估算无家可归者中未确诊的糖尿病前期和糖尿病发病率。

IF 2.3 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
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引用次数: 0

摘要

目标加拿大 2 型糖尿病患病率的上升对健康构成了重大挑战。尽管利用糖化血红蛋白(A1C)浓度筛查糖尿病很方便,但无家可归者(PEH)在接受糖尿病筛查时往往面临障碍,可能导致诊断不足。在这项研究中,我们旨在评估阿尔伯塔省卡尔加里市无家可归者中未确诊糖尿病的患病率,并为规划医疗保健服务和公共卫生措施提供见解。参与者使用西门子 DCA Vantage 床旁分析仪进行床旁 A1C 检测。结果参与者(102 人)的平均年龄为 47.6 岁,自述无家可归的原因多种多样,包括住房和经济问题(53 人)、人际和家庭问题(35 人)以及健康或矫正相关因素(27 人)。平均 A1C 值为 5.60%(标准偏差为 0.57%),其中 5 个值在糖尿病范围内,12 个值在糖尿病前期范围内,共有 17 名参与者以前未被诊断出血糖异常。需要更多的资源来减少这一人群中糖尿病筛查的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Estimating the Rates of Undiagnosed Prediabetes and Diabetes Among People Experiencing Homelessness

Objectives

The rising prevalence of type 2 diabetes in Canada poses a significant health challenge. Despite the convenience of screening for diabetes with glycated hemoglobin (A1C) concentration, people experiencing homelessness (PEH) often face barriers to accessing diabetes screening, potentially leading to underdiagnosis. In this study, we aim to assess the prevalence of undiagnosed diabetes among PEH in Calgary, Alberta, and contribute insights for planning health-care services and public health initiatives.

Methods

Four screening clinics were held, and participants were recruited through posters and word of mouth. Participants underwent point-of-care A1C testing using the Siemens DCA Vantage point-of-care analyzer. Descriptive statistics were used to identify the proportions of prediabetes and diabetes, whereas CANRISK survey scores were used to identify the pre-test probability of diabetes.

Results

The mean age of participants (n=102) was 47.6 years, and the self-reported causes of homelessness among the participants were diverse, including housing and financial issues (n=53), interpersonal and family issues (n=35), and health- or corrections-related factors (n=27). The average A1C was 5.60% (standard deviation 0.57%), with 5 values in the diabetes range and 12 in the prediabetes range, for a total of 17 participants found to have previously undiagnosed dysglycemia.

Conclusions

The high rate of undiagnosed prediabetes and diabetes among PEH reflects at least what is already seen in the general population in Canada. More resources are required to reduce the barriers to screening for diabetes among this population.

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来源期刊
Canadian Journal of Diabetes
Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
CiteScore
4.80
自引率
4.00%
发文量
130
审稿时长
54 days
期刊介绍: The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.
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