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首页> 美国卫生研究院文献>Morbidity and Mortality Weekly Report >Imputed State-Level Prevalence of Achieving Goals To Prevent Complications of Diabetes in Adults with Self-Reported Diabetes — United States 2017–2018
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Imputed State-Level Prevalence of Achieving Goals To Prevent Complications of Diabetes in Adults with Self-Reported Diabetes — United States 2017–2018

机译：实现目标的普遍性普遍性以防止糖尿病在成人中与自我报告的糖尿病 - 美国2017-2018

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摘要

Diabetes increases the risk for developing cardiovascular, neurologic, kidney, eye, and other complications. Diabetes and related complications also pose a huge economic cost to society: in 2017, the estimated total economic cost of diagnosed diabetes was $327 billion in the United States (1). Diabetes complications can be prevented or delayed through the management of blood glucose (measured by hemoglobin A1C), blood pressure (BP), and non–high-density lipoprotein cholesterol (non-HDL–C) levels, and by avoiding smoking; these are collectively known as the ABCS goals (hemoglobin A1C, Blood pressure, Cholesterol, Smoking) (2–5). Assessments of achieving ABCS goals among adults with diabetes are available at the national level (4,6); however, studies that assess state-level prevalence of meeting ABCS goals have been lacking. This report provides imputed state-level proportions of adults with self-reported diabetes meeting ABCS goals in each of the 50 U.S. states and the District of Columbia (DC). State-level estimates were created by raking and multiple imputation methods (7,8) using data from the 2009–2018 National Health and Nutrition Examination Survey (NHANES), 2017–2018 American Community Survey (ACS), and 2017–2018 Behavioral Risk Factor Surveillance System (BRFSS). Among U.S. adults with diabetes, an estimated 26.4% met combined ABCS goals, and 75.4%, 70.4%, 55.8%, and 86.0% met A1C <8%, BP <140/90 mmHg, non-HDL–C <130 mg/dL and nonsmoking goals, respectively. Public health departments could use these data in their planning efforts to achieve ABCS goal levels and reduce diabetes-related complications at the state level.
机译：糖尿病增加了发育心血管，神经系统，肾脏，眼睛和其他并发症的风险。糖尿病和相关的并发症也构成了社会的巨大经济成本：2017年，估计患有糖尿病的经济总成本为3.27亿美元（1）。通过管理血糖（通过血红蛋白A1C测量），血压（BP）和非高密度脂蛋白胆固醇（非HDL-C）水平，以及通过避免吸烟，可以防止或延迟糖尿病并发症。这些被统称为ABCS目标（血红蛋白A1C，血压，胆固醇，吸烟）（2-5）。在国家一级提供糖尿病成年人的ABC目标的评估（4,6）;然而，缺乏评估符合ABCS目标的国家水平普遍性的研究。本报告提供了在美国50美元和哥伦比亚特区（DC）中的每一个符合ABCS目标的自我报告的糖尿病患者的估算级别比例。使用来自2009 - 2018年国家健康和营养考试调查（NHANES）的数据，2017-2018美国社区调查（ACS）和2017-2018行为风险，通过耙和多重估算方法（7,8）来创造状态级估计（7,8）因子监测系统（BRFSS）。在患有糖尿病的美国成年人中，估计26.4％达到ABCS目标，75.4％，70.4％，55.8％和86.0％均匀A1C <8％，BP <140/90 mmHg，非HDL-C <130毫克/分别为DL和非莫斯文目标。公共卫生部门可以在计划努力中使用这些数据来实现ABCS目标水平并减少国家级的糖尿病相关的并发症。

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