根据具有全国代表性的横断面 H-UNCOVER 研究,匈牙利确诊和未确诊糖尿病的患病率和决定因素。

IF 6.1 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Vince Fazekas-Pongor , Beatrix A. Domján , Dávid Major , Anna Péterfi , Viktor J. Horváth , Szilvia Mészáros , Zoltán Vokó , Barna Vásárhelyi , Attila J Szabó , Katalin Burián , Béla Merkely , Adam G. Tabák
{"title":"根据具有全国代表性的横断面 H-UNCOVER 研究,匈牙利确诊和未确诊糖尿病的患病率和决定因素。","authors":"Vince Fazekas-Pongor ,&nbsp;Beatrix A. Domján ,&nbsp;Dávid Major ,&nbsp;Anna Péterfi ,&nbsp;Viktor J. Horváth ,&nbsp;Szilvia Mészáros ,&nbsp;Zoltán Vokó ,&nbsp;Barna Vásárhelyi ,&nbsp;Attila J Szabó ,&nbsp;Katalin Burián ,&nbsp;Béla Merkely ,&nbsp;Adam G. Tabák","doi":"10.1016/j.diabres.2024.111834","DOIUrl":null,"url":null,"abstract":"<div><h3>Aims</h3><p>To estimate prevalence of diagnosed (dDM) and undiagnosed diabetes (uDM) in Hungary and investigate determinants of uDM.</p></div><div><h3>Methods</h3><p>Data was obtained from the nationally representative H-UNCOVER study. As laboratory measurements were available for 11/19 Hungarian counties, n = 5,974/17,787 people were eligible. After exclusions, 5,673 (representing 4,976,097 people) were included. dDM was defined by self-reporting, while uDM as negative self-reporting and elevated fasting glucose (≥7 mmol/l) and/or HbA1c (≥48 mmol/mol). Logistic regression for complex samples was used to calculate comparisons between dDM and uDM adjusted for age and BMI.</p></div><div><h3>Results</h3><p>Diabetes prevalence was 12.0 %/11.9 % (women/men, 95 %CI:10.7–13.4 %/10.7–13.2 %), while 2.2 %/2.8 % (1.7–2.8 %/2.2–3.6 %) of women/men were uDM. While the proportion of uDM vs. dDM was similar for women ≥ 40, men in their forties had the highest odds for uDM. Neither unemployment (women/men OR:0.58 [0.14–2.45]/0.50 [0.13–1.92]), nor education level (tertiary vs. primary; women/men OR: 1.16 [0.53–2.56]/ 0.53 [0.24–1.18]) were associated with uDM. The risk of uDM was lower in both sexes with chronic morbidities.</p></div><div><h3>Conclusions</h3><p>We report higher prevalence of diabetes and undiagnosed diabetes than previous Hungarian estimates. The finding that socioeconomic factors are not associated to uDM suggests that universal health care could provide equitable access to diabetes diagnosis.</p></div>","PeriodicalId":11249,"journal":{"name":"Diabetes research and clinical practice","volume":"216 ","pages":"Article 111834"},"PeriodicalIF":6.1000,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence and determinants of diagnosed and undiagnosed diabetes in Hungary based on the nationally representative cross-sectional H-UNCOVER study\",\"authors\":\"Vince Fazekas-Pongor ,&nbsp;Beatrix A. Domján ,&nbsp;Dávid Major ,&nbsp;Anna Péterfi ,&nbsp;Viktor J. Horváth ,&nbsp;Szilvia Mészáros ,&nbsp;Zoltán Vokó ,&nbsp;Barna Vásárhelyi ,&nbsp;Attila J Szabó ,&nbsp;Katalin Burián ,&nbsp;Béla Merkely ,&nbsp;Adam G. Tabák\",\"doi\":\"10.1016/j.diabres.2024.111834\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aims</h3><p>To estimate prevalence of diagnosed (dDM) and undiagnosed diabetes (uDM) in Hungary and investigate determinants of uDM.</p></div><div><h3>Methods</h3><p>Data was obtained from the nationally representative H-UNCOVER study. As laboratory measurements were available for 11/19 Hungarian counties, n = 5,974/17,787 people were eligible. After exclusions, 5,673 (representing 4,976,097 people) were included. dDM was defined by self-reporting, while uDM as negative self-reporting and elevated fasting glucose (≥7 mmol/l) and/or HbA1c (≥48 mmol/mol). Logistic regression for complex samples was used to calculate comparisons between dDM and uDM adjusted for age and BMI.</p></div><div><h3>Results</h3><p>Diabetes prevalence was 12.0 %/11.9 % (women/men, 95 %CI:10.7–13.4 %/10.7–13.2 %), while 2.2 %/2.8 % (1.7–2.8 %/2.2–3.6 %) of women/men were uDM. While the proportion of uDM vs. dDM was similar for women ≥ 40, men in their forties had the highest odds for uDM. Neither unemployment (women/men OR:0.58 [0.14–2.45]/0.50 [0.13–1.92]), nor education level (tertiary vs. primary; women/men OR: 1.16 [0.53–2.56]/ 0.53 [0.24–1.18]) were associated with uDM. The risk of uDM was lower in both sexes with chronic morbidities.</p></div><div><h3>Conclusions</h3><p>We report higher prevalence of diabetes and undiagnosed diabetes than previous Hungarian estimates. The finding that socioeconomic factors are not associated to uDM suggests that universal health care could provide equitable access to diabetes diagnosis.</p></div>\",\"PeriodicalId\":11249,\"journal\":{\"name\":\"Diabetes research and clinical practice\",\"volume\":\"216 \",\"pages\":\"Article 111834\"},\"PeriodicalIF\":6.1000,\"publicationDate\":\"2024-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Diabetes research and clinical practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0168822724007447\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetes research and clinical practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0168822724007447","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0

