西孟加拉邦和印度老年人糖尿病和残疾患病率的比较分析

IF 4.3 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & Metabolic Syndrome-Clinical Research & Reviews Pub Date : 2025-04-01 DOI:10.1016/j.dsx.2025.103236

Ujjwal Das , Nishamani Kar , Tomo Riba , Nihar Ranjan Rout

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引用次数: 0

摘要

老龄化是一个异质性的过程，老年人经历身体和功能健康挑战的风险更大。本研究考察了西孟加拉邦和印度老年人中糖尿病相关残疾的比较患病率。方法数据来自印度纵向老龄化研究（2017-18）的第一波，包括72,250名45岁及以上的个体，其中包括来自西孟加拉邦的3933名受访者。采用多阶段分层抽样方法。采用6项日常生活活动（ADL）和7项日常生活工具活动（IADL）评估功能障碍。采用Logistic回归评估糖尿病与残疾之间的相关性，并采用Blinder-Oaxaca分解技术确定各因素对观察到的差异的贡献。结果西孟加拉邦老年糖尿病患者ADL和IADL困难患病率为24.1%，全国为18.9%。西孟加拉邦老年糖尿病患者致残风险明显较高[OR = 6.20 (3.74-10.26)；与印度的ADL相比，印度的ADL OR = 6.71 (4.69-9.61) [OR = 3.92 (1.10-14.03)；OR = 3.91（1.17-13.12）。分解分析表明，共病因素占西孟加拉邦和印度之间ADL/IADL残疾差距的37%。结论西孟加拉邦近四分之一的老年糖尿病患者存在ADL限制。在西孟加拉邦，迫切需要加强对糖尿病和残疾水平较高的个人的保健服务。

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Prevalence of diabetes and disability among older adults in West Bengal and India: A comparative analysis

Background

Aging is a heterogeneous process, and older adults are at greater risk of experiencing physical and functional health challenges. This study examines the comparative prevalence of diabetes-related disability among older adults in West Bengal and India.

Methods

Data were drawn from the first wave of the Longitudinal Aging Study in India (2017–18), comprising 72,250 individuals aged 45 years and above, including 3933 respondents from West Bengal. A multistage stratified sampling method was used. Functional disability was assessed using six Activities of Daily Living (ADL) and seven Instrumental Activities of Daily Living (IADL). Logistic regression was used to assess the association between diabetes and disability, and the Blinder–Oaxaca decomposition technique was applied to identify the contribution of various factors to the observed differences.

Results

The prevalence of ADL and IADL difficulties among older adults with diabetes was 24.1 % in West Bengal and 18.9 % at the national level. The risk of disability among diabetic elderly was significantly higher in West Bengal [OR = 6.20 (3.74–10.26) for ADL; OR = 6.71 (4.69–9.61) for IADL] compared to India [OR = 3.92 (1.10–14.03) for ADL; OR = 3.91 (1.17–13.12) for IADL]. Decomposition analysis showed that comorbidity factors accounted for 37 % of the ADL/IADL disability gap between West Bengal and India.

Conclusion

Nearly one-fourth of older adults with diabetes in West Bengal experience ADL limitations. There is urgent need to enhance healthcare services for individuals in West Bengal who are face higher levels of diabetes and disability.

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来源期刊

Diabetes & Metabolic Syndrome-Clinical Research & Reviews ENDOCRINOLOGY & METABOLISM-

CiteScore

22.90

自引率

2.00%

发文量

248

审稿时长

51 days

期刊介绍： Diabetes and Metabolic Syndrome: Clinical Research and Reviews is the official journal of DiabetesIndia. It aims to provide a global platform for healthcare professionals, diabetes educators, and other stakeholders to submit their research on diabetes care. Types of Publications: Diabetes and Metabolic Syndrome: Clinical Research and Reviews publishes peer-reviewed original articles, reviews, short communications, case reports, letters to the Editor, and expert comments. Reviews and mini-reviews are particularly welcomed for areas within endocrinology undergoing rapid changes.