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糖尿病,全球增长最快的公共卫生问题:应关注早期检测。

Diabetes mellitus, the fastest growing global public health concern: Early detection should be focused.

作者信息

Hossain Md Jamal, Al-Mamun Md, Islam Md Rabiul

机构信息

Department of Pharmacy, School of Pharmaceutical Sciences State University of Bangladesh Dhaka Bangladesh.

Department of Sociology Bangabandhu Sheikh Mujibur Rahman Science and Technology University Gopalganj Bangladesh.

出版信息

Health Sci Rep. 2024 Mar 22;7(3):e2004. doi: 10.1002/hsr2.2004. eCollection 2024 Mar.

Abstract

BACKGROUND AND AIMS

Diabetes is recognized as a significant factor in both mortality and morbidity worldwide, affecting various demographics regardless of geographic location, age group, or gender. This correspondence aims to express concern and draw the attention of leaders and policymakers worldwide to this critical public health issue.

METHODS

A thorough literature search was conducted utilizing various databases, including Google Scholar, PubMed, Science Direct, and the International Diabetes Federation (IDF) website, to collect the required data. Keywords were strategically applied to enhance search results, with preference given to English-language articles containing pertinent information.

RESULTS

According to the 2021 report by the IDF, approximately 537 million individuals globally were affected with diabetes, constituting roughly 10.5% of the world's populace. This condition incurred healthcare expenditures totaling $966 billion. Projections indicate a surge in diabetes cases to 783 million by 2045, with associated healthcare costs estimated to surpass $1054 billion. However, almost half of all people with diabetes are unaware of their medical condition, with the highest prevalence of undiagnosed diabetes Mellitus (DM) found in low and middle-income countries (LMICs) of the regions of Africa, the Western Pacific, and Southeast Asia.

CONCLUSION

Collaborating with the World Health Organization (WHO), LMIC governments should improve healthcare accessibility, including more frequent diabetes screenings for individuals aged ≥ 45 years and younger individuals at elevated risk of having a family history.

摘要

背景与目标

糖尿病被公认为全球死亡率和发病率的一个重要因素,无论地理位置、年龄组或性别如何,都会影响不同人群。本信函旨在表达关切,并引起全球领导人和政策制定者对这一关键公共卫生问题的关注。

方法

利用包括谷歌学术、PubMed、科学Direct和国际糖尿病联合会(IDF)网站在内的各种数据库进行了全面的文献检索,以收集所需数据。策略性地应用关键词以提高搜索结果,优先选择包含相关信息的英文文章。

结果

根据IDF 2021年的报告,全球约有5.37亿人患有糖尿病,约占世界人口的10.5%。这种疾病产生的医疗费用总计9660亿美元。预测表明,到2045年糖尿病病例将激增至7.83亿,相关医疗费用估计超过10540亿美元。然而,几乎一半的糖尿病患者不知道自己的病情,在非洲、西太平洋和东南亚地区的低收入和中等收入国家(LMICs)中,未确诊糖尿病(DM)的患病率最高。

结论

低收入和中等收入国家政府应与世界卫生组织(WHO)合作,提高医疗服务的可及性,包括对45岁及以上人群以及有家族病史的高危年轻人群更频繁地进行糖尿病筛查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce41/10958528/12cbdb5d4238/HSR2-7-e2004-g001.jpg

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