Nature and causes of trends in male diabetes prevalence, undiagnosed diabetes, and the socioeconomic status health gradient
Nature and causes of trends in male diabetes prevalence, undiagnosed diabetes, and the socioeconomic status health gradient
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DOI：
10.1073/pnas.0611234104
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发表时间：
2007-08-14
影响因子：
11.1
通讯作者：
Smith, James P.
中科院分区：
文献类型：
--
作者：
Smith, James P.
本文调查了关键社会经济地位指标中糖尿病患病率模式的水平及其随时间的变化。这项调查涵盖了诊断糖尿病的传统概念和包括未诊断糖尿病的人在内的更全面的措施。通过这样做，我分离出协变量对疾病发作和疾病诊断概率随时间变化趋势的明显影响。随着时间的推移，导致糖尿病患病率升高的主要因素是体重过重和肥胖，随着时间的推移，人口教育水平的提高只能部分抵消这一影响。未确诊的糖尿病仍然是一个重要的健康问题，但比25年前要少得多。尽管在过去的25年里，未确诊糖尿病的种族和民族差异已经消除，但在其他不利因素（如教育）方面的差异变得更大。
This paper investigates levels in diabetes prevalence patterns across key socioeconomic status indicators and how they changed over time. The investigation spans both the conventional concept of diagnosed diabetes and a more comprehensive measure that includes those whose diabetes is undiagnosed. By doing so, I separate the distinct impact of covariates on trends over time in disease onset and the probability of disease diagnosis. The principal force leading to higher diabetes prevalence over time is excessive weight and obesity, which was only partially offset by improvements in the education of the population over time. Undiagnosed diabetes remains an important health problem, but much less so than 25 years ago. Although race and ethnic differentials in undiagnosed diabetes were eliminated over the last 25 years, the disparities became larger across other measures of disadvantage, such as education.