武汉市≥65岁城乡老年人糖尿病患病及控制现状分析

Prevalence and control of diabetes mellitus among older residents in Wuhan municipality

目的了解湖北省武汉市≥65岁城乡老年人糖尿病患病、知晓和控制现状,为采取相应的干预措施提供参考依据。方法整群抽取2012年5—12月自愿参加武汉市免费体检的357 684名≥65岁城乡老年人进行血糖检测和问卷调查。结果武汉市≥65岁城乡老年人糖尿病患病率为12.55%,标化患病率为12.51%,空腹血糖受损率为9.06%;城市老年人糖尿病患病率(15.78%)高于农村(9.43%),空腹血糖受损率(8.90%)低于农村(9.21%),差异均有统计学意义(P<0.01);城乡不同性别老年人糖尿病患病率、空腹血糖受损率比较,城市男性糖尿病患病率(15.04%)低于女性(16.40%),空腹血糖受损率(9.06%)高于女性(8.77%),农村男性糖尿病患病率(8.26%)和空腹血糖受损率(8.72%)均低于女性(10.50%和9.66%),差异均有统计学意义(P<0.01);武汉市≥65岁城乡老年人糖尿病知晓率和控制率分别为62.57%和35.08%,城市老年人糖尿病知晓率和控制率(74.61%和42.80%)均高于农村(43.19%和22.64),差异均有统计学意义(P<0.001)。结论武汉市≥65岁老年人糖尿病患病率较高,而糖尿病知晓率和控制率较低,农村老年人明显低于城市老年人。

Objective To describe the prevalence, awareness and control status of diabetes mellitus （DM） among older residents in Wuhan city, Hubei province and to provide reference for making intervention measures. Methods By using cluster sampling,357 684 urban and rural residents aged 65 years and above participating in a physical examination free of charge were selected for a blood sugar test and questionnaire survey in 2012 in Wuhan city. Results In the participants, the DM prevalence rate was 12. 55 % and the standardization prevalence rate was 12. 51% ;the rate of impaired fasting glucose（IFG） was 9. 06%. The prevalence rate of DM in the urban residents（ 15.78% ）was higher than that in the rural（9.43% ） ,but the IFG rate of the urban residents（8.90% ）was lower than that of the rural（9. 21% ） ,with statisti- cally significant difference（ P 〈 0.01 ）. In the urban residents,the prevalence rate of DM in the males（ 15.04% ） was lower than in the females （ 16. 40% ）, but the IFG rate of the males （ 9. 06% ） was higher than that of the females （8.77%）. However, in the rural residents, the prevalence rates of DM and IFG in the males （8.26%, 8.72% ）were lower than those in the females （ 10. 50% ,9. 66% ）, with statistically significant differences （P 〈 0. 01 ）. In all the residents, the awareness rate and control rate were 62. 57% ,35.08% and the rates of urban residents（74. 61% ,42. 80% ） were higher than those of the rural residents （43.19%, 22. 64% ）, with statistically significant differences （ P 〈 0. 01 ）. Conclusion The DM prevalence rate is high among the residents aged 65 years and older in Wuhan city, but the awareness rate and control rate of DM are low, with obviously lower rates in rural older people than in the urban.