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作 者:季奎[1] 刘潇霞[1] 邓颖[1] 曾晶[1] 陈荔[2]
机构地区:[1]四川省疾病预防控制中心,成都61004 [2]四川大学华西第四医院
出 处:《预防医学情报杂志》2015年第4期278-281,共4页Journal of Preventive Medicine Information
摘 要:目的了解四川省流动人口中糖尿病流行情况、自报糖尿病患者对卫生服务资源的利用情况和影响因素,为探索针对流动人口的糖尿病防治和管理工作提供依据。方法利用中国慢性病及其危险因素监测2012年流动人口专题调查四川省数据,分析流动人口糖尿病流行情况及其对卫生服务利用情况,并采用Logistic回归分析影响患病的主要因素。结果共调查2 373名流动人口,糖尿病患病率为4.8%,其中男性5.2%,女性4.6%;糖尿病知晓率为27.8%;自报患者中治疗率为81.3%,但控制率仅6.5%,有59.4%自报患者没有参加居住地的糖尿病管理;年龄大、患高血压、超重是流动人口患糖尿病的危险因素,而性别和行业间无统计学意义。结论此次调查的流动人口中糖尿病患病率低于常住居民,糖尿病知晓率和控制率较低,参与基层糖尿病管理率较低;应探索适合流动人口的糖尿病管理和治疗防治模式,加强宣传教育和早期筛查,及早控制超重等可控危险因素,加强对流动人口的其本公共卫生服务。Objective To investigate the prevalence of diabetes among floating population,the health services utilization and associated factors among self-reported diabetes patients,and thus to provide a basis for exploring the prevention and control countermeasures against diabetes in the floating population. Methods A total of 2373 adults were sampled from 8 surveillance points in Sichuan in the "2012 China special chronic and non-communicable disease surveillance in floating population"。The prevalence of diabetes and health services utilization was analyzed. Multivariate logistic regression was used to analyze the risk factors of diabetes. Results The prevalence of diabetes was 4. 8%,5. 2% for male and 4. 6% for female,specifically. The awareness rate of diabetes was 27. 8%. The treatment rate in the self-reported patients was 81. 3%,while the control rate was merely 6. 5%. A proportion of 59. 4% of the patients failed to participate diabetes management. Elder age,hypertension and overweight were the risk factors for diabetes. No statistical difference was found in gender and occupation. Conclusion The prevalence of diabetes among floating population is less than that of permanent residents in Sichuan and the awareness rate and control rate of the diabetes are all lower as well. It is necessaryto explore a tailored management and treatment mode for diabetes among the floating population, as well as strengthen early screening,health- education and basic public health services, and control the risk factors in time,such as overweight.
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