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Socioeconomic Status and Risk of Type 2 Diabetes Mellitus among an Elderly Group Population in Romania

机译:罗马尼亚老年群体人口中2型糖尿病2型糖尿病的社会经济状况及风险

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Disregarding age, type 2 diabetes mellitus represents a major health problem for patients as well as for their families. Complications induced by the evolution of diabetes and the related conditions have a negative impact on the autonomy and quality of life, and imply a heavy burden on health and social care system. The increase of life-expectancy has induced higher disease prevalence in elderly population together with a strong financial contribution, which sometimes exceeds their resources. Firstly, we aimed to study whether the socioeconomic status explains the tendency for the hypertension status, both for the elderly and adult groups studied. Secondly, we focused on hypertension and other risk factors that may increase these patients risk of developing diabetes. The analysis was carried out on a number of 259 people included into the study. They were selected from two primary care offices in the urban area of lasi, Romania. Using logistic regression for the hypertensive status, we found that the variables describing the socioeconomic status are all significant predictors, except for the current level of income. For a cut-off level of 0.5 for the predicted probability, in the groups with high and medium education, the threshold age of becoming hypertensive is around 50 years old, about 10 years earlier than for people with low education level. The hypertensive status and the duration of hypertension had a significant influence over the occurrence of diabetes mellitus. This influence was surpassed by that of the heredo-collateral antecedents of diabetes mellitus and by the presence of the abdominal obesity assessed by waist circumference.
机译:无视年龄,2型糖尿病患者为患者以及家庭代表了一个主要的健康问题。糖尿病的演变和相关条件诱导的并发症对自治和生活质量产生负面影响,并暗示了健康和社会护理系统的沉重负担。预期寿命的增加诱导老年人疾病患病率以及强大的财务贡献,有时超过其资源。首先,我们旨在研究社会经济地位是否解释了学习的老年人和成人团体的高血压状况的趋势。其次,我们专注于可能增加这些患者发展糖尿病患者风险的高血压和其他风险因素。该分析是在研究中包含的259人中进行的。他们是罗马尼亚兰西市区的两家初级保健办公室。使用Logistic回归对高血压状态,我们发现描述了社会经济地位的变量是所有重要的预测因子,除了目前的收入水平。对于预测概率的截止水平为0.5,在高中和中等教育的群体中,变得高血压的阈值年龄约为50岁,比教育水平低10年来。高血压的状态和高血压持续时间对糖尿病的发生产生了重大影响。这种影响因糖尿病患者的侧副抵押品前提和通过腰围评估的腹部肥胖存在而超越。

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