Exploring the effect of health promotion interventions on years lived with disability for diabetes mellitus type 2 in Denmark between 1990–2019
摘要
Type 2 diabetes (T2D) is increasing, and combined with longer life expectancies, years lived with disabilities (YLD) due to T2D is also expected to increase. We aimed to examine how YLD can be used to evaluate health promotion and primary prevention and analyze which interventions have influenced YLD due to T2D in Denmark.
Subject and methodsThe trend of YLD due to T2D was analyzed using Joinpoint regression. A qualitative analysis of health promotion and primary prevention was combined with the analysis.
ResultsBetween 1990 and 2019 YLD due to T2D increased significantly. National action plans for T2D prioritize early detection and tertiary prevention rather than primary prevention. Owing to decentralized health promotion and primary prevention, there is a lack of data on implemented interventions nationally. Of the main risk factors, only tobacco has seen extensive national prevention interventions implemented.
ConclusionYLD due to T2D and the main risk factors, overweight/obesity, unhealthy diet, and physical activity, are increasing in Denmark. It was not possible to decompose the effect of implemented health promotion and primary prevention on YLD due to T2D because of a lack of data on these interventions.