Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
1.
Rev. cuba. endocrinol ; 21(1)ene.-abr. 2010. tab
Article in Spanish | LILACS, CUMED | ID: lil-575503

ABSTRACT

OBJETIVO: identificar posibles diferencias en la carga integral (combinando mortalidad y morbilidad) de la diabetes entre grupos de edad, provincias y sexos; así como evaluar su comportamiento en el tiempo (años 1990 y 2003). MÉTODOS: se utilizó el indicador esperanza de vida saludable, en particular una alternativa que considera la mortalidad y morbilidad por enfermedades específicas (en este caso la diabetes). Para el cálculo del indicador se obtuvo la esperanza de vida usual (no ajustada) a partir de la tabla de vida, considerando solo la mortalidad por diabetes. La esperanza de vida así obtenida se ajustó a partir de la morbilidad (prevalencia y severidad) por esta condición. Se calculó el indicador por sexos, grupos de edades, provincias, y para 1990 y 2003. Se llevó a cabo un análisis de conglomerado con el propósito de resumir e integrar los resultados por provincias. RESULTADOS: la mayoría de los resultados son consistentes para Cuba y la casi totalidad de las provincias para ambos años. Se observó una mayor afectación del sexo femenino (ej. Cuba, 2003, grupo de menos de 1 año, esperanza de vida saludable de 99,17 en hombres vs. 98,67 en mujeres), incremento del aporte de la morbilidad con la edad que alcanza las mayores cifras en el grupo de 60 a 64 años. La evolución de 1990 a 2003 es ascendente para la esperanza de vida y el aporte de la morbilidad, y descendente para la esperanza de vida saludable (ej: Cuba, mujeres, grupo de menos de 1 año, de 99,59 a 99,76; de 0,7 a 1,09 por ciento; y 98,89 a 98,76, respectivamente). Se identificaron provincias con un mayor impacto en términos de esperanza de vida saludable, estas resultaron: Ciudad de La Habana, La Habana, Matanzas (en 1990) y Camagüey (en 2003). CONCLUSIONES: la afectación por diabetes en términos de esperanza de vida saludable se incrementó en el período de estudio en el país, a pesar de la disminución del aporte de la mortalidad(AU)


OBJECTIVE: to identify the possible differences in integral burden (combining mortality and morbidity) of diabetes among the age groups, provinces, sexes, as well as to assesses its behavior in the time (years 1990 and 2003). METHODS: authors used a healthy life expectancy indicator, particularly, an alternative considering the mortality and the morbidity as specific diseases (in this case, diabetes). To estimate the indicator we achieved a common life expectancy (no-adjusted) from a life table, considering only the diabetes mortality. The life expectancy thus obtained was adjusted from morbidity (prevalence and severity) due this condition. We estimated the indicator by sex, age groups, and provinces and also for 1990 and 2003. A cluster analysis was made to resume and to integrate the results by provinces. RESULTS: most of results are consistent for Cuba and almost as the whole of provinces for both years. There was a higher affectation of female sex (e.g.: Cuba, 2003, group aged under one, healthy life expectancy of 99,17 in men versus 98.67 in women), increase of mortality contribution with the age achieving the higher figures in 60-64 age group. The course of 1990 to 2003 is rising for life expectancy and mortality contribution and descending for a healthy life expectancy (e.g. Cuba: women aged under one from 99.59 to 99.76; from 0.7 to 1.09 percent, and from 98.89 to 98.76, respectively). We identified provinces with a higher impact in terms of healthy life expectancy including: Ciudad de La Habana, La Habana, Matanzas (in 1990) and Camaguey (in 2003). CONCLUSIONS: affectation due to diabetes in terms of a healthy life expectancy increased during national study period, despite the decrease of mortality contribution(AU)


Subject(s)
Humans , Life Expectancy/trends , Diabetes Mellitus/mortality , Diabetes Mellitus/epidemiology , Indicators of Quality of Life
2.
Journal of Preventive Medicine and Public Health ; : 434-441, 2008.
Article in Korean | WPRIM | ID: wpr-77805

ABSTRACT

OBJECTIVES: This study was conducted to measure the decline in the health-related quality of life (HRQoL) associated with some diseases in South Korean adults. METHODS: The EQ-5D health states in the 2005 National Health and Nutrition Examination Survey (NHNES) and the Korean EQ-5D valuation set were used to obtain the EQ-5D indexes of the study subjects. Each disease group was defined when the subjects reported to the NHNES that they were diagnosed with the corresponding disease during the previous 1 year by physicians. Since the distributions of the EQ-5D indexes in each subgroup were negatively skewed, median regression analysis was used to estimate the effects of specific diseases on the HRQoL. Median regression analysis produced estimates that approximated the median of the EQ-5D indexes and there are more robust for analyzing data with many outliers. RESULTS: A total of 16,692 subjects (6,667 patients and 10,025 people without any disease) were included in the analysis. As a result of the median regression analysis, stroke had the strongest impact on the HRQoL for both males and females, followed by osteoporosis, osteoarthritis, rheumatic arthritis, and herniation of an intervertebral disc. While asthma had a significant impact on the HRQoL only in men, cataract, temporo-mandibular dysfunction, and peptic ulcer significantly affected the HRQoL only in women. CONCLUSIONS: Stroke and musculoskeletal diseases were associated with the largest losses of the HRQoL in Korean adults.


Subject(s)
Adult , Female , Humans , Male , Middle Aged , Health Status , Korea , Musculoskeletal Diseases/etiology , Quality of Life , Surveys and Questionnaires , Regression Analysis , Sex Factors , Sickness Impact Profile , Stroke/etiology
SELECTION OF CITATIONS
SEARCH DETAIL