天津市塘沽区居民糖尿病并发症现况及相关知识认知调查

The Current Status of Diabetes Mellitus Complication and its Awareness in Residents of Tanggu District, Tianjin

目的了解塘沽区居民糖尿病并发症患病情况及糖尿病知识知晓情况。方法按照多阶段分层整群随机抽样方法,分别抽取塘沽区城区5个街道共11317名18岁及以上常住居民进行糖尿病及糖尿病并发症流行病学调查,采用问卷调查方式,对糖尿病患者进行并发症问卷调查并检测血糖和体格检查。结果糖尿病患病率为7.34%,糖尿病患者并发高血压、心血管疾病、脑血管疾病检出率分别为46.84%,23.42%,12.03%。不同文化程度糖尿病患者合并高血压检出率最高为小学(55.43%),最低为大专及以上者(39.18%),不同职业最高为无业(49.02%),最低为工人(33.66%);合并心血管疾病检出率的文化程度分布最高为为小学(29.71%),最低为大专及以上(17.53%),职业分布最高为无业(27.45%),最低为工人(9.90%)。糖尿病患者糖尿病知识知晓率高于非糖尿病患者,差别有统计学意义(χ2=36.78,P<0.01)。结论天津市塘沽区城区居民糖尿病并发症检出率较高;糖尿病患者糖尿病知识知晓率高于非糖尿病患者。

Objective To know about the diabetes complication and its Influencing faetor among the Tanggu residents, and their diabetic knowledge. Method With Multi-stage stratified cluster sampling, 11 317 residents aged 18 and above were selected from 5 streets of Tanggu district and they were investigated with questionnaire and physical examination on epidemic factors and blood glucose, etc. Results The prevalent rate of T2DM was 7.34%. The complication detection rate was 46.84% with hypertension, 23.42% with cardiovascular disease, 12.03% WITH eerebrovaseular disease, respectively. For patients with different education and occupational background, the complication detection rate of hypertension was the highest in those with primary education （55.43%） and lowest in those with eollege and above education（39.18%）, while was highest in those without jobs （49.02%） and lowest in those of workers （33.66%）; and the complication detection rate of cardiovascular diseases was the highest in those with primary education （29.71%） and lowest in those with college and above education （17.53%）, while highest in those without jobs （27.45%） and lowest in those of workers （99.0%）. The awareness rate of diabetic knowledge was higher in diabetic patients than in non-patients （χ^2=36.78, P〈0.01）. Conclusion The diabetes complication detection rate is higher among residents in Tianjin Tanggu district. The complication detection rates are higher in those with lower education and without jobs. The awareness rate of diabetic knowledge is higher in diabetic patients than in non-patients.