[[alternative]]A study on elderly diabetes prevalence and related chronic diseases in Taiwan

[[abstract]]zh-TW摘要目標：本研究旨在探討我國65歲以上老人糖尿病的盛行率及其相關慢性病(包括高血壓、中風及視網膜疾病)與糖尿病相關的影響因素。方法：使用國家衛生研究院發行之國民健康局的2009年國民健康訪問調查，以得到老年人的資料。使用複邏輯斯迴歸分析老人糖尿病的相關影響因素。結果： 2009年我國國民健康訪問調查中老人共計有2,904位，有513人(17.67%)罹患糖尿病。有、無糖尿病老人的高血壓百分比，分別為66.67%與46.17%；中風百分比，分別為13.45% 與6.48%；視網膜疾病百分比，分別為6.62%與2.09%。有、無糖尿病老人的慢性病數量，無任何慢性病分別為28.07%與50.77 %；有一種慢性病分別為54.39% 與43.58 %；有兩種慢性病分別為16.18% 與5.60 %；有三種慢性病分別為1.36% 與0.04%。在罹患糖尿病後的行為改變，其與糖尿病的相關影響因素方面，教育程度為不識字、國中、有少飲酒、及有飲食控制的老人，糖尿病的相關影響因素風險分別為1.85、1.64、1.48與1.78。而有少吸菸的老人，糖尿病的相關影響因素風險則減少為0.68。結論：2009年我國老人糖尿病盛行率為17.67%，罹患糖尿病老人的其他三種慢性病，無論百分比或種類都高於無糖尿病老人。影響老人糖尿病之相關影響因素，教育程度為不識字、國中、有少飲酒、及有飲食控制的老人，糖尿病的相關風險比較高，而有少吸菸的老人，糖尿病相關風險則比較低。[[abstract]]AbstractObjectives: This study was aimed to analyze prevalence and related chronic diseases in elderly age ≧65 years diabetic patient in Taiwan and their associated health behaviors .Methods: Data from 2009 National Health Interview Survey (NHIS 2009), provided by the National Health Research Institutes (NHRI) were used. A multivariate logistic regression model was used to assess various factors influencing diabetes status. Results: There were 2904 elderly subjects in the NHIS 2009 survey, of which 513 (17.67%) were diagnosed as diabetics. Among those diabetic patient, 66.67% were associated with hypertension, comparing with 46.17% of elderly without diabetics. History of CVA (Cerebral Vascular Accident) and retinal disease were found in patients with diabetics and those without diabetics were 13.45% vs 6.48% and 6.62% vs 2.09% observed respectively. Elderly patients with and without diabetics who were associated with no chronic disease were 28.07% and 50.77%. Higher rate of association with one, two and three chronic diseases were observed in elderly patients with diabetics comparing with those without diabetics. 54.39% vs 43.58%, 16.18% vs 5.60%, 1.36% vs 0.04% respectively for one, two and three chronic diseases seen in diabetic patients and those without. Illiteracy, education level up to junior high school, social alcoholic drinking and those on diet control were found to associate with behavior changes have higher risk related to diabetic development. (odds ratio of 1.85, 1.64, 1.48 and 1.78 respectively) On the other hand, lesser smoking habits was found to associate with lower odds ratio of 0.68 related to diabetics.Conclusion: Prevalence of diabetic mellitus was 17.67% for elderly patients in 2009 in Taiwan. Higher rate and three types of chronic disease association were found in diabetics comparing with those without diabetics in elderly subjects. Illiteracy, education level up to junior high school, social alcoholic drinking and diet control were related with higher risk in development of diabetics, while lower risk was observed in lesser smoking habits