2017年北京市昌平区成人糖尿病流行病学现状及影响因素分析  

Analysis on epidemiological status and influencing factors of diabetes mellitus among adults in Changping District of Beijing in 2017

作　　者：白云[1] 耿坤[1] 徐志鑫[1] 李建军[1] 张淑群[1] 宋亚平[1] BAI Yun;GENG Kun;XU Zhi-xin;LI Jian-jun;ZHANG Shu-qun;SONG Ya-ping(Department of Chronic Disease Control,Changping Center for Disease Control and Prevention,Beijing,102200,China)

机构地区：[1]北京市昌平区疾病预防控制中心慢性病防治科,北京102200

出　　处：《职业与健康》2020年第2期175-179,共5页Occupation and Health

摘　　要：目的了解2017年北京市昌平区成人糖尿病患病率、知晓率、治疗率、控制率及相关影响因素,为北京市昌平区糖尿病防控工作提供参考依据。方法采用多阶段分层随机抽样方法,选取2017年北京市成人慢性病及其危险因素监测中1 205名常住居民的数据进行分析。结果北京市昌平区成人糖尿病患病率为9.8%(标化患病率为9.8%),男性为11.0%(标化患病率为11.4%)、女性为8.5%(标化患病率为8.2%),差异无统计学意义(χ2=2.22,P>0.05)。糖尿病患病率随年龄增大而升高(P<0.01),随受教育程度的升高而降低(P<0.01),随体质指数(BMI)的升高而升高(P<0.01)。北京市昌平区成人糖尿病知晓率、治疗率及控制率分别为52.5%、50.8%和16.9%。不同性别间知晓率、治疗率和控制率比较差异均无统计学意义(均P>0.05)。北京市昌平区成人糖尿病知晓率和治疗率均随年龄的增长呈现先升高后下降特征(P<0.01)。多因素logistic回归分析结果显示,年龄、BMI、高血压、血脂异常及糖尿病家族史是糖尿病患病的影响因素(均P<0.01)。结论 2017年北京市昌平区成人糖尿病患病率较高,知晓率、治疗率及控制率较低。高龄、超重和肥胖、高血压、血脂异常及糖尿病家族史是糖尿病的危险因素。应加强糖尿病健康教育,实现自我管理,加强自我监测,提高糖尿病治疗水平,预防并延缓并发症的发生。Objective To understand the prevalence rate,awareness rate,treatment rate,control rate of diabetes and influencing factors among adults in Changping District of Beijing,provide reference for prevention and control of diabetes in Changping District of Beijing. Methods By using multi-stage stratified random sampling method,the data of 1 205 local residents from the surveillance on chronic diseases and their risk factors in Beijing in 2017 were analyzed. Results The prevalence rate of diabetes among adults in Changping District of Beijing was 9.8%(standardized prevalence rate was 9.8%),while the prevalence rate was11.0%(standardized prevalence rate was11.4%) in males and 8.5%(standardized prevalence rate was8.2%) in females respectively,and the difference was not statistically significant (χ2=2.22,P>0.05). The prevalence rate of diabetes increased with increase of age and body mass index(BMI)(P<0.01),and decreased with increase of education level(P <0.01). The awareness rate,treatment rate,control rate of diabetes among adults in Changping District of Beijing was 52.5%,50.8% and 16.9%,respectively,while there were no statistically significant difference in awareness rate,treatment rate,and control rate of diabetes between different sex groups(all P>0.05). The awareness rate and treatment rate of diabetes among adults in Changping District increased firstly and then decreased with the increase of age(P<0.01). Multivariate logistic regression analysis demonstrated that age,BMI,hypertension,dyslipidemia and family history of diabetes were influencing factors of diabetes mellitus(all P<0.01). Conclusion The prevalence rate of diabetes is high among adults in Changping District of Beijing in 2017,while the awareness rate,treatment rate and control rate are low. Elder age,overweight and obesity,hypertension and dyslipidemia,family history of diabetes are risk factors of diabetes.And it is necessary to strengthen the education of diabetes,achieve self-management,strengthen self-monitoring and improve the treatment level o

关 键 词：糖尿病 患病率 知晓率 治疗率 控制率 影响因素 

分 类 号：R181.2[医药卫生—流行病学]