Factors Related to Diagnosis of Diabetes After Detecting High Blood Glucose Levels Through Screening: One-Year Follow-up Among Publicly Insured Adults in Gunma, Japan.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Asia-Pacific Journal of Public Health Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI:10.1177/10105395241262852
Shino Oba, Hirokazu Murakami, Takayuki Saitoh, Kunihiko Hayashi, Yoshihisa Okada, Yasuko Imano, Osamu Takaki, Ikue Kiryu, Mai Ishikawa, Yumi Sato
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Abstract

This study aimed to assess the diagnosis of diabetes after detecting high blood glucose levels through screening among insured individuals in Gunma, Japan. Data for men and women 35 to 74 years of age were provided by Japan Health Insurance Association, and 4133 individuals with high blood glucose levels while not currently being treated for diabetes were included in the study. About 13% received a diagnosis of diabetes at a subsequent physician visit, and individuals who were under treatment for hypertension were less likely to receive the added diagnosis of diabetes compared with those not being treated for hypertension (odds ratio = 0.42 from a logistic regression model). Fasting blood glucose levels were significantly improved in the next year only among individuals with a confirmed diagnosis of diabetes.

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通过筛查发现高血糖后诊断为糖尿病的相关因素:日本群马县公共保险成年人的一年随访。
本研究旨在评估日本群马县投保人通过筛查发现高血糖后的糖尿病诊断情况。日本健康保险协会提供了 35 至 74 岁男性和女性的数据,4133 名血糖水平较高但目前未接受糖尿病治疗的人被纳入研究范围。约有 13% 的人在随后的就诊中被诊断为糖尿病,与未接受高血压治疗的人相比,正在接受高血压治疗的人被诊断为糖尿病的几率较低(根据逻辑回归模型,几率比 = 0.42;95% 置信区间 = [0.33,0.54])。只有在确诊为糖尿病的患者中,第二年的空腹血糖水平才会有明显改善。
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来源期刊
Asia-Pacific Journal of Public Health
Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.30
自引率
4.00%
发文量
147
审稿时长
6 months
期刊介绍: Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.
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