Trends in diabetes prevalence, incidence, and mortality in Ontario, Canada 1995-2005: a population-based study

Trends in diabetes prevalence, incidence, and mortality in Ontario, Canada 1995-2005: a population-based study
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DOI:
10.1016/s0140-6736(07)60361-4
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发表时间:
2007-03-03
期刊:
影响因子:
168.9
通讯作者:
Hux, Janet E.
Hux, Janet E.
中科院分区:
医学1区
文献类型:
--
作者:
Lipscombe, Lorraine L.;Hux, Janet E.

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糖尿病的患病率一直在大幅上升,但世卫组织预测,从2000年到2030年,全球糖尿病发病率将上升39%,这可能是一个低估。我们的目的是评估加拿大安大略省的糖尿病趋势。方法使用基于人群的数据,包括来自加拿大安大略省的一个经过验证的糖尿病数据库,我们研究了1995年至2005年20岁及以上成年人的糖尿病患病率和死亡率趋势,以及1997年至2003年的发病率趋势。经年龄和性别调整的糖尿病患病率增加了69%,从1995年7908562人的5.2%增加到2005年9276 945人的8.8%。患病率从2000年8 457 720人的6.9%增加到2005年9 276 945人的8.8%,增加了27%。尽管50岁及以上人群的患病率(3 675 554的7.1%)仍然高于20-49岁人群(5 601391的3.5%),但年轻人群的患病率上升幅度更大(94%对63%,p . 591)
Background The prevalence of diabetes has been increasing greatly, but WHO's predicted 39% rise in the global rate of diabetes from 2000 to 2030 might be an underestimate. We aimed to assess diabetes trends in Ontario, Canada.Methods Using population-based data, including a validated diabetes database from the province of Ontario, Canada, we examined trends in diabetes prevalence and mortality from 1995 to 2005, and incidence from 1997 to 2003, in adults aged 20 years or older.Findings Age-adjusted and sex-adjusted diabetes prevalence increased by 69%, from 5.2% in a population of 7908 562 in 1995 to 8.8% of 9 276 945 in 2005. Prevalence increased by 27% from 6.9% in a population of 8 457 720 in 2000 to 8.8% of 9 276 945 in 2005. Although prevalence rates have remained higher in people aged 50 years or older (7.1% of 3 675 554) than in those aged 20-49 years (3.5% of 5 601391), rates increased to a greater extent in the younger population (94% vs 63%, p