云南省弥渡县农村老年人糖尿病患病和疾病经济风险现状  

Prevalence and disease-related economic risk of diabetes among rural older residents in Midu county of Yunnan province

作　　者：黄晶晶 蔡乐 李潇 崔文龙 王贵义 吕思齐 HUANG Jing-jing;CAI Le;LI Xiao(School of Public Health,Kunming Medical University,Kunming,Yunnan Province 650500,China)

机构地区：[1]昆明医科大学公共卫生学院

出　　处：《中国公共卫生》2019年第11期1461-1464,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金(71663035);云南省科技计划项目[2017FE467(–002)];云南省高校科技创新团队支持计划项目

摘　　要：目的了解云南省弥渡县农村老年人糖尿病患病和疾病经济风险现状,为采取相应的干预措施提供参考依据。方法采用多阶段分层随机抽样方法于2017年1-3月在云南省弥渡县抽取1 603名≥60岁老年人进行问卷调查和空腹血糖检测。结果云南省弥渡县1 603名农村老年人中,患糖尿病者162例,糖尿病患病率为10.11%;其中人均年收入<5 000元的老年人糖尿病患病率(8.10%)低于人均年收入≥5 000元的老年人(11.41%),差异有统计学意义(χ~2=4.619,P=0.032)。云南省弥渡县农村老年糖尿病患者人均年医疗费用和人均年收入分别为2 545元和5 603元,农村老年人群分别为2 252元和5 900元,农村老年糖尿病患者的疾病经济风险为农村老年人群的1.13倍,对RR进行校正与标化后,老年糖尿病患者的疾病经济风险为农村老年人群的1.19倍。云南省弥渡县91户农村老年糖尿病患者家庭中的灾难性卫生支出发生率为16.48%,因病致贫发生率为9.89%;其中人均年收入<5 000元的患者家庭因病致贫发生率(15.7%)高于人均年收入≥5 000元的患者家庭(2.5%),非贫困户患者家庭因病致贫发生率(7.3%)低于贫困户患者家庭(33.3%),差异均有统计学意义(均P <0.05)。结论云南省弥渡县收入水平较高的农村老年人糖尿病患病率较高,该地区老年糖尿病患者家庭面临着较大的疾病经济风险,应加强对低收入、医疗服务可及性差和糖尿病患者家庭的医疗与经济支持。Objective To examine the prevalence and disease economic risk of diabetes mellitus(DM) among rural older residents in Midu county of Yunnan province and to provide references for developing intervention measures.Methods We conducted questionnaire survey and fasting blood glucose test among 1 603 rural residents aged ≥ 60 years selected with stratified multi-stage random sampling in Midu county of Yunnan province from January to March 2017.Results Among all the participants, 162 were identified with DM and the prevalence of DM was 10.11%. Significantly lower DM prevalence(8.10%) was found among the participants with per capita annual income of less than 5 000 RMB yuan than that(11.41%) among those with the income of 5 000 yuan and more(χ^2 = 4.619, P = 0.032). Compared to all the participants, the participants with DM reported higher average annual medical expenditure(2 545 yuan vs. 2 252 yuan) but lower annual income(5 603 yuan vs. 5 900 yuan). The participants with DM had a 1.13 times higher economic risk than all the participants(relative risk, RR = 1.13) and the increased risk was 1.19 after standardized adjustment. Among the 91 households with family members suffering from DM, the incidence of catastrophic health expenditure and poverty due to illness were 16.48% and 9.89%;the incidence of illness-induced poverty was significantly higher in the households with annual income per capita of less than 5 000 yuan than in the households with the income of 5 000 yuan and more(15.7% vs.2.5%, P < 0.05);while, the incidence of illness-induced poverty was significantly lower in the non-poverty-stricken households than in the poverty-stricken households(7.3% vs. 33.3%, P < 0.05). Conclusion The prevalence of diabetes mellitus is higher among the rural elderly with higher annual income and the households with elderly family members suffering from diabetic mellitus are at a greater disease-related economic risk in Midu county of Yunnan province. The results suggest that medical and financial supports should be strengthe

关 键 词：糖尿病 患病 疾病经济风险 老年人 农村 

分 类 号：R587.1[医药卫生—内分泌]