自评健康状况与 2 型糖尿病发病风险：中国中老年人前瞻性队列研究》。

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal of Public Health Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1606401

Lin Wu, Ruyi Chen, Aiping Sheng, Hongqiang Lou, Xiaowen Wang

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引用次数: 0

摘要

研究目的在中国，有关自评健康状况与2型糖尿病（T2DM）发病之间关系的证据很少。本研究旨在探讨中国中老年人自评健康状况与后续 T2DM 风险之间的前瞻性关联：方法：数据来自中国健康与退休纵向研究（China Health and Retirement Longitudinal Study），研究对象为 9844 名 45 岁及以上的中国人。在调整常规风险因素后，采用 Cox 比例危险模型得出自评健康状况与 T2DM 7 年发病率的危险比（HRs）：在多变量调整模型中，与自评健康状况非常好或好的人相比，健康状况差的人患 T2DM 的风险明显更高[HR = 1.36 (1.07, 1.73)]。按性别进行的分组分析表明，女性的相关性更强[HR = 1.53 (1.11, 2.12)]。交互分析表明，年龄、性别、肥胖、吸烟状况、饮酒状况、高血压病史和血脂异常病史等因素并未改变相关性（所有交互分析的 P 均大于 0.05）：结论：自评健康状况差与中国中老年人罹患 T2DM 的风险较高有关。

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Self-Rated Health Status and the Risk of Incident Type 2 Diabetes: A Prospective Cohort Study of Middle-Aged and Older Chinese.

Objectives: Evidence on the relationship between self-rated health status and incident type 2 diabetes (T2DM) in China is scarce. This study aims to examine the prospective association of self-rated health status with the subsequent risk of T2DM among middle-aged and older Chinese subjects.

Methods: Data were obtained from the China Health and Retirement Longitudinal Study of 9844 Chinese individuals aged 45 years or older. Cox proportional hazards models were used to yield hazard ratios (HRs) relating self-rated health status to the 7-year incidence of T2DM, adjusting for conventional risk factors.

Results: Compared to those with very good or good self-rated health, individuals with poor health had a significantly higher risk of developing T2DM in the multivariable-adjusted model [HR = 1.36 (1.07, 1.73)]. Subgroup analysis by sex showed stronger associations in women [HR = 1.53 (1.11, 2.12)]. Interaction analyses indicated that factors such as age, sex, obesity, smoking status, drinking status, history of hypertension and history of dyslipidemia did not modify the association (all P-interaction >0.05).

Conclusion: Poor self-rated health status is associated with a higher risk of developing T2DM in middle-aged and older Chinese people.

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.