邢台市社区中老年居民糖尿病流行病学调查报告

An epidemiological investigation of diabetes among elderly residents in Xingtai city

目的探讨邢台市社区中老年居民的糖尿病流行现状。方法采取随机整群抽样的方法,抽取邢台市7个社区40岁以上居民1 202名,进行糖尿病问卷调查、体格检查和血生化检测,用SPSS统计软件分析糖尿病的患病率和影响因素。结果邢台市社区中老年居民糖尿病患病率为20.7%,其中知识知晓率10.O%,治疗率9.2%,控制率4.1%。糖调节受损率17.1%。糖尿病的患病率随年龄增长呈明显上升趋势,且与职业、文化程度、体质指数、饮食习惯、运动习惯有关。文化程度越低,体质指数越大,进食甜食越多,劳动强度越小的患者患病率越高。结论邢台市社区中老年居民糖尿病患病率高、知晓率低、治疗率、控制率低,应对本市居民加强糖尿病科普知识宣传,进行积极的生活方式及药物干预,减少糖尿病的发病率,提高糖尿病治疗水平。

Objective To explore the current epidemic situation of diabetes among elderly residents in Xingtai city of Shandong Province .Methods A total of 1 202 residents over 40 years of age in 7 communities in Xingtai city were chosen with random cluster sampling method and surveyed with diabetes questionnaire .Physical examina-tion and blood biochemical detection were conducted .Prevalence and influencing factors of diabetes were analyzed with SPSS statistical software .Results The prevalence rate of diabetes was 20 .7% ,the awareness rate was 10% , cure rate was 9 .2% ,control rate was 4 .1% ,and the rate of impaired glucose regulation was 17 .1% .The preva-lence of diabetes significantly increased with age ,occupation ,educational level ,body mass index ,diet ,and exercise habits .Lower educational level ,greater BMI ,more sweet intake and lower labor intensity were closely correlated with higher prevalence .Conclusