欢迎来到360期刊网!
学术期刊
  • 学术期刊
  • 文献
  • 百科
电话

您当前的位置:   首页  >  SCI文献  >  Scandinavian journal of public health

Scandinavian journal of public health 丹麦糖尿病前期和未确诊 2 型糖尿病的估计: 流行病或诊断人工制品的结束?
影响因子:3.199 DOI:10.1177/1403494818799606
作者: Jørgensen ME,Ellervik C,Ekholm O,Johansen NB,Carstensen B 发表时间:2020-07-10 19:20:33
keywords: Jørgensen MEEllervik CEkholm OJohansen NBCarstensen B
关键词: 糖尿病 糖化血红蛋白 糖尿病前期 患病率
Abstract
:Background: Up-to-date information on undiagnosed type 2 diabetes and prediabetes based on current diagnostic criteria is lacking. The study aimed to model the total numbers of people with undiagnosed type 2 diabetes and prediabetes in Denmark based on existing population-based surveys. Methods: Two population-based Danish studies with information on HbA1c, date of examination, gender, age and known type 2 diabetes were identified: the Danish General Suburban Population Study, n = 21,205, and the Danish Health Examination Survey, n = 18,065. The prevalence of known, undiagnosed and pre-diabetes were estimated in the Danish General Suburban Population Study, and population-level age-specific prevalence of known type 2 diabetes was estimated from national registers. The Danish Health Examination Survey was included for sensitivity analysis. Combining estimates of the survey participation rate among known type 2 diabetes patients with known overall participation rates from the studies allowed for the correction of survey prevalence to plausible population-level estimates of age- and gender-specific prevalence. Results: The prevalence of known, undiagnosed and pre-diabetes was highest among men, increasing with age with a peak at age 70. Applying the survey-based prevalence to the entire Danish population, the estimated number (May 2011) with undiagnosed type 2 diabetes was 60,681, corresponding to 24% of all type 2 diabetes cases, and 292,715 had prediabetes, about 50% more than the total type 2 diabetes population. Conclusions: Estimates of undiagnosed type 2 diabetes and prediabetes are dramatically lower than reported in previous studies (60,681 vs 200,000 and 292,715 vs 750,000); however, whether this reflects a true decrease in incidence or the change to HbA1c-based diagnostic criteria is not clear.
摘 要
背景: 缺乏基于当前诊断标准的未确诊 2 型糖尿病和糖尿病前期的最新信息。该研究旨在基于现有的基于人群的调查,对丹麦未确诊的 2 型糖尿病和糖尿病前期的总人数进行建模。方法: 确定了两项基于人群的丹麦研究,包括HbA1c、检查日期、性别、年龄和已知的 2 型糖尿病信息: 丹麦普通郊区人群研究,n = 2 1,2 05,和丹麦健康检查调查,n = 18,065。在丹麦一般郊区人群研究中估计了已知、未确诊和糖尿病前期的患病率,从国家登记中估计了已知 2 型糖尿病的人群水平年龄特异性患病率。纳入丹麦健康体检调查进行敏感性分析。将已知 2 型糖尿病患者的调查参与率与来自研究的已知总体参与率相结合,可以将调查患病率更正为合理的人口水平年龄和性别估计值-特定患病率。结果: 男性中已知、未确诊和糖尿病前期的患病率最高,随年龄增长而增加,高峰在 70 岁。将基于调查的患病率应用于整个丹麦人群,未确诊 2 型糖尿病的估计人数 (2 011 年 5 月) 为 60,681,相当于所有 2 型糖尿病病例的 2 4%,2 9 2,715 患有前驱糖尿病,比总 2 型糖尿病人群多 50%。 结论: 未确诊的 2 型糖尿病和前驱糖尿病的估计值显著低于以前的研究报告 (60,681 vs 2 00,000 和 2 9 2,715 vs 750,000); 然而,这是否反映了发病率的真正下降或改变HbA1c-based诊断标准尚不清楚。
期刊介绍
《SCANDINAVIAN JOURNAL OF PUBLIC HEALTH》 (点击进入期刊详情)
