Impact of diabetes mellitus on mortality associated with pneumonia and influenza among non-Hispanic black and white US adults
Impact of diabetes mellitus on mortality associated with pneumonia and influenza among non-Hispanic black and white US adults
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DOI：
10.2105/ajph.89.11.1715
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发表时间：
1999-11-01
影响因子：
12.7
通讯作者：
Engelgau, MM
中科院分区：
文献类型：
--
作者：
Valdez, R;Narayan, KMV;Engelgau, MM
目标.本研究评估了非西班牙裔美国黑人和白色人中糖尿病对肺炎和流感相关死亡率的影响。资料来源于1986年全国死亡率追踪调查和1987-1989年全国健康访谈调查。无论种族、性别和社会经济地位如何，在25至64岁死亡的糖尿病患者比在可比年龄死亡的非糖尿病患者更有可能患肺炎和流感（比值比[OR] = 4.0，95%置信区间[CI] = 2.3，7.7）。对于65岁及以上的患者，白人糖尿病患者的风险仍然升高（OR = 2.2，95% CI = 1.7，2.7），但黑人糖尿病患者的风险不高（OR = 1.0，95% CI = 0.6，1.7）。据估计，1986年发生的167000例与肺炎和流感相关的死亡中，约有17000例（10.3%）可归因于糖尿病。糖尿病对肺炎和流感相关死亡的影响是巨大的。在糖尿病患者中进行有针对性的免疫接种可以减少与肺炎和流感相关的不必要的死亡。
Objectives. This study assessed the impact of diabetes on mortality associated with pneumonia and influenza among non-Hispanic Black and White US adults.Methods. Data were derived from the National Mortality Followback Survey (1986) and the National Health Interview Survey (1987-1989).Results. Regardless of race, sex, and socioeconomic status, people with diabetes who died at 25 to 64 years of age were more likely to have pneumonia and influenza recorded on the death certificate than people without diabetes who died at comparable ages (odds ratio [OR] = 4.0, 95% confidence interval [CI] = 2.3, 7.7). For those 65 years and older, the risk remained elevated among Whites with diabetes (OR = 2.2, 95% CI = 1.7, 2.7) but not among Blacks with diabetes (OR = 1.0, 95% CI = 0.6, 1.7). It was estimated that about 17 000 (10.3%) of the 167 000 deaths associated with pneumonia and influenza that occurred in 1986 were attributable to diabetes.Conclusions. The impact of diabetes on deaths associated with pneumonia and influenza is substantial. Targeted immunizations among people with diabetes may reduce unnecessary deaths associated with pneumonia and influenza.