文章摘要
赵艳芳,王卓群,杨静,王丽敏,赵振平,曾新颖,王临虹.中国2013年18~49岁育龄妇女2型糖尿病患病率、知晓率、治疗率和控制率状况分析[J].中华流行病学杂志,2018,39(2):213-217
中国2013年18~49岁育龄妇女2型糖尿病患病率、知晓率、治疗率和控制率状况分析
Prevalence, awareness, status of treatment and control on type 2 diabetes mellitus among Chinese premenopausal women aged 18-49 in 2013
收稿日期:2017-06-13  出版日期:2018-02-10
DOI:10.3760/cma.j.issn.0254-6450.2018.02.015
中文关键词: 糖尿病,2型;育龄妇女;患病率;知晓率;治疗率;控制率
英文关键词: Type 2 diabetes mellitus;Childbearing women;Prevalence;Awareness;Treatment;Control
基金项目:
作者单位E-mail
赵艳芳 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心科教与国际合作室  
王卓群 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心科教与国际合作室  
杨静 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心科教与国际合作室  
王丽敏 100050 北京, 中国疾病预防控制中心危险因素监测室  
赵振平 100050 北京, 中国疾病预防控制中心危险因素监测室  
曾新颖 100050 北京, 中国疾病预防控制中心综合防控与评价室  
王临虹 中国疾病预防控制中心慢性非传染性疾病预防控制中心 linhong@chinawch.org.cn 
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中文摘要:
      目的 分析2013年中国18~49岁育龄妇女2型糖尿病患病水平及知晓、治疗和控制情况。方法 2013年在中国慢性病及其危险因素监测的302个监测点,采用多阶段分层整群随机抽样方法调查≥ 18岁居民共计176 534人,其中18~49岁女性46 674人。每名调查对象抽取静脉血测定FPG和糖化血红蛋白。自报无糖尿病病史者测定服糖后2 h血糖(OGTT-2 h)。糖尿病诊断标准依据1999年WHO糖尿病诊断标准FPG ≥ 7.0 mmol/L和/或OGTT-2 h ≥ 11.1 mmol/L。对样本经过复杂加权后,计算不同年龄、教育程度、城乡地区居民的糖尿病患病率及知晓率、治疗率和控制率。结果 中国18~49岁育龄妇女2型糖尿病患病率为5.6%,其中城市为5.7%,农村为5.4%;东、中、西部地区分别为5.8%、6.2%和4.4%,中、东部地区高于西部地区。在糖尿病人群中,患病知晓率、治疗率和控制率分别为29.3%、27.9%和29.4%;知晓自己患糖尿病的育龄妇女治疗率为95.4%,采取措施治疗的育龄妇女糖尿病控制率为38.9%;育龄妇女糖尿病知晓率呈现城市高于农村,治疗率在不同教育程度组间的差异有统计学意义,但趋势检验差异无统计学意义。结论 中国18~49岁育龄妇女2型糖尿病患病率较高,且无明显的城乡差异;而糖尿病知晓率、治疗率和控制率均处于较低水平,具有明显的城乡差异。
英文摘要:
      Objective To analyze the rates on prevalence, awareness, status on treatment and control of type 2 diabetes mellitus among Chinese premenopausal women aged 18-49, in 2013. Methods Data on China Chronic and Non-Communicable Disease Surveillance in year 2013 was used for analysis. Source of data covered 302 surveillance points which were selected by Multi-stage cluster random sampling method that including 176 534 adults over 18 years of age, with 46 674 premenopausal women aged 18-49. Plasma glucose and hemoglobin A1c levels were determined after a 10-hour overnight fast for all the participants, before a 2-hour oral glucose tolerance test was conducted among participants without a self-reported history of diagnosed diabetes. Diabetes was defined according to the 1999 WHO diagnostic criteria-fasting blood glucose level as ≥ 7.0 mmol/L and/or 2 hours oral glucose tolerance test (OGTT-2 h) level as ≥ 11.1 mmol/L. After being weighed, according to complex sampling scheme and post-stratification, the sample was used to estimate the rates of prevalence, awareness, treatment and control of type 2 diabetes mellitus by age, education, urban and rural areas, and geographic locations. Results The overall prevalence of type 2 diabetes mellitus was 5.6% among the Chinese premenopausal women aged 18-49. No statistical difference on the prevalence rates (5.7% and 5.4%, respectively) was seen, between participants from the rural or the urban areas. Prevalence rates in the eastern, central or western geographic areas were 5.8%, 6.2% and 4.4% respectively. The rates of awareness, treatment and control of diabetes appeared as 29.3%, 27.9% and 29.4% in childbearing women aged 18-49. The rate of treatment was 95.4% among those who knew their diabetic situation in childbearing women aged 18-49 years. The control rate of diabetes was 38.9% among those who had taken measures to control glucose, in 18-49-year-old childbearing women. The rate of awareness on diabetes in childbearing women aged 18-49 years in urban areas was higher than that in the rural areas. There were significantly statistical differences on the treatment rates among groups of different education levels but not in the trend test. Conclusion The prevalence of type 2 diabetes mellitus in childbearing women aged 18-49 appeared high, but with low rates on awareness, treatment and control. However, statistical difference was seen on awareness, between urban and rural areas.
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