Beatrix A Domján1, Viktória Ferencz2, Tímea Tänczer3, Zsófia Szili-Janicsek4, László Barkai5, Tibor Hidvégi6, György Jermendy7, Péter Kempler8, Gábor Winkler9, László Gerő10, Adam G Tabák11. 1. 1st Department of Medicine, Semmelweis University Faculty of Medicine, Korányi S. u. 2/a, Budapest H-1083, Hungary. Electronic address: domjanbeatrix@gmail.com. 2. 1st Department of Medicine, Semmelweis University Faculty of Medicine, Korányi S. u. 2/a, Budapest H-1083, Hungary. Electronic address: viki.ferencz@gmail.com. 3. 1st Department of Medicine, Semmelweis University Faculty of Medicine, Korányi S. u. 2/a, Budapest H-1083, Hungary. Electronic address: tanczer.timea@med.semmelweis-univ.hu. 4. 1st Department of Medicine, Semmelweis University Faculty of Medicine, Korányi S. u. 2/a, Budapest H-1083, Hungary. Electronic address: zsofi1101@gmail.com. 5. Institute of Theoretical Health Sciences, Faculty of Health Care, University of Miskolc, Egyetem út, Miskolc H-3515, Hungary; Velkey László Center for Child Health, Borsod County University Hospital, Szentpéteri kapu 72-76, Miskolc H-3526, Hungary; Postgraduate Institute of Pediatrics, Faculty of Medicine, University of Debrecen, Nagyerdei krt. 98, Debrecen H-4032, Hungary. Electronic address: barkai.l@axelero.hu. 6. Department of Internal Medicine, Aladár Petz County Hospital, Vasvári Pál utca 2-4, Győr H-9023, Hungary. Electronic address: hidvegi@t-online.hu. 7. Department of Medicine, Bajcsy-Zsilinszky Hospital, Maglódi út 89-91, Budapest H-1106, Hungary. Electronic address: gyjermendy@mail.datanet.hu. 8. 1st Department of Medicine, Semmelweis University Faculty of Medicine, Korányi S. u. 2/a, Budapest H-1083, Hungary. Electronic address: kempler.peter@med.semmelweis-univ.hu. 9. Institute of Theoretical Health Sciences, Faculty of Health Care, University of Miskolc, Egyetem út, Miskolc H-3515, Hungary; Department of Medicine and Diabetology, Saint John's Hospital, Diós árok 1, Budapest H-1125, Hungary. Electronic address: gabor.winkler@mail.janoskorhaz.hu. 10. 1st Department of Medicine, Semmelweis University Faculty of Medicine, Korányi S. u. 2/a, Budapest H-1083, Hungary. Electronic address: gero@bel1.sote.hu. 11. 1st Department of Medicine, Semmelweis University Faculty of Medicine, Korányi S. u. 2/a, Budapest H-1083, Hungary; Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. Electronic address: a.tabak@ucl.ac.uk.
Abstract
AIMS: To estimate and compare the prevalence of self-reported diabetes based on nationally representative surveys of the Hungarian adult population in 2002 (published data - Hungarostudy) and a survey in 2012. METHODS: A cross-sectional computer-assisted telephone interview survey on a stratified representative sample of community-dwelling adults (n=1000) in 2012. To describe self-reported diabetes prevalence and its temporal changes generalized linear models were used and results were compared to figures from Hungarostudy. RESULTS: Age standardized prevalence of self-reported type 2 diabetes was 11.7% (95%CI 10.0-13.8%) without gender or rural-urban differences in 2012. People with self-reported diabetes were older than controls (mean [SE]: 63.9 [0.9] vs. 45.9 [0.3] years, p<0.0001). The prevalence of diabetes sharply increased after 40 years of age and peaked at age 70 (27.7% [2.5], page*age<0.0001). The prevalence of self-reported diabetes increased by 89% (OR 1.89, 95%CI 1.53-2.32) from 6.2 to 11.7% between the two surveys with the most pronounced increase in the age group 55-64 years (from 11.6 to 24.4%). CONCLUSIONS: We reported an alarming increase in the prevalence of self-reported type 2 diabetes in the last decade that mostly affects working age people. If this trend continues, a major public health crisis in Hungary can be envisaged.
AIMS: To estimate and compare the prevalence of self-reported diabetes based on nationally representative surveys of the Hungarian adult population in 2002 (published data - Hungarostudy) and a survey in 2012. METHODS: A cross-sectional computer-assisted telephone interview survey on a stratified representative sample of community-dwelling adults (n=1000) in 2012. To describe self-reported diabetes prevalence and its temporal changes generalized linear models were used and results were compared to figures from Hungarostudy. RESULTS: Age standardized prevalence of self-reported type 2 diabetes was 11.7% (95%CI 10.0-13.8%) without gender or rural-urban differences in 2012. People with self-reported diabetes were older than controls (mean [SE]: 63.9 [0.9] vs. 45.9 [0.3] years, p<0.0001). The prevalence of diabetes sharply increased after 40 years of age and peaked at age 70 (27.7% [2.5], page*age<0.0001). The prevalence of self-reported diabetes increased by 89% (OR 1.89, 95%CI 1.53-2.32) from 6.2 to 11.7% between the two surveys with the most pronounced increase in the age group 55-64 years (from 11.6 to 24.4%). CONCLUSIONS: We reported an alarming increase in the prevalence of self-reported type 2 diabetes in the last decade that mostly affects working age people. If this trend continues, a major public health crisis in Hungary can be envisaged.
Authors: Anita Lukács; Edina Horváth; Zsuzsanna Máté; Andrea Szabó; Katalin Virág; Magor Papp; János Sándor; Róza Ádány; Edit Paulik Journal: BMC Public Health Date: 2019-11-15 Impact factor: 3.295