Noncommunicable disease syndemic among the general population in Iran: a cross-sectional study.

IF 1.6 Q4 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes and Metabolic Disorders Pub Date : 2025-04-10 eCollection Date: 2025-06-01 DOI:10.1007/s40200-025-01615-7

Zahra Torabi, Farshad Farzadfar, Negar Rezaei, Merrill Singer, Shahin Roshani, Maryam Tajvar, Elham Shakibazadeh

{"title":"Noncommunicable disease syndemic among the general population in Iran: a cross-sectional study.","authors":"Zahra Torabi, Farshad Farzadfar, Negar Rezaei, Merrill Singer, Shahin Roshani, Maryam Tajvar, Elham Shakibazadeh","doi":"10.1007/s40200-025-01615-7","DOIUrl":null,"url":null,"abstract":"Objectives: This study aims to investigate the status of the NCD syndemic among individuals over 25 in all provinces of Iran.Methods: This study was based on a national survey. Using a systematic cluster random sampling framework, 26,707 participants were selected from all 31 Iranian provinces. The data were analyzed for descriptive statistics by gender and age, followed by principal component analysis and logistic regression, using R software for the statistical analysis.Results: There was an interaction between diabetes mellitus and cardiovascular diseases, in their association with healthy life lost due to disability in the Iranian adult population. Additionally, there was a clustering of diabetes mellitus and cardiovascular diseases, partly due to the shared specific causes such as obesity, hypertension, shared baseline features, and poverty.Conclusions: The syndemic analysis showed that social inequalities in diabetes and cardiovascular disease arise not only from exposure levels but also from varying vulnerabilities and disease outcomes. Iran's health policy should prioritize reducing these health inequalities.","PeriodicalId":15635,"journal":{"name":"Journal of Diabetes and Metabolic Disorders","volume":"24 1","pages":"102"},"PeriodicalIF":1.6000,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11985718/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Diabetes and Metabolic Disorders","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40200-025-01615-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: This study aims to investigate the status of the NCD syndemic among individuals over 25 in all provinces of Iran.

Methods: This study was based on a national survey. Using a systematic cluster random sampling framework, 26,707 participants were selected from all 31 Iranian provinces. The data were analyzed for descriptive statistics by gender and age, followed by principal component analysis and logistic regression, using R software for the statistical analysis.

Results: There was an interaction between diabetes mellitus and cardiovascular diseases, in their association with healthy life lost due to disability in the Iranian adult population. Additionally, there was a clustering of diabetes mellitus and cardiovascular diseases, partly due to the shared specific causes such as obesity, hypertension, shared baseline features, and poverty.

Conclusions: The syndemic analysis showed that social inequalities in diabetes and cardiovascular disease arise not only from exposure levels but also from varying vulnerabilities and disease outcomes. Iran's health policy should prioritize reducing these health inequalities.

查看原文本刊更多论文

伊朗普通人群中的非传染性疾病综合征：一项横断面研究。

目的：本研究旨在调查伊朗所有省份25岁以上人群的非传染性疾病状况。方法：本研究基于一项全国性调查。采用系统整群随机抽样框架，从伊朗所有31个省中选出26,707名参与者。数据按性别、年龄进行描述性统计，然后进行主成分分析和逻辑回归，使用R软件进行统计分析。结果：糖尿病和心血管疾病之间存在相互作用，它们与伊朗成年人口因残疾而丧失的健康生活有关。此外，还有糖尿病和心血管疾病的聚集，部分原因是由于共同的特定原因，如肥胖、高血压、共同的基线特征和贫困。结论：综合分析表明，糖尿病和心血管疾病的社会不平等不仅源于暴露水平，还源于不同的脆弱性和疾病结局。伊朗的卫生政策应优先考虑减少这些卫生不平等现象。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Diabetes and Metabolic Disorders Medicine-Internal Medicine

CiteScore

4.80

自引率

3.60%

发文量

210

期刊介绍： Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.