文章摘要
靳荣荣,李娟娟,张娟,李晋磊,边峰,邓桂娟,马帅,苏夏雯,赵静,江宇.国家慢性病综合防控示范区居民糖尿病管理情况分析[J].中华流行病学杂志,2018,39(4):407-411
国家慢性病综合防控示范区居民糖尿病管理情况分析
Management programs on diabetes among Chinese adults in the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases
收稿日期:2017-10-27  出版日期:2018-04-18
DOI:10.3760/cma.j.issn.0254-6450.2018.04.004
中文关键词: 慢性病  国家慢性病综合防控示范区  糖尿病  管理
英文关键词: Non-communicable diseases  National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases  Diabetes  Management
基金项目:国家卫生和计划生育委员会委托项目
作者单位E-mail
靳荣荣 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
李娟娟 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
张娟 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院 zhangjuan@sph.pumc.edu.cn 
李晋磊 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
边峰 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
邓桂娟 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
马帅 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
苏夏雯 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
赵静 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
江宇 100730 北京, 中国医学科学院/北京协和医学院公共卫生学院  
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中文摘要:
      目的 通过国家慢性病综合防控示范区(示范区)横断面调查,对≥ 35岁居民糖尿病管理现状及影响因素进行评价。方法 在2016年11-12月,采用多阶段整群抽样方法,对示范区≥ 18岁常住居民进行入户问卷调查,描述糖尿病自报患病、治疗及管理情况等,采用非条件logistic回归模型分析糖尿病管理影响因素。结果 ≥ 35岁居民3 213例。糖尿病患者自报患病率为11.48%(369/3 213)、自报治疗率为83.20%(307/369)、自报管理率为69.92%(258/369)、自报规范化管理率为53.66%(198/369),其中55~64岁年龄组自报管理率(76.32%)和规范化管理率(59.65%)较高。多因素分析结果显示,自报慢性病管理实施评分较高的示范区糖尿病自报管理率(OR=3.499,95% CI:1.865~6.563)较高。东部地区(OR=2.942,95% CI:1.547~5.594)、已签约家庭医生者(OR=5.661,95% CI:3.237~9.899)以及未患有高血压者(OR=1.717,95% CI:1.010~2.920)的糖尿病规范化管理率也较高。结论 糖尿病防治和管理工作已达到示范区要求目标,示范区创建工作推动了糖尿病规范化管理工作的具体落实和深入开展。
英文摘要:
      Objective To understand the current situation on management of diabetes mellitus patients aged 35 and above in the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases, in China. Methods Local residents, aged 18 years and above were randomly selected by a complex, multistage, probability sampling method. Face-to-face questionnaire survey was carried out between November and December 2016. Rates regarding prevalence, treatment and management of diabetes were calculated, and influencing factors of diabetes were analyzed by using the non-conditional logistic regression model. Results A total of 3 213 residents aged ≥ 35 years were included in this study, of which 11.48% (369/3 213) reported that they had ever been informed by a doctor or other health worker that their blood sugar level was high or being diabetic. The rate of self-reported treatment among the diabetic patients was 83.20% (307/369). Rates on overall management and standardized management were 69.92% (258/369) and 53.66% (198/369), respectively. Higher rates were seen in residents aged 55 to 64 years, 76.32% for overall management and 59.65% for standardized management. Through multiple logistic regression analysis, we found that standardized management for diabetes was much higher in the Demonstration Areas located in the eastern areas (OR=2.942, 95% CI:1.547-5.594), or patients with characteristics including high implementation score (OR=3.499, 95% CI:1.865-6.563), already signed family doctors (OR=5.661, 95% CI:3.237-9.899), or without hypertension (OR=1.717, 95% CI:1.010-2.920). Residents who were living in the first and second batch areas of implementation or responding to the NCDs with positive attitude were more likely to accept standardized management. Conclusion Prevention and management programs on diabetes had met the requirements set for the Demonstration Areas which had promoted the specific implementation and further development of standardized management on diabetes.
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