Prevalence and incidence of anxiety disorders in diabetic patients: a national population-based cohort study
Prevalence and incidence of anxiety disorders in diabetic patients: a national population-based cohort study
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DOI：
10.1016/j.genhosppsych.2010.10.008
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发表时间：
2011-01-01
影响因子：
7
通讯作者：
Wang, Shing-Yaw
中科院分区：
文献类型：
--
作者：
Huang, Chun-Jen;Chiu, Herng-Chia;Wang, Shing-Yaw
目的：本研究旨在探讨台湾地区糖尿病患者焦虑症的盛行率与发生率。研究对象通过2000年至2004年期间至少一项主要诊断为焦虑症的门诊或住院护理服务索赔以及至少两项门诊护理服务索赔或一项主要诊断为糖尿病的住院护理服务索赔来识别。国家健康保险数据库。2000年糖尿病患者焦虑障碍1年患病率为128.76/1000，2004年累计患病率上升至289.89/1000。在整个观察期间，糖尿病患者的累积患病率和年发病率均高于普通人群。多因素Logistic回归分析显示，年龄（≥ 65岁，55-64岁）、女性、低收入者患病率较高。考克斯回归分析显示，较高的发病率与女性和低收入。结论：糖尿病患者焦虑障碍的患病率和年发病率密度显着高于精神疾病患者，只有在一般人群中。女性糖尿病患者焦虑障碍的患病率和发病密度较高。糖尿病患者的焦虑障碍在老年妇女和低收入者中更为普遍。(C)2011 Elsevier Inc. All rights reserved.
Objective: This study aimed to investigate the prevalence and incidence of anxiety disorders among diabetic patients in Taiwan.Methods: Study subjects were identified by at least one service claim for ambulatory or inpatient care with a principal diagnosis of anxiety disorders and at least two service claims for ambulatory care or one service claim for inpatient care with a principal diagnosis of diabetes from 2000 to 2004 in the National Health Insurance database.Results: The 1-year prevalence rate of anxiety disorders among diabetic patients was 128.76 per 1000 in 2000, and the cumulative prevalence increased to 289.89 per 1000 in 2004. Diabetic patients had a higher cumulative prevalence and annual incidence than the general population throughout the observation period. A higher prevalence was associated with age (>= 65, 55-64), female sex and low income by multiple logistic regression analysis. Cox regression analysis revealed that a higher incidence was associated with female sex and low income.Conclusions: The prevalence and annual incidence density of anxiety disorders in diabetic patients were significantly higher than in patients with mental illness only in the general population. Female diabetic patients had a higher prevalence and incidence density of anxiety disorders. Anxiety disorders in diabetic patients were more prevalent in elderly women and in those with low income. (C) 2011 Elsevier Inc. All rights reserved.