四川省彭州市糖尿病患病率及相关因素分析

孙强; 陈小芳; 吴先萍; 罗国金; 李建国; 王宏; 陈晓芳; 卞铮; 郭彧

Abstract

孙强,陈小芳,吴先萍,罗国金,李建国,王宏,陈晓芳,卞铮,郭彧.四川省彭州市糖尿病患病率及相关因素分析[J].Chinese journal of Epidemiology,2016,37(8):1091-1094

四川省彭州市糖尿病患病率及相关因素分析

Prevalence of diabetes and related factors in Pengzhou city, Sichuan province

Received:January 08, 2016

DOI：10.3760/cma.j.issn.0254-6450.2016.08.007

KeyWord: 糖尿病患病率知晓率治疗率

English Key Word: Diabetes mellitus Prevalence rate Awareness rate Treatment rate

FundProject:国家自然科学基金（81390541，81390544）；香港Kadoorie Charitable Foundation；英国Wellcome Trust（088158/Z/09/Z）

Author Name	Affiliation	E-mail
Sun Qiang	Division of Chronic Disease, Pengzhou Center for Disease Control and Prevention of Sichuan Province, Pengzhou 611930, China
Chen Xiaofang	Division of Chronic Disease, Pengzhou Center for Disease Control and Prevention of Sichuan Province, Pengzhou 611930, China	654344010@qq.com
Wu Xianping	Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China
Luo Guojin	Pengzhou Center for Disease Control and Prevention of Sichuan Province, Pengzhou 611930, China
Li Jianguo	Pengzhou Center for Disease Control and Prevention of Sichuan Province, Pengzhou 611930, China
Wang Hong	Division of Chronic Disease, Pengzhou Center for Disease Control and Prevention of Sichuan Province, Pengzhou 611930, China
Chen Xiaofang	Division of Chronic Disease, Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China
Bian Zheng	Chinese Academy of Medical Sciences, Beijing 100730, China
Guo Yu	Chinese Academy of Medical Sciences, Beijing 100730, China

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Abstract:

目的了解四川省彭州市糖尿病流行及治疗管理状况，探讨糖尿病患病相关危险因素，为糖尿病三级预防提供参考依据。方法利用中英合作项目“中国慢病前瞻性研究”四川省基线调查人群数据，分析彭州市不同特征人群糖尿病患病情况及知晓、治疗及控制情况；利用logistic回归分析糖尿病患病的影响因素。结果彭州市30～79岁人群糖尿病患病率为3.7%，知晓率、治疗率和控制率分别为45.2%、36.6%、17.6%。高年龄组、高教育程度、高收入、非农民职业人群的患病率、知晓率、控制率高于其他人群。年龄大（OR=5.50，95% CI：4.77～6.34）、教育程度低（OR=0.43，95% CI：0.38～0.49）、家庭年收入低（OR=0.86，95% CI：0.82～0.90）、糖尿病家族史（OR=3.15，95% CI：2.72～3.65）、患高血压（OR=2.94，95% CI：2.70～3.21）、吸烟（OR=2.11，95% CI：1.84～2.42）、水果摄入频率低（OR=3.62，95% CI：3.23～4.07）、静坐时间长（OR=1.28，95% CI：1.16～1.41）、体力活动少（OR=2.11，95% CI：1.89～2.35）、超重或肥胖（OR=2.33，95% CI：2.04～2.65）等是糖尿病患病的影响因素。结论彭州市糖尿病知晓率、治疗率和控制率低，应加强全人群健康教育，倡导健康生活方式，重视老年人群糖尿病治疗和控制，规范糖尿病患者管理。

English Abstract:

Objective To study the prevalence, treatment and related risk factors of diabetes in Pengzhou city, so as to provide reference for the three-tier related prevention programs. Methods Baseline survey of population of Sichuan province from the China Kadoorie Biobank, was used to analyze the prevalence and treatment of diabetes in Pengzhou city. Logistic regression model was used to analyze the influencing factors on diabetes. Results The prevalence rate of diabetes was 3.7% in the 30-79 year-old groups in Pengzhou with the awareness rate, treatment rate and control rate as 45.2%, 36.6% and 17.6%, respectively. The prevalence rate, awareness rate and control rate appeared in the older age groups, high education level group, high income group and non-farming population group, were higher than that seen in the other groups. Factors as older age (OR=5.50, 95%CI:4.77-6.34), low education (OR=0.43, 95%CI:0.38-0.49), family with low income (OR=0.86, 95%CI:0.82-0.90), family history of diabetes (OR=3.15, 95%CI:2.72-3.65), hypertension (OR=2.94, 95%CI:2.70-3.21), smoking (OR=2.11, 95%CI:1.84-2.42), low fruit intake (OR=3.62, 95%CI:3.23-4.07), sedentary leisure time (OR=1.28, 95%CI:1.16-1.41), physical activities (OR=2.11, 95%CI:1.89-2.35), overweight or obesity (OR=2.33, 95%CI:2.04-2.65), etc. were the risk factors of diabetes. Conclusions Rates related to the awareness, treatment and control of diabetes in Pengzhou city were low. Programs on health education should be strengthened in all the population with contents focusing on healthy lifestyle. Special attention should be paid on the treatment and control of diabetes in the elderly population. Patients with diabetes should follow the standardized management programs.

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