摘要

目的:估算匈牙利已确诊糖尿病(dDM)和未确诊糖尿病(uDM)的患病率,并调查uDM的决定因素:数据来自具有全国代表性的 H-UNCOVER 研究。由于匈牙利 11/19 个县都有实验室测量数据,因此符合条件的人数为 5974/17787 人。dDM 由自我报告定义,而 uDM 是指自我报告为阴性且空腹血糖升高(≥7 mmol/l)和/或 HbA1c 升高(≥48 mmol/mol)。在对年龄和体重指数进行调整后,使用复合样本的逻辑回归计算出 dDM 和 uDM 的比较结果:糖尿病患病率为 12.0%/11.9%(女性/男性,95%CI:10.7-13.4%/10.7-13.2%),而 2.2%/2.8%(1.7-2.8%/2.2-3.6%)的女性/男性为 uDM。虽然uDM与dDM的比例在≥40岁的女性中相似,但40多岁的男性患uDM的几率最高。失业率(女性/男性OR:0.58 [0.14-2.45]/0.50 [0.13-1.92])和教育水平(大专与小学;女性/男性OR:1.16 [0.53-2.56]/ 0.53 [0.24-1.18])均与uDM无关。患有慢性疾病的男女患尿毒症的风险都较低:我们报告的糖尿病和未确诊糖尿病患病率高于匈牙利以前的估计值。社会经济因素与uDM无关的发现表明,全民医疗保健可以提供公平的糖尿病诊断机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prevalence and determinants of diagnosed and undiagnosed diabetes in Hungary based on the nationally representative cross-sectional H-UNCOVER study

Prevalence and determinants of diagnosed and undiagnosed diabetes in Hungary based on the nationally representative cross-sectional H-UNCOVER study

Aims

To estimate prevalence of diagnosed (dDM) and undiagnosed diabetes (uDM) in Hungary and investigate determinants of uDM.

Methods

Data was obtained from the nationally representative H-UNCOVER study. As laboratory measurements were available for 11/19 Hungarian counties, n = 5,974/17,787 people were eligible. After exclusions, 5,673 (representing 4,976,097 people) were included. dDM was defined by self-reporting, while uDM as negative self-reporting and elevated fasting glucose (≥7 mmol/l) and/or HbA1c (≥48 mmol/mol). Logistic regression for complex samples was used to calculate comparisons between dDM and uDM adjusted for age and BMI.

Results

Diabetes prevalence was 12.0 %/11.9 % (women/men, 95 %CI:10.7–13.4 %/10.7–13.2 %), while 2.2 %/2.8 % (1.7–2.8 %/2.2–3.6 %) of women/men were uDM. While the proportion of uDM vs. dDM was similar for women ≥ 40, men in their forties had the highest odds for uDM. Neither unemployment (women/men OR:0.58 [0.14–2.45]/0.50 [0.13–1.92]), nor education level (tertiary vs. primary; women/men OR: 1.16 [0.53–2.56]/ 0.53 [0.24–1.18]) were associated with uDM. The risk of uDM was lower in both sexes with chronic morbidities.

Conclusions

We report higher prevalence of diabetes and undiagnosed diabetes than previous Hungarian estimates. The finding that socioeconomic factors are not associated to uDM suggests that universal health care could provide equitable access to diabetes diagnosis.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Diabetes research and clinical practice
Diabetes research and clinical practice 医学-内分泌学与代谢
CiteScore
10.30
自引率
3.90%
发文量
862
审稿时长
32 days
期刊介绍: Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信