Type 2 Diabetes Prevalence, Distribution and Risk Factors in St. Kitts and Nevis, West Indies.

Jeanita W Richardson, Kelsie D Kelly, Trina K Kumodzi, Nicole Slack Liburd, Hazel Laws
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Abstract

Objectives: This study in collaboration with the St. Kitts & Nevis Ministry of Health (MOH) investigated the prevalence of type 2 diabetes and its risk factors, the second leading cause of death in the country.

Methods: Medical records of patients between the ages of 18 and 75 as of January 1, 2010 treated between January 1, 2010 and December 31, 2015 in the government-funded health centers (HCs) were eligible for inclusion (N = 2737). All HC visits (n = 4169) generated by a representative sample of patients (n = 761) were evaluated using Caribbean Public Health Association Public Health Association (CARPHA) guidelines for risk ranges.

Results: The prevalence of type 2 diabetes is 23% and is concentrated in the 45-64 year-old cohort. Though women outnumber men 3:1 in the sample, gender-prevalence rates are similar (23% and 22% respectively). There is also evidence that comorbidities are prevalent among diabetics (76%) and many nondiabetics are at risk of diabetes (20%).

Conclusion: This study confirmed the MOH's concerns that type 2 diabetes presents local risk and brings into question historic assumptions that women are at greater risk of diabetes than men.

西印度群岛圣基茨和尼维斯的 2 型糖尿病患病率、分布和风险因素。
目标:与圣基茨和尼维斯卫生部(MOH)合作开展的这项研究调查了 2 型糖尿病的发病率及其风险因素:本研究与圣基茨和尼维斯卫生部(MOH)合作,调查了该国第二大死因--2 型糖尿病的患病率及其风险因素:2010年1月1日至2015年12月31日期间在政府资助的医疗中心(HCs)接受治疗的18至75岁患者的医疗记录符合纳入条件(N = 2737)。根据加勒比公共卫生协会(CARPHA)的风险范围指南,对具有代表性的患者样本(n = 761)产生的所有医疗中心就诊情况(n = 4169)进行了评估:结果:2 型糖尿病的发病率为 23%,主要集中在 45-64 岁的人群中。虽然样本中女性人数比男性多 3:1,但男女患病率相似(分别为 23% 和 22%)。还有证据表明,合并症在糖尿病患者中很普遍(76%),许多非糖尿病患者也有患糖尿病的风险(20%):这项研究证实了卫生部的担忧,即 2 型糖尿病会给当地带来风险,并对女性患糖尿病的风险高于男性的历史假设提出了质疑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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