阿拉斯加糖尿病患者的美好生活。

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Meera L Narayanan, Peter Holck, Ai-Ling Lin, Cynthia D Schraer
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引用次数: 0

摘要

许多糖尿病患者并发症极少或没有并发症。我们的目标是确定阿拉斯加原住民中出现四种主要并发症或死亡的比例,并找出可能与这些结果相关的因素。我们在分析中使用了糖尿病登记记录以及临床和人口统计学变量。我们使用逻辑回归和 Cox 比例危险模型来评估这些参数与 2013 年之前发生的死亡和并发症之间的关联。这项研究包括 591 名阿拉斯加原住民,他们在 1986 年至 1992 年期间被诊断为非 1 型糖尿病。在这项研究中,超过 60% 的人在余生或大约 20 年的研究期间没有出现四种主要的糖尿病相关并发症。较低的体重指数、较高的糖尿病诊断年龄以及使用至少一种糖尿病药物与死亡和四种并发症的综合相关。大多数阿拉斯加原住民糖尿病患者在 20 年间没有出现四种主要并发症。较低的体重指数和使用糖尿病药物与某些有害结果的较高风险有关。这表明,护理老年人的目标应谨慎地因人而异。此外,我们还讨论了几个我们认为有助于取得有利结果的计划因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Living well with diabetes in Alaska.

Many people with diabetes mellitus experience minimal or no complications. Our objective was to determine the proportion of Alaska Native people who experienced four major complications or mortality and to identify factors that may be associated with these outcomes. We used records in a diabetes registry and clinical and demographic variables in our analyses. We used logistic regression and Cox Proportional Hazards models to evaluate associations of these parameters with death and complications that occurred prior to 2013. The study included 591 Alaska Native people with non-type 1 diabetes mellitus, diagnosed between 1986 and 1992. Over 60% of people in this study remained free of four major diabetes-related complications for the remainder of life or throughout the approximately 20-year study period. Lower BMI, higher age at diagnosis of diabetes, and use of at least one diabetes medication were associated with death and a composite of four complications. A majority of Alaska Native people with DM had none of four major complications over a 20-year period. Lower BMI and use of diabetes medications were associated with higher hazard for some deleterious outcomes. This suggests that goals in care of elders should be carefully individualised. In addition, we discuss several programme factors that we believe contributed to favourable outcomes.

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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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