河北省18岁及以上人群糖尿病患病现状分析  

Prevalence of diabetes in adults in Hebei province

作　　者：曹亚景[1] 刘玉环[1] 张帆[1] 栗华[1] 张敬一[1] 朱俊卿[1] 孙纪新[1] 张新亮[1] 崔泽[1] 

机构地区：[1]河北省疾病预防控制中心慢性非传染性疾病防治所,石家庄050021

出　　处：《中华流行病学杂志》2016年第9期1196-1201,共6页Chinese Journal of Epidemiology

摘　　要：目的 了解河北省≥18岁人群糖尿病患病情况。方法 2013年9月至2014年4月采用多阶段整群抽样方法抽取≥18岁常住人口为样本，分析调查前12个月糖尿病患病状况。结果 共有7 678人纳入分析。河北省人群糖尿病患病率为12.9%（男性：13.1%，女性：12.8%），男女性患病率差异无统计学意义（P=0.09），城市人群患病率（16.2%）高于农村人群（12.1%），差异有统计学意义（P〈0.01），患病率有随年龄增长的趋势（P〈0.01）。FPG受损患病率为5.1%，男女性及城乡患病率差异有统计学意义（P〈0.01）。糖耐量减低患病率为10.4%，男女性及城乡患病率差异无统计学意义。糖尿病患者中知晓率为50.7%，治疗率为46.3%，控制率为37.5%。女性知晓率、治疗率均高于男性，差异有统计学意义（P〈0.01）。结论 河北省人群糖尿病患病率较高，城乡间患病率差异大。FPG受损及糖耐量减低患病率均较高，而糖尿病知晓率、治疗率、控制率较低。Objective To understand the prevalence of diabetes in adults in Hebei province. Methods The survey was conducted among the local residents aged ≥18 years, who were selected through multi stage cluster sampling from September 2013 to April 2014. Design-based methods were used to analyze the prevalence in the last 12 months. Results A total of 7 678 adults were included in the study. The overall prevalence of diabetes in Hebei was 12.9% （13.1% in men and 12.8% in women）, there was no sex specific difference in diabetes prevalence （P=0.09）. The prevalence was higher in urban residents （16.2%） than that in rural residents （12.1%）, the difference was significant （P〈0.01）. The prevalence of diabetes increased with age （P〈0.01）. The prevalence of impaired fasting glucose was 5.1%, the difference was significant between men and women and between rural area and urban area （P〈0.01）. The prevalence of impaired glucose tolerance was 10.4%. The difference of prevalence of impaired glucose tolerance in men and women and between rural area and urban area was not significant. The rates of awareness, treatment and control of diabetes were 50.7%, 46.3% and 37.5%, respectively. Women had higher awareness rate and treatment rate of diabetes than men, the difference was significant （P〈0.01）. Conclusions The prevalence of diabetes was high in adults in Hebei province, the difference in diabetes prevalence between urban area and rural area was significant. The prevalence of impaired fasting glucose and impaired glucose tolerance were high, but the rates of awareness, treatment and control of diabetes were low.

关 键 词：糖尿病 患病率 现况调查 

分 类 号：R587.1[医药卫生—内分泌]