Evaluation of the diabetes care cascade and compliance with WHO global coverage targets in Iran based on STEPS survey 2021

被引：11

作者：

Azadnajafabad, Sina ^{[1
]}

Ahmadi, Naser ^{[1
]}

Rezaei, Negar ^{[1
]}

Rashidi, Mohammad-Mahdi ^{[1
]}

Moghaddam, Sahar Saeedi ^{[1
,2
]}

Mohammadi, Esmaeil ^{[1
,3
]}

Abbasi-Kangevari, Mohsen ^{[1
]}

Naderian, Mohammadreza ^{[1
,4
]}

Ghasemi, Erfan ^{[1
]}

Farzi, Yosef ^{[1
]}

Kazemi, Ameneh ^{[1
]}

Dilmaghani-Marand, Arezou ^{[1
]}

Yoosefi, Moein ^{[1
,5
]}

Rezaei, Shahabeddin ^{[1
,6
]}

Nasserinejad, Maryam ^{[1
,7
]}

Fattahi, Nima ^{[1
,8
]}

Rezaei, Nazila ^{[1
]}

Haghshenas, Rosa ^{[1
]}

Mehr, Elmira Foroutan ^{[1
]}

Koolaji, Sogol ^{[1
]}

Razi, Farideh ^{[9
]}

Djalalinia, Shirin ^{[10
]}

Larijani, Bagher ^{[11
]}

Farzadfar, Farshad ^{[1
,11
,12
]}

机构：

[1] Univ Tehran Med Sci, Endocrinol & Metab Populat Sci Inst, Non Communicable Dis Res Ctr, Tehran, Iran

[2] Kiel Inst World Econ, Kiel, Germany

[3] Univ Oklahoma, Dept Neurol Surg, Hlth Sci Ctr, Oklahoma City, OK USA

[4] Univ Tehran Med Sci, Cardiovasc Dis Res Inst, Tehran Heart Ctr, Tehran, Iran

[5] Mem Univ Newfoundland, Dept Math & Stat, St John, NF, Canada

[6] Ohio State Univ, Human Nutr Program, Dept Human Sci, Columbus, OH USA

[7] Univ Oulu, Fac Med, Ctr Life Course Hlth Res, Oulu, Finland

[8] Yale Sch Med, Dept Internal Med, New Haven, CT USA

[9] Univ Tehran Med Sci, Endocrinol & Metab Res Inst, Metabol & Genom Res Ctr, Tehran, Iran

[10] Minist Hlth & Med Educ, Dev Res & Technol Ctr, Deputy Res & Technol, Tehran, Iran

[11] Univ Tehran Med Sci, Endocrinol & Metab Clin Sci Inst, Endocrinol & Metab Res Ctr, Tehran, Iran

[12] Univ Tehran Med Sci, Endocrinol & Metab Populat Sci Inst, Non Communicable Dis Res Ctr, Second Floor,10 Jalal Al E Ahmad Highway, Tehran 1411713137, Iran

来源：

SCIENTIFIC REPORTS | 2023年 / 13卷 / 01期

关键词：

IMPAIRED GLUCOSE-TOLERANCE; MIDDLE-INCOME COUNTRIES; FASTING GLUCOSE; RISK-FACTORS; PREVALENCE; ADULTS; TRENDS; STATE;

D O I：

10.1038/s41598-023-39433-7

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

This study aimed to investigate the diabetes mellitus (DM) and prediabetes epidemiology, care cascade, and compliance with global coverage targets. We recruited the results of the nationally representative Iran STEPS Survey 2021. Diabetes and prediabetes were two main outcomes. Diabetes awareness, treatment coverage, and glycemic control were calculated for all population with diabetes to investigate the care cascade. Four global coverage targets for diabetes developed by the World Health Organization were adopted to assess the DM diagnosis and control status. Among 18,119 participants, the national prevalence of DM and prediabetes were 14.2% (95% confidence interval 13.4-14.9) and 24.8% (23.9-25.7), respectively. The prevalence of DM treatment coverage was 65.0% (62.4-67.7), while the prevalence of good (HbA1C < 7%) glycemic control was 28.0% (25.0-31.0) among all individuals with diabetes. DM diagnosis and statin use statics were close to global targets (73.3% vs 80%, and 50.1% vs 60%); however, good glycemic control and strict blood pressure control statistics, were much way behind the goals (36.7% vs 80%, and 28.5% vs 80%). A major proportion of the Iranian population are affected by DM and prediabetes, and glycemic control is poorly achieved, indicating a sub-optimal care for diabetes and comorbidities like hypertension.

引用

页数：9

共 41 条

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