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首页> 外文期刊>Journal of health and human services administration >CHALLENGES OF INCREASED DIABETES PREVALENCE: IMPLICATIONS OF CARDIO AND RENAL COMORBIDITIES FOR HISPANIC AND WHITE MIDDLE-AGED NURSING HOME RESIDENTS DIAGNOSED WITH DIABETES IN TEXAS, 1999 AND 2009
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CHALLENGES OF INCREASED DIABETES PREVALENCE: IMPLICATIONS OF CARDIO AND RENAL COMORBIDITIES FOR HISPANIC AND WHITE MIDDLE-AGED NURSING HOME RESIDENTS DIAGNOSED WITH DIABETES IN TEXAS, 1999 AND 2009

机译：糖尿病患者患病率增加的挑战：德克萨斯州德克萨斯州德克萨斯州患有糖尿病和白色中年护理家居居民的有氧族和肾化合物的影响

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摘要

Increased prevalence of diabetes and related comorbidities has emerged as a major challenge for community resilience in the United States. While attention has been directed towards the impacts of this development for the general population, the nursing home population has received little examination. This research analyzes change in the prevalence of particular cardio and renal comorbidities for Hispanic and Non-Hispanic White nursing home residents in Texas aged 50-64 diagnosed with diabetes for 1999 and 2009 using data from the federal Minimum Data Set. Comparisons are made by ethnicity and gender to identify trends and possible disparities. Important findings include that the prevalence of congestive heart failure increased for all groups, and the changes were statistically significant for Hispanic Women and Non-Hispanic White Men. Statistically significant differences were found in the prevalence of peripheral vascular disease as rates were higher for Hispanics of both genders for both years, indicating substantial and ongoing disparities. Disturbingly high rates for renal failure were found for Hispanics that indicate substantial disparities. Recommendations for meeting this challenge include emphasizing prevention measures and updating for models regarding the dynamics nursing home admission.
机译：糖尿病及相关共病患病率的增加已成为美国社区恢复力的一个重大挑战。虽然人们一直关注这一发展对普通人群的影响，但养老院的人群几乎没有受到检查。这项研究使用联邦最低数据集的数据，分析了德克萨斯州50-64岁的西班牙裔和非西班牙裔白人疗养院居民1999年和2009年被诊断为糖尿病的特定心脏和肾脏合并症患病率的变化。按种族和性别进行比较，以确定趋势和可能的差异。重要的发现包括，所有组的充血性心力衰竭患病率都有所增加，西班牙裔女性和非西班牙裔白人男性的变化具有统计学意义。外周血管疾病的患病率在统计学上存在显著差异，因为西班牙裔男女在这两个年份的患病率都较高，这表明存在着巨大且持续的差异。西班牙裔人的肾衰竭发生率高得令人不安，这表明存在巨大差异。应对这一挑战的建议包括强调预防措施和更新养老院入院动态模型。

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