不同性别老年糖尿病患者血糖控制情况及影响因素分析  

Glycemic control and influencing factors among male and female elderly diabetic patients

作　　者：周小琦[1] 李芳[1] 刘新会[1] 郭燕[1] 张微 张晓霞 严亚琼[1] ZHOU Xiao-qi;LI Fang;LIU Xin-hui;GUO Yan;ZHANG Wei;ZHANG Xiao-xia;YAN Ya-qiong(Department of Chronic Disease,Wuhan Center for Disease Control and Prevention,Wuhan 430015,China)

机构地区：[1]武汉市疾病预防控制中心慢病所,湖北武汉430015

出　　处：《公共卫生与预防医学》2022年第6期80-85,共6页Journal of Public Health and Preventive Medicine

基　　金：武汉市卫生健康委科研项目(WG19Z02)。

摘　　要：目的了解武汉市不同性别社区体检老年糖尿病人群血糖控制情况及影响血糖控制的因素。方法采用整群抽样法,选取武汉市6个行政区于2018年1~12月参加过老年人体检的5441名2型糖尿病患者,分析不同人口学特征、不同生活方式、不同健康相关指标对不同性别老年糖尿病患者血糖控制率及影响血糖控制水平的影响因素。结果武汉市老年糖尿病患者血糖控制率为54.29%,其中男性53.25%,女性55.06%。多因素非条件logistic回归分析显示,远城区、中心性肥胖、TG升高是男性患者血糖控制满意的危险因素,每周有散步的锻炼习惯是其保护因素;远城区、病程较长、TG升高、TC升高是女性患者血糖控制满意的危险因素,与男性相似,每周有散步的锻炼习惯是其保护因素。结论武汉市不同性别老年糖尿病人群血糖控制水平差异不大,但影响因素存在着一定差异,应根据不同性别老年糖尿病患者的不同影响因素,制定有针对性的糖尿病控制措施。Objective To investigate the status of glycemic control and influencing factors among male and female elderly diabetic patients in Wuhan.Methods The cluster sampling method was used to select 5441 patients with type 2 diabetes mellitus who participated in the elderly physical examination from January to December 2018 in 6 administrative districts of Wuhan City.The effects of different social-demographic characteristics,different behavioral lifestyle,and different health-related variables on the glycemic control rates among male and female elderly diabetic patients were analyzed.Binary logistic regression was employed to analyze the influencing factors among those people.Results The glycemic control rate of elderly diabetic patients in Wuhan was 54.29%,including 53.25%in males and 55.06%in females.Multivariate unconditional logistic regression analysis showed that living in remote urban areas,central obesity,and elevated TG were the risk factors for blood glucose control in male patients,while having weekly exercise routine of walking was the protective factor.Similarly,having weekly exercise routine of walking was the protective factor in female patients,but living in rural area,long duration of diabetes,and elevated TG and TC were the risk factors for controlling blood glucose level in female patients.Conclusion There is little difference in blood glucose control level between male and female elderly diabetic patients in Wuhan,but there are certain differences in influencing factors.Targeted diabetes control measures should be formulated according to the different influencing factors of elderly diabetic patients of different genders.

关 键 词：老年人 糖尿病 血糖控制 

分 类 号：R181[医药卫生—流行病学]