PDF(Pubmed)
Abstract：
OBJECTIVE: The incidence of chronic kidney disease (CKD) is increasing owing to the ageing population, resulting in an increased demand for dialysis and kidney transplantation, which can be costly. Current research lacks clarity regarding the relationship between residence setting and CKD prevalence or its related risk factors. This study explored the urban-rural disparities in CKD prevalence and risk factors in Taiwan. Our findings will aid the understanding of the distribution of CKD and the design of more effective prevention programmes.
METHODS: This cross-sectional community-based study used the Renal Value Evaluation Awareness and Lift programme, which involves early screening and health education for CKD diagnosis and treatment. CKD prevalence and risk factors including alcohol consumption, smoking and betel nut chewing were compared between urban and rural areas.
METHODS: Urbanisation levels were determined based on population density, education, age, agricultural population and medical resources.
METHODS: A total of 7786 participants from 26 urban and 15 rural townships were included.
RESULTS: The prevalence of CKD was significantly higher in rural (29.2%) than urban (10.8%) areas, representing a 2.7-fold difference (p<0.0001). Risk factors including diabetes (rural vs urban: 21.7% and 11.0%), hypertension (59.0% vs 39.9%), hyperuricaemia (36.7% vs 18.6%), alcohol consumption (29.0% vs 19.5%), smoking (15.9% vs 12.0%), betel nut chewing (12.6% vs 2.8%) and obesity (33.6% vs 19.4%) were significantly higher (p<0.0001) in rural areas.
CONCLUSIONS: The prevalence of CKD is three times higher in rural versus urban areas. Despite >99% National Health Insurance coverage, disparities in CKD prevalence persist between residential areas. Targeted interventions and further studies are crucial for addressing these disparities and enhancing CKD management across different settings.
METHODS: This cross-sectional community-based study used the Renal Value Evaluation Awareness and Lift programme, which involves early screening and health education for CKD diagnosis and treatment. CKD prevalence and risk factors including alcohol consumption, smoking and betel nut chewing were compared between urban and rural areas.
METHODS: Urbanisation levels were determined based on population density, education, age, agricultural population and medical resources.
METHODS: A total of 7786 participants from 26 urban and 15 rural townships were included.
RESULTS: The prevalence of CKD was significantly higher in rural (29.2%) than urban (10.8%) areas, representing a 2.7-fold difference (p<0.0001). Risk factors including diabetes (rural vs urban: 21.7% and 11.0%), hypertension (59.0% vs 39.9%), hyperuricaemia (36.7% vs 18.6%), alcohol consumption (29.0% vs 19.5%), smoking (15.9% vs 12.0%), betel nut chewing (12.6% vs 2.8%) and obesity (33.6% vs 19.4%) were significantly higher (p<0.0001) in rural areas.
CONCLUSIONS: The prevalence of CKD is three times higher in rural versus urban areas. Despite >99% National Health Insurance coverage, disparities in CKD prevalence persist between residential areas. Targeted interventions and further studies are crucial for addressing these disparities and enhancing CKD management across different settings.
摘要：
目的：由于人口老龄化，慢性肾脏病（CKD）的发病率正在增加，导致透析和肾移植的需求增加，这可能是昂贵的。目前的研究尚不清楚居住环境与CKD患病率或其相关危险因素之间的关系。这项研究探讨了台湾CKD患病率和危险因素的城乡差异。我们的发现将有助于了解CKD的分布和设计更有效的预防计划。
方法：这项基于社区的横断面研究使用了肾脏价值评估意识和提升计划，其中涉及CKD诊断和治疗的早期筛查和健康教育。CKD患病率和危险因素，包括饮酒，比较了城市和农村地区的吸烟和槟榔咀嚼。
方法：根据人口密度确定城市化水平，教育,年龄,农业人口和医疗资源。
方法：共纳入来自26个城市和15个农村乡镇的7786名参与者。
结果：农村地区的CKD患病率（29.2%）明显高于城市地区（10.8%），代表2.7倍差异(p<0.0001)。包括糖尿病在内的危险因素（农村和城市：21.7%和11.0%），高血压（59.0％vs39.9％），高尿酸血症（36.7%vs18.6%），饮酒（29.0%vs19.5%），吸烟(15.9%对12.0%)，在农村地区，槟榔咀嚼（12.6％vs2.8％）和肥胖（33.6％vs19.4％）明显更高（p<0.0001）。
结论：农村地区的CKD患病率是城市地区的三倍。尽管超过99%的国民健康保险覆盖率，居住地区之间CKD患病率存在差异。有针对性的干预措施和进一步的研究对于解决这些差异和加强不同环境下的CKD管理至关重要。
方法：这项基于社区的横断面研究使用了肾脏价值评估意识和提升计划，其中涉及CKD诊断和治疗的早期筛查和健康教育。CKD患病率和危险因素，包括饮酒，比较了城市和农村地区的吸烟和槟榔咀嚼。
方法：根据人口密度确定城市化水平，教育,年龄,农业人口和医疗资源。
方法：共纳入来自26个城市和15个农村乡镇的7786名参与者。
结果：农村地区的CKD患病率（29.2%）明显高于城市地区（10.8%），代表2.7倍差异(p<0.0001)。包括糖尿病在内的危险因素（农村和城市：21.7%和11.0%），高血压（59.0％vs39.9％），高尿酸血症（36.7%vs18.6%），饮酒（29.0%vs19.5%），吸烟(15.9%对12.0%)，在农村地区，槟榔咀嚼（12.6％vs2.8％）和肥胖（33.6％vs19.4％）明显更高（p<0.0001）。
结论：农村地区的CKD患病率是城市地区的三倍。尽管超过99%的国民健康保险覆盖率，居住地区之间CKD患病率存在差异。有针对性的干预措施和进一步的研究对于解决这些差异和加强不同环境下的CKD管理至关重要。
