| 俞敏,陆凤,胡如英,方乐,王浩,张洁,何青芳,王立新,叶真.浙江省糖尿病患者血糖知晓控制状况及影响因素分析、治疗[J].中华流行病学杂志,2013,34(11):1063-1067 |
| 浙江省糖尿病患者血糖知晓控制状况及影响因素分析、治疗 |
| Factors associated with awareness,treatment and control OH diabetes in Zhejiang |
| 收稿日期:2013-06-14 出版日期:2014-09-18 |
| DOI：10.3760/cma.j.issn.0254-6450.2013.011.004 |
| 中文关键词: 糖尿病 知晓 治疗 控制 |
| 英文关键词: abetes Awareness Treatment Control |
| 基金项目:浙江省科技厅2011年度省重大科技专项(2011C13032—1) |
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| 中文摘要: |
| 目的了解浙江省糖尿病患者血糖知晓、治疗、控制状况及其影响因素。方法2010年采用多阶段分层整群随机抽样方法，对浙江省≥18周岁居民进行问卷调查及身高、体重、血压、空腹血糖、2 h餐后血糖和血脂等指标检测。结果最终完成全部调查项目17 437人，其中糖尿病患者1529人。糖尿病患者的知晓率、治疗率、控制率分别为59.19%、46.63%、23.87%，其中糖尿病知晓者的治疗率为78.78%，糖尿病治疗者的控制率为51.19%。多因素logistic回归显示，年龄大、有糖尿病家族史的糖尿病患者知晓率高，而饮酒、肥胖的糖尿病患者的知晓率低；小学文化程度(与文盲比较)、有高血压病史、糖尿病病程长可增加糖尿病的治疗率；糖尿病病程长及甘油三酯、总胆固醇水平升高可降低血糖控制率。结论浙江省糖尿病知晓率、治疗率、控制率均处于较低水平，应高度重视其影响因素，进一步落实糖尿病患者分级管理。 |
| 英文摘要: |
| 0bjective To investigate factors associated with awareness,treatment and controlof diabetes in Zheiiang.Methods Subjects under study were selected among local residents aged≥1 8 years old by multi stage stratified-random sampling method.All participants received ph)rsicalexaminations including blood tests for lipids,fasting blood glucose,2 h blood glucose and ph)7sicalmeasurements for obesity and blood pressure in the year 2010.Results Totally.17437 resicentswere fjnally included in the study.including 1529 patients with diabetes.The rates of awareness,treatment and control ofdiabetes among the subjects under study,were 59.19%,46.63%and 23.87%,respectively.Rate of treatment in patients with awareness of diabetes and the rate of under controlamong patients with treated diabetes were 78.78%and 5 1.1 9%respectively.Data from multivariatelogistic regression method showed that factors as older age,having family history of diabetes wereassociated with higher awareness of diabetes.being alcohol drinker and obese patients with lowerawareness etc.Treatment rate was significantly higher among those patients with primary educationthan those under situations as illiteracy.hypertension and longer course of diabetes.The control ratewas significantly lower among patients with longer course of diabetes and dyslipidemia.Conclusion Low rate on awareness,treatment and control of diabetes need to be changed. |
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