英文简介 : Public Health as we enter the third millennium, is facing challenges of new and re-emerging diseases. This health transition includes both changes in demographic patterns and the responses of health services to changing patterns of disease. However, while the ongoing transition allows for the chronic diseases of "welfare" and ageing it certainly also results from the "export" of well-known risk factors. Prevention often lies in the hands of public health policy and evidence-based implementation rather than in the search for new risk factors. Equity in health is on the public health agenda of most countries and agencies today. Inequity means unfairness - but nothing is as unfair as poverty, nor any epidemiological risk factor as strong. In bringing the chronic and pandemic nature of poverty and health needs to the attention of the world's conscience, a public health journal may be one lever. We will not avoid disclosing these value premises. They create a future challenge for public health researchers. Our ambition is to make this journal a forum for local, national as well as global health issues and we would like to recognise the challenge in bringing theory and methods nearer to public health efforts. We will certainly try to reflect the healthy multidisciplinarity that has become characteristic of public health globally in recent years. Epidemiologists, health economists and sociologists may thus contribute to conceptual and methodological development of the changing public health in terms of its efficacy, cost-effectiveness and social and ethical implications. Since January 2000 SJPH is under a new editorial management. We welcome contributions from North to South, on Nordic as well as International Public Health Developments, desk or field based studies, quantitative as well as qualitative. Our ambition is unequivocal - to foster and disseminate valid results from public health endeavours and, to the best of our ability, influence the current health research disequilibrium - that too little research effort is addressed to the bulk of health problems.
中文简介 : (来自Google、百度翻译) 在我们进入第三个千年之际,公共卫生正面临新出现和重新出现的疾病的挑战。这种卫生转变包括人口结构的变化和卫生服务对不断变化的疾病模式的反应。然而,尽管正在进行的过渡考虑到“福利”和老龄化的慢性病,但它肯定也是众所周知的危险因素“输出”的结果。预防往往取决于公共卫生政策和基于证据的实施,而不是寻找新的危险因素。卫生公平是当今大多数国家和机构的公共卫生议程。不公平意味着不公平——但没有什么比贫穷更不公平,也没有任何流行病学风险因素比贫穷更强烈。在将贫穷和卫生需求的长期性和流行性引起世界良知的注意方面,一份公共卫生杂志可能是一个杠杆。我们不会避免披露这些价值前提。它们为公共卫生研究人员带来了未来的挑战。我们的目标是使这本杂志成为一个地方、国家以及全球卫生问题的论坛,我们希望认识到在使理论和方法更接近公共卫生努力方面所面临的挑战。我们一定会努力反映健康的多学科性,这已成为近年来全球公共卫生的特点。因此,流行病学家、卫生经济学家和社会学家可在公共卫生的效力、成本效益以及社会和伦理影响方面,对不断变化的公共卫生的概念和方法发展作出贡献。自2000年1月以来,SJPH处于新的编辑管理之下。我们欢迎北欧和南欧对北欧以及国际公共卫生发展、基于课桌或实地的定量和定性研究的贡献。我们的雄心是明确的,即培育和传播公共卫生努力的有效成果,并尽我们最大的能力影响当前卫生研究的不平衡,即对大多数卫生问题的研究努力太少。
CIRCULATION RESEARCH 期刊中科院评价数据
新中科院分区
大类(学科) 小类(学科) 学科排名
医学

PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH (公共卫生、环境卫生与职业卫生)

76/157
新发布的期刊年发文量
年度总发文量 年度论文发表量 年度综述发表量
123 119 4

总被引频次 :5128

特征因子 : 0.004670

影响因子趋势图

相关文献

360期刊网

专注医学期刊服务15年

  • 您好:请问您咨询什么等级的期刊?专注医学类期刊发表15年口碑企业,为您提供以下服务:

  • 1.医学核心期刊发表-全流程服务
    2.医学SCI期刊-全流程服务
    3.论文投稿服务-快速报价
    4.期刊推荐直至录用,不成功不收费

  • 客服正在输入...

x
立即咨询