加纳 1 型糖尿病诊断趋势。

Trends in type 1 diabetes diagnosis in Ghana.

机构信息

Directorate of Internal Medicine, Komfo Anokye Teaching Hospital, PO Box 1934, Kumasi, Ghana.

Faculty of Medicine, Clinical Epidemiology Unit, Memorial University of Newfoundland, St John's, NL, Canada.

出版信息

Int Health. 2022 Jul 1;14(4):442-446. doi: 10.1093/inthealth/ihz096.

DOI:10.1093/inthealth/ihz096

PMID:32050027

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9248061/

Abstract

BACKGROUND

Despite the fact that the rate of type 1 diabetes (T1D) is increasing worldwide, there exists a dearth of information on the disease in most sub-Saharan African countries. The goal of this study was to determine the enrolment trend of T1D using data compiled over 28 y from a teaching hospital in Kumasi, Ghana.

METHODS

Information collected included sex, age at diagnosis and date of T1D diagnosis. We identified trends from 1992 to 2018, divided into 3 y intervals.

RESULTS

From 1992 to 2018, 1717 individuals with T1D were enrolled in the diabetes clinic at the Komfo Anokye Teaching Hospital. The male:female ratio was 1:1.2. The number of individuals diagnosed with T1D decreased among the 10-19 y age group during the 1992-1994 period, followed by a progressive increase within the same age group during the subsequent period (from 35.4% in 1995-1997 to 63.2% in 2016-2018). There was a decline in the proportion of children 0-9 y of age diagnosed during the study period (from 5.1% in 1992-1994 to 3.6% in 2016-2018).

CONCLUSIONS

In our study population, a decreasing trend of T1D enrolments was observed in general while among adolescents an increasing trend was observed.

摘要

背景

尽管全球 1 型糖尿病（T1D）的发病率正在上升，但大多数撒哈拉以南非洲国家对该病的了解甚少。本研究旨在利用加纳库马西教学医院 28 年来积累的数据，确定 T1D 的登记趋势。

方法

收集的信息包括性别、诊断时的年龄和 T1D 的诊断日期。我们从 1992 年到 2018 年确定了趋势，分为 3 年间隔。

结果

1992 年至 2018 年，1717 名 T1D 患者在 Komfo Anokye 教学医院的糖尿病诊所登记。男女比例为 1:1.2。在 1992-1994 年期间，10-19 岁年龄组中诊断出的 T1D 患者人数减少，随后在同一年龄组中逐渐增加（从 1995-1997 年的 35.4%增加到 2016-2018 年的 63.2%）。在研究期间，0-9 岁儿童被诊断出的比例下降（从 1992-1994 年的 5.1%下降到 2016-2018 年的 3.6%）。