原创力文档rising diabetes prevalence among urban-dwelling black south africans城市住宅南非黑人中糖尿病患病率上升.pdfVIP
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rising diabetes prevalence among urban-dwelling black south africans城市住宅南非黑人中糖尿病患病率上升
Rising Diabetes Prevalence among Urban-Dwelling Black
South Africans
1 2 3 4 5
Nasheeta Peer , Krisela Steyn , Carl Lombard , Estelle V. Lambert , Bavanisha Vythilingum ,
Naomi S. Levitt2,6*
1 Chronic Diseases of Lifestyle Unit, Medical Research Council, Durban, South Africa, 2 Chronic Disease Initiative in Africa, Department of Medicine, University of Cape
Town, Cape Town, South Africa, 3 Biostatistics Unit, Medical Research Council, Cape Town, South Africa, 4 University of Cape Town/Medical Research Council Research
Unit for Exercise Science and Sports Medicine, Cape Town, South Africa, 5 Department of Psychiatry, University of Cape Town, Cape Town, South Africa, 6 Division of
Endocrinology and Diabetes, Department of Medicine, University of Cape Town, Cape Town, South Africa
Abstract
Objective: To examine the prevalence of and the association of psychosocial risk factors with diabetes in 25–74-year-old
black Africans in Cape Town in 2008/09 and to compare the prevalence with a 1990 study.
Research Design and Methods: A randomly selected cross-sectional sample had oral glucose tolerance tests. The
prevalence of diabetes (1998 WHO criteria), other cardiovascular risk factors and psychosocial measures, including sense of
coherence (SOC), locus of control and adverse life events, were determined. The comparison of diabetes prevalence
between this and a 1990 study used the 1985 WHO diabetes criteria.
Results: There were 1099 participants, 392 men and 707 women (response rate 86%). The age-standardised (SEGI)
prevalence of diabetes was 13.1% (95% confidence interval (CI) 11.0–15.1), impaired glucose tolerance (IGT) 11.2% (9.2–13.1)
and impaired fasting glycae
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