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The Prevalence and Risk of Type 2 Diabetes in Adults with Disabilities in Korea

Endocrinology and Metabolism 2020년 35권 3호 p.552 ~ 561
정인하, 권혜미, 박세은, 한경도, 박용규, 이은정, 이원영,
소속 상세정보
정인하 ( Jung In-Ha ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
권혜미 ( Kwon Hye-Mi ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
박세은 ( Park Se-Eun ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
한경도 ( Han Kyung-Do ) - Soongsil University Department of Statistics and Actuarial Science
박용규 ( Park Yong-Gyu ) - Catholic University College of Medicine Department of Biostatistics
이은정 ( Rhee Eun-Jung ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
이원영 ( Lee Won-Young ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine

Abstract


Background: People with disabilities are at risk of secondary conditions such as diabetes. The aim of this study was to evaluate the prevalence and risk of type 2 diabetes in South Korea, especially among people with all types of disabilities.

Methods: We conducted a cross-sectional study using data from the Korean National Health Insurance Service, with two disabilityfree controls matched for each participant with disabilities by age and sex. Information regarding the type, severity and grade of disabilities was obtained based on the National Disability Registry. Diagnosis of type 2 diabetes was defined according to the following criteria: presence of International Classification of Diseases, Tenth Revision, Clinical Modification codes E11, E12, E13, or E14 and claims for at least one oral anti-diabetic agent or insulin at baseline, or fasting glucose level ≥126 mg/dL.

Results: We included 1,297,806 participants with disabilities and 2,943,719 control. Out of 4,241,525 participants, 841,990 (19.9%) were diagnosed with diabetes. The prevalence of diabetes was higher in the disability group compared with individuals without disabilities (23.1% vs. 18.4%). The odds of having diabetes was higher in the disability group compared with the control group (adjusted odds ratio, 1.34; 95% confidence interval, 1.33 to 1.34). The results showed higher prevalence of diabetes in the mildly disabled group (23.2%) than in the severely disabled group (22.7%).

Conclusion: The prevalence and risk of diabetes were higher in people with disabilities compared with the general population. Physicians and public health authorities should focus on people with disabilities for proper diabetes management.

키워드

Diabetes mellitus; Prevalence; Epidemiology

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