Trends in death rates among U.S. adults with and without diabetes between 1997 and 2006: findings from the National Health Interview Survey.
Trends in death rates among U.S. adults with and without diabetes between 1997 and 2006: findings from the National Health Interview Survey.
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DOI：
10.2337/dc11-1162
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发表时间：
2012-06
期刊：
影响因子：
16.2
通讯作者：
Barker L
中科院分区：
文献类型：
--
作者：
Gregg EW;Cheng YJ;Saydah S;Cowie C;Garfield S;Geiss L;Barker L
为了确定全因和心血管疾病(CVD)死亡率在1997至2006年间是否有所下降，在患有和不患有糖尿病的美国成年人中，这段时间是治疗方法和风险因素控制的持续进步时期。我们使用与国家死亡指数相关的国家健康访谈调查数据，比较了连续四个具有全国代表性的样本(1997-1998、1999-2000、2001-2002和2003-2004)18岁及以上美国成年人的3年死亡率。在成年糖尿病患者中，最早的样本和最新的样本之间，心血管疾病死亡率下降了40%(95%可信区间23-54)，全因死亡率下降了23%(10-35)。在糖尿病男性和女性之间，死亡率下降的速度没有差别。与糖尿病相关的心血管疾病超额死亡率(即与非糖尿病成人相比)下降了60%(从5.8‰下降到2.3‰)，而全因死亡率下降了44%(从10.8‰下降到6.1‰)。1997年至2006年间，美国男性和女性糖尿病患者的死亡率都大幅下降，缩小了患有糖尿病和不患有糖尿病的成年人之间的绝对差异。然而，这些令人鼓舞的发现表明，如果糖尿病发病率得不到控制，未来糖尿病患病率可能会上升。
To determine whether all-cause and cardiovascular disease (CVD) death rates declined between 1997 and 2006, a period of continued advances in treatment approaches and risk factor control, among U.S. adults with and without diabetes. We compared 3-year death rates of four consecutive nationally representative samples (1997–1998, 1999–2000, 2001–2002, and 2003–2004) of U.S. adults aged 18 years and older using data from the National Health Interview Surveys linked to National Death Index. Among diabetic adults, the CVD death rate declined by 40% (95% CI 23–54) and all-cause mortality declined by 23% (10–35) between the earliest and latest samples. There was no difference in the rates of decline in mortality between diabetic men and women. The excess CVD mortality rate associated with diabetes (i.e., compared with nondiabetic adults) decreased by 60% (from 5.8 to 2.3 CVD deaths per 1,000) while the excess all-cause mortality rate declined by 44% (from 10.8 to 6.1 deaths per 1,000). Death rates among both U.S. men and women with diabetes declined substantially between 1997 and 2006, reducing the absolute difference between adults with and without diabetes. These encouraging findings, however, suggest that diabetes prevalence is likely to rise in the future if diabetes incidence is not curtailed.
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影响因子：
16.2
作者：
Li R;Zhang P;Barker LE;Chowdhury FM;Zhang X
通讯作者：
Zhang X
影响因子：
120.7
作者：
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5.4
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Geiss, Linda;Engelgau, Michael;Vinicor, Frank
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作者：
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39.2
作者：
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通讯作者：
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