浙江省成人糖尿病患病率调查  

A survey of the prevalence of diabetes mellitus in adults of Zhejiang province

作　　者：叶真[1] 丛黎明[1] 丁钢强[1] 张新卫[1] 王浩[1] 胡如英[1] 张洁[1] 何青芳[1] 董凤芹[2] 王立新[1] 赵鸣[1] 苏丹婷[1] 龚巍巍[1] 方乐[1] 潘劲[1] 

机构地区：[1]浙江省疾病预防控制中心,杭州310051 [2]浙江大学医学院附属第一医院

出　　处：《中华内分泌代谢杂志》2011年第12期988-991,共4页Chinese Journal of Endocrinology and Metabolism

基　　金：浙江省代谢综合征流行现状与干预策略研究2011年度浙江省重大科技专项计划项目（2011C13032-1）致谢本次调查得到15个样本点卫生局、疾控中心的大力支持.对所有参与单位和工作人员的辛勤付出表示由衷的感谢!

摘　　要：目的 了解浙江省18岁以上城乡居民糖尿病流行特征及知晓情况.方法 采用多阶段分层随机整群抽样的方法,于2010年7月至11月对浙江省15个县区17437例18岁以上的居民进行横断面调查.调查内容包括问卷调查、医学体检和血样采集.结果 浙江省18岁以上居民经年龄、性别和地区调整后的糖尿病标化患病率为5.94％（粗患病率8.80％）,与2002年浙江省患病率3.02％相比,8年的患病率增幅达到96.67％.城市和农村糖尿病标化患病率分别为7.52％（粗患病率11.33％）和5.19％（粗患病率7.09％）,城市和农村标化患病率差异有显著性（u=6.58,P＜0.05）.男性和女性标化患病率分别是5.74％（粗患病率8.36％）、6.15％（粗患病率9.13％）,男性和女性糖尿病标化患病率差异无显著性（u=1.39,P＞0.05）；浙江省居民糖尿病知晓率为59.19％,男性知晓率56.66％,女性知晓率61.23％,男性和女性糖尿病知晓率差异无显著性（x2=3.26,P＞0.05）.城市居民知晓率为63.47％,农村知晓率为54.69％.城市农村居民糖尿病知晓率差异有显著性（x2=12.20,P＜0.01）.结论 浙江省糖尿病患病率呈快速增长趋势,应及早采取有效的干预措施.Objective To study the epidemiological characteristics of diabetes mellitus and awareness rate in Zhejiang adults.Method A total of 17 437 adults from 15 counties were randomly selected with stratified multi-stage cluster sampling method from July to November,2010.Each participant was required to complete a set of standardized questionnaire,physical examination,and blood specimen collection.Results The overall standardized rate of diabetes mellitus was 5.94% （ crude prevalence 8.80% ）.It was increased by 96.67% during past 8 years,as compared with the prevalence 3.02% in 2002.The standardized rate of diabetes mellitus of the urban and rural area were 7.52% and 5.19% （ crude prevalence 11.33% and 7.09% ）,respectively.The standardized rate of diabetes mellitus in the urban was higher than rural （ u =6.58,P〈0.05 ）.The standardized rate of diabetes mellitus of the male and the female were 5.74% and 6.15% （ crude prevalence 8.36% and 9.13% ）,respectively,without significant difference （ u =1.39,P〉0.05 ）.The awareness rate of diabetes mellitus was 59.19% （ 56.66% in male and 61.23 % in female,x2 =3.26,P〉0.05 ）.The awareness rate of the urban was higher than the rural （63.47% vs 54.69%,x2=12.20,P〈0.01 ）.Conclusion The prevalence of diabetes mellitus showed a rapidly rising trend in Zhejiang province.The effective intervention should be taken at its early stage.

关 键 词：糖尿病 患病率 知晓率 

分 类 号：R587.1[医药卫生—内分泌]