文章摘要
于宁,张梅,张笑,赵振平,李纯,黄正京,张宇姝,邓晓庆,宋子伟,王丽敏.2018年中国成年居民血糖检测情况分析[J].中华流行病学杂志,2022,43(8):1196-1204
2018年中国成年居民血糖检测情况分析
Blood glucose measurement in Chinese adults, 2018
收稿日期:2021-10-15  出版日期:2022-08-13
DOI:10.3760/cma.j.cn112338-20211015-00798
中文关键词: 血糖  检测  健康中国行动指标
英文关键词: Blood glucose  Measurement  Healthy China initiative index
基金项目:国家重点研发计划(2018YFC1311706,2018YFC1311702);国家重大公共卫生服务项目
作者单位E-mail
于宁 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
张梅 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
张笑 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
赵振平 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
李纯 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
黄正京 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
张宇姝 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 
 
邓晓庆 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 
 
宋子伟 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
王丽敏 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 
wanglimin@ncncd.chinacdc.cn 
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中文摘要:
      目的 分析中国≥18岁居民的血糖检测情况,为健康中国行动评估提供科学依据。方法 2018年中国慢性病及危险因素监测在全国31个省(自治区、直辖市)的298个县(区),采用多阶段分层整群随机抽样方法抽取≥18岁常住居民。通过问卷调查获取人口学特征、血糖检测情况、主要慢性病患病情况等信息;通过身体测量获取个体的身高、体重及腰围等信息;采集所有个体的空腹静脉血测定FPG,自报无糖尿病病史者测定服糖后2 h血糖。完成调查且相关信息完整的177 904人作为研究对象。对结果进行复杂加权后,比较不同特征成年人的血糖检测率。结果 未诊断糖尿病的成年居民中,血糖正常、糖尿病前期、新检出血糖升高的居民12个月内血糖检测率分别为32.0%(95%CI:30.5%~33.5%)、39.5%(95%CI:37.4%~41.6%)、43.8%(95%CI:41.0%~46.4%),均为女性高于男性,城市高于农村,随着年龄、文化程度及BMI的增长呈上升趋势,差异均有统计学意义(P<0.05);已诊断糖尿病的成年居民中,6个月内血糖检测率为89.6%(95%CI:88.4%~90.8%),女性高于男性,西部高于东部和中部地区,差异均有统计学意义(P<0.05)。在调查人群中未患、患1、2、≥3种主要慢性病的成年人中,6个月内血糖检测率分别为19.6%(95%CI:18.4%~20.7%)、41.8%(95%CI:40.1%~43.5%)、58.9%(95%CI:57.0%~60.7%)、71.9%(95%CI:69.0%~74.9%),血糖检测率随共病数量的增加呈上升趋势(P<0.001);未患、患1、2种主要慢性病的成年居民中,血糖检测率城市高于农村,随着年龄、文化程度及BMI的增长呈上升趋势,组间差异均有统计学意义(P<0.05);患≥3种主要慢性病的居民血糖检测率女性高于男性(P<0.001),其他分组血糖检测率差异均无统计学意义(P>0.05)。结论 我国成年居民检测血糖的行为有待提高,相关部门应加强宣传教育工作,促进高危人群定期检测血糖,提高糖尿病及其并发症的防治效率。
英文摘要:
      Objective To analyze the status of measuring the blood glucose among Chinese residents aged 18 years and above and to provide a scientific basis for evaluating the Healthy China Initiative. Methods China Chronic Disease and Risk Factor Surveillance were conducted in 298 counties/districts in China in 2018, covering 31 provinces (autonomous regions, municipalities). A multi-stage stratified cluster random sampling method selected permanent residents aged 18 years and above. Questionnaires collected demographic characteristics, blood glucose measurements, and significant chronic disease prevalence. Body measurements were conducted to collect body height, weight, and waist circumference; Fasting venous blood was collected from participants to measure FPG before OGTT-2 h was obtained among participants without a self-reported history of diagnosed diabetes. The analysis included 177 904 residents aged 18 and above. After being weighed, the blood glucose measurement rates of adults in different groups were compared. Results Among adults who had not been diagnosed with diabetes, The blood glucose measurement rates of regular, prediabetes, and newly detected elevated blood glucose within 12 months were 32.0% (95%CI:30.5%-33.5%), 39.5% (95%CI:37.4%-41.6%) and 43.8% (95%CI:41.0%-46.4%), respectively. The measurement rates were higher in females than males; urban was higher than rural. The blood glucose rates increased with age, education, and BMI. These differences were significant (P<0.05). Among the adults with diabetes, the blood glucose measurement rate within six months was 89.6% (95%CI:88.4%-90.8%); the measurement rate was higher in females than in males and higher in the west than in east and central regions of China, with statistical significance (P<0.05). Among adults in the study who did not have 1 or 2 or ≥ 3 major chronic diseases, the blood glucose measurement rates within six months were 19.6% (95%CI:18.4%-20.7%), 41.8% (95%CI:40.1%-43.5%), 58.9% (95%CI:57.0%-60.7%),71.9% (95%CI:69.0%-74.9%), respectively. The blood glucose measurement rate was on the rise and increased with the number of comorbidities (P<0.001). The blood glucose measurement rate of adults who did not have 1 or 2 major chronic diseases was higher in urban areas than in rural areas. The blood glucose rates increased with age, education, and BMI and the differences were significant (P<0.05). The blood glucose measurement rate of adults with ≥ 3 major chronic diseases was higher in females than in males (P<0.001), and there was no difference among other groups (P>0.05). Conclusion It is necessary to promote blood glucose measurement in residents aged 18 years and above in China. Relevant departments should strengthen the publicity and education to promote regular blood glucose measurement for high-risk populations to improve the efficiency of preventing and treating diabetes and its complications.
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