Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communities

ObjectiveTo explore the characteristics and associated risk factors of diabetes in patients with schizophrenia living in communities, and to provide a basis for the prevention of diabetes comorbidity in this population.MethodsA stratified cluster sampling was used to randomly select patients with sc...

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Main Authors: ZHANG Yayun, WU Hemin, LU Yi, LIU Yanli, ZHANG Weibo
Format: Article
Language:zho
Published: Shanghai Preventive Medicine Association 2024-11-01
Series:Shanghai yufang yixue
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Online Access:http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24071?viewType=HTML
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author ZHANG Yayun
WU Hemin
LU Yi
LIU Yanli
ZHANG Weibo
author_facet ZHANG Yayun
WU Hemin
LU Yi
LIU Yanli
ZHANG Weibo
author_sort ZHANG Yayun
collection DOAJ
description ObjectiveTo explore the characteristics and associated risk factors of diabetes in patients with schizophrenia living in communities, and to provide a basis for the prevention of diabetes comorbidity in this population.MethodsA stratified cluster sampling was used to randomly select patients with schizophrenia in Shanghai who participated in the free health examination provided by the National Basic Public Health Services in 2020. Statistical methods were employed to analyze the general demographic data, clinical characteristics, and laboratory test results of the study subjects.ResultsThe study included 3 374 individuals with schizophrenia, among which the prevalence of diabetes was 17.01%. Statistically significant differences were observed in terms of age, education level, urban area type, marital status, employment status, duration of illness, blood pressure, body mass index, total cholesterol, and triglyceride levels (all P<0.05). Multivariate logistic regression analysis revealed that living in non-central urban areas (OR=1.76, 95%CI: 1.33‒2.32), disease duration of 6‒ years (OR=2.60, 95%CI: 1.07‒6.32), disease duration of 11‒ years (OR=2.72, 95%CI: 1.17‒6.35), disease duration of 16‒ years (OR=3.38, 95%CI: 1.54‒7.42), hypertension (OR=1.73, 95%CI: 1.27‒2.36), obesity (OR=1.52, 95%CI: 1.15‒2.00), and elevated triglyceride levels (OR=2.78, 95%CI: 2.22‒3.49) were risk factors for diabetes in patients with schizophrenia.ConclusionThe prevalence of diabetes in community-dwelling patients with schizophrenia is higher than that in the general population. It is recommended that appropriate health education and rehabilitation guidance be provided as part of community-based mental health services.
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spelling doaj-art-72d83407764e47f994fe8e40735ed7852025-01-23T23:27:10ZzhoShanghai Preventive Medicine AssociationShanghai yufang yixue1004-92312024-11-0136111011101710.19428/j.cnki.sjpm.2024.240711004-9231(2024)11-1011-07Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communitiesZHANG Yayun0WU Hemin1LU Yi2LIU Yanli3ZHANG Weibo4Shanghai Baoshan Mental Health Center, Shanghai201908, ChinaShanghai Baoshan Mental Health Center, Shanghai201908, ChinaShanghai Baoshan Mental Health Center, Shanghai201908, ChinaShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai200030, ChinaShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai200030, ChinaObjectiveTo explore the characteristics and associated risk factors of diabetes in patients with schizophrenia living in communities, and to provide a basis for the prevention of diabetes comorbidity in this population.MethodsA stratified cluster sampling was used to randomly select patients with schizophrenia in Shanghai who participated in the free health examination provided by the National Basic Public Health Services in 2020. Statistical methods were employed to analyze the general demographic data, clinical characteristics, and laboratory test results of the study subjects.ResultsThe study included 3 374 individuals with schizophrenia, among which the prevalence of diabetes was 17.01%. Statistically significant differences were observed in terms of age, education level, urban area type, marital status, employment status, duration of illness, blood pressure, body mass index, total cholesterol, and triglyceride levels (all P<0.05). Multivariate logistic regression analysis revealed that living in non-central urban areas (OR=1.76, 95%CI: 1.33‒2.32), disease duration of 6‒ years (OR=2.60, 95%CI: 1.07‒6.32), disease duration of 11‒ years (OR=2.72, 95%CI: 1.17‒6.35), disease duration of 16‒ years (OR=3.38, 95%CI: 1.54‒7.42), hypertension (OR=1.73, 95%CI: 1.27‒2.36), obesity (OR=1.52, 95%CI: 1.15‒2.00), and elevated triglyceride levels (OR=2.78, 95%CI: 2.22‒3.49) were risk factors for diabetes in patients with schizophrenia.ConclusionThe prevalence of diabetes in community-dwelling patients with schizophrenia is higher than that in the general population. It is recommended that appropriate health education and rehabilitation guidance be provided as part of community-based mental health services.http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24071?viewType=HTMLschizophreniadiabetescommunitycharacteristiccomorbidity
spellingShingle ZHANG Yayun
WU Hemin
LU Yi
LIU Yanli
ZHANG Weibo
Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communities
Shanghai yufang yixue
schizophrenia
diabetes
community
characteristic
comorbidity
title Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communities
title_full Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communities
title_fullStr Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communities
title_full_unstemmed Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communities
title_short Epidemic characteristics of diabetes in schizophrenic patients in Shanghai communities
title_sort epidemic characteristics of diabetes in schizophrenic patients in shanghai communities
topic schizophrenia
diabetes
community
characteristic
comorbidity
url http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24071?viewType=HTML
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AT luyi epidemiccharacteristicsofdiabetesinschizophrenicpatientsinshanghaicommunities
AT liuyanli epidemiccharacteristicsofdiabetesinschizophrenicpatientsinshanghaicommunities
AT zhangweibo epidemiccharacteristicsofdiabetesinschizophrenicpatientsinshanghaicommunities