广西成年居民糖尿病患病率和知晓、治疗及控制情况调查  

The investigation of the morbidity, awareness rate, treatment rate and control rate of diabetes among adult residents in Guangxi

作　　者：陆伟江[1] 杨虹[1] 蒙晓宇[1] 罗水英[1] 许晶晶[1] 黄佟[1] 黄颖[1] LU Wei-jiang, YANG Hong, MENG Xiao-yu, LUO Shui-ying, XU Jing-jing, HUANG Tong, HUANG Ying(The Guangxi Zhuang tmtonomous Region Center for Disease Control and Prevention, Guangxi, Nanning 530028, Chin)

机构地区：[1]广西壮族自治区疾病预防控制中心慢性病防制所,广西南宁530028

出　　处：《中国慢性病预防与控制》2018年第4期250-253,261,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：广西自然科学基金项目(2014GXNSFAA118220);广西医疗卫生适宜技术研究与开发课题(S201406-01)

摘　　要：目的了解广西18岁及以上成年居民糖尿病患病、知晓、治疗和控制情况及流行特点,为广西开展糖尿病防治,制定相关卫生政策提供数据支持和科学依据。方法数据来源于2010年广西慢性病及其危险因素监测专项调查资料。对3 599名18岁及以上居民进行问卷调查和实验室检测,分析糖尿病患病率、知晓率、治疗率与控制率。用SPSS 17.0软件对数据进行统计学分析,率的比较采用χ~2检验。结果广西18岁及以上居民糖尿病粗患病率为8.0%,加权调整后患病率为7.1%。城市居民糖尿病患病率(11.5%)高于农村(5.9%),男性(8.4%)高于女性(5.8%),差异均有统计学意义(χ~2分别为28.681、9.588,P<0.01);18~44岁、45~59岁、60岁及以上年龄组糖尿病患病率分别为3.4%、9.4%和17.9%,随年龄的增长呈上升趋势,差异有统计学意义(χ~2=150.290,P<0.01)。糖尿病患者的知晓率、治疗率和控制率分别为21.4%、20.2%和23.1%。城市居民知晓率与治疗率(分别为39.8%、38.2%)均高于农村居民(分别为11.8%、10.8%),差异均有统计学意义(χ~2分别为26.853、26.975,P<0.01)。18~44岁、45~59岁、60岁及以上年龄组知晓率分别为8.2%、22.9%和29.7%,治疗率分别为6.9%、22.9%和27.3%,均随着年龄的增长逐渐升高,差异均有统计学意义(χ~2分别为11.789、11.342,P<0.01)。结论广西糖尿病防治工作应重点应面向中老年人群,加强对45岁以上居民的糖尿病筛查,加强对农村以及低文化层次人群的糖尿病健康教育,加强及完善糖尿病社区综合管理,采取有针对性的干预措施来防控糖尿病的发生和发展。Objective To investigate the morbidity, awareness rate, treatment rate and control rate of diabetes among adults（≥18 years old） in Guangxi, and to provide the support and scientific basis for the prevention and control health policies of diabetes in Guangxi. Methods The data were from special survey on chronic disease and risk factors in Guangxi in 2010, and 3 599 adult residents（≥18 years old） were served as the subjects. The investigation was performed by questionnaire, physical examination and laboratory test to analyze the morbidity, awareness rate, treatment rate and control rate of diabetes. SPSS 17.0 software was used for statistical analysis of data. The comparison of rates was conducted by χ-2 test. Results The diabetes morbidity among adult residents in Guangxi was 8.0%; and the morbidity after weighting was 7.1%.Diabetes morbidity（11.5%） in urban areas was significantly higher than that（5.9%） in rural areas, and the diabetes morbidity（8.4%） in males was significantly higher than that（5.8%） in females（χ-2 values were 28.681, 9.588, P〈0.01）.The diabetes morbidities were 3.4%, 9.4% and 17.9% in 18-44, 45-59 and ≥ 60 years old subgroups, respectively; the diabetes morbidity increased with age（χ-2 values was 150.290, P〈0.01）. The awareness rate, treatment rate and control rate of diabetic patients were 21.4%, 20.2% and 23.1%, respectively. The awareness rate and the treatment rate（39.8% and 38.2%） in urban areas were significantly higher than those（11.8% and 10.8%） in rural areas（χ-2 values were 26.853, 26.875, P〈0.01）. The awareness rates of age groups of 18-44, 45-59 and ≥ 60 years old subgroups were 8.2%, 22.9% and 29.7%, respectively, and the treatment rates of 18-44, 45-59 and ≥ 60 years old subgroups were 6.9%, 22.9%and 27.3%, respectively; those rates increased with age（P〈0.01）. Conclusion Diabetes prevention and control work should focus on the screening diabetes for adults（≥ 45 years old） in Guangxi, and the health educatio

关 键 词：糖尿病 患病率 知晓率 治疗率 控制率 

分 类 号：R587.1[医药卫生—内分泌]