diabetes, sociodemographic factors, and obesity. Diabetes prevalence in Pennsylvania, which increased from 5.6% in 1995 to 10.5% in 2010, followed national trends but exceeded the national prevalence each year by approximately 0.6 percentage points for 12 of the 16 years. The increase in prevalence was not equal across all socioeconomic groups. Obesity became a more dominant risk factor for diabetes during these 16 years. The burden of diabetes and obesity in Pennsylvania is substantial and increasing. Program managers and policy makers in Pennsylvania should consider these trends when allocating limited resources and designing programs for reducing diabetes-related illness. Other states may consider similar studies to monitor the prevalence of diabetes and determine whether disparities are changing and whether programs and resources should also shift.
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影响因子：
120.7
作者：
Flegal, KM;Carroll, MD;Johnson, CL
通讯作者：
Johnson, CL
影响因子：
120.7
作者：
Hedley, AA;Ogden, CL;Flegal, KM
通讯作者：
Flegal, KM
影响因子：
120.7
作者：
Mokdad, AH;Ford, ES;Marks, JS
通讯作者：
Marks, JS
影响因子：
16.2
作者：
Pan, XR;Li, GW;Howard, BV
通讯作者：
Howard, BV
影响因子：
16.2
作者：
Wing, RR;Venditti, E;Lang, W
通讯作者：
Lang, W