Diabetes mellitus and comorbidity. Change between 1984-1986 and 1995-1997: results of the Nord-Trøndelag Health Study.
The prevention of diabetic complications is a challenge to the health services. A health survey was carried out in the Nord-Trøndelag county of Norway during the period 1984-1986 (77,224 respondents) and repeated in 1995-1997 (65,599 respondents). In this study, self-reports of diabetes and other diseases and impairments in the two screenings are compared. Did respondents report more or less morbidity in 1995-1997 than in 1984-1986? Comparisons between self-reports in the two surveys show higher morbidity among young people (below 40 years of age) in 1995-1997 than in 1984-1986, both among people with and without diabetes, but the change was not statistically significant. For the middle-aged (40-59 years of age), there were smaller changes. For older people (above 60 years of age) with diabetes, there was a decrease in some of the reported morbidity, namely for cerebral stroke, mobility impairment, and impairment due to other physical diseases, compared to older people without diabetes. There was a slight increase in reported vision impairment, but smaller than for people without diabetes. The changes in relative risk for people with stroke, mobility and vision impairment, and other physical disease are statistically significant. Splitting the sample according to gender, this trend was only significant among women.
Naess
Siri
S
NOVA-Norwegian Social Research, P.B. 3223 Elisenberg, 0208, Oslo, Norway. siri.nass@nova.no
Eriksen
John
J
Midthjell
Kristian
K
Tambs
Kristian
K
D000328:Adult; D000367:Age Factors; D000368:Aged; D000787:Angina Pectoris / Q000453:epidemiology*; D002543:Cerebral Hemorrhage / Q000453:epidemiology*; D015897:Comorbidity / Q000639:trends; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology*; D009664:Norway / Q000453:epidemiology; D016017:Odds Ratio; D012016:Reference Values; D020521:Stroke / Q000453:epidemiology*