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Nature and causes of trends in male diabetes prevalence, undiagnosed diabetes, and the socioeconomic status health gradient

机译:男性糖尿病患病率,未确诊的糖尿病以及社会经济状况健康状况的趋势的性质和成因

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This paper investigates levels in diabetes prevalence patterns across key socioeconomic status indicators and how they changed over time. The investigation spans both the conventional concept of diagnosed diabetes and a more comprehensive measure that includes those whose diabetes is undiagnosed. By doing so, I separate the distinct impact of covariates on trends over time in disease onset and the probability of disease diagnosis. The principal force leading to higher diabetes prevalence over time is excessive weight and obesity, which was only partially offset by improvements in the education of the population over time. Undiagnosed diabetes remains an important health problem, but much less so than 25 years ago. Although race and ethnic differentials in undiagnosed diabetes were eliminated over the last 25 years, the disparities became larger across other measures of disadvantage, such as education.
机译:本文研究了关键社会经济状况指标中糖尿病患病率的水平及其随时间的变化。这项调查涵盖了诊断出糖尿病的传统概念以及涵盖未诊断出糖尿病的更全面措施。这样,我就可以将协变量对疾病发作的随时间变化趋势和疾病诊断概率的不同影响分开。随着时间的流逝,导致糖尿病患病率升高的主要力量是过度的体重和肥胖,而随着时间的流逝,人口的教育水平的改善仅部分抵消了这一点。未诊断的糖尿病仍然是一个重要的健康问题,但远不及25年前。尽管在过去25年中消除了未确诊的糖尿病的种族和种族差异,但在其他不利状况(如教育)中,差距却越来越大。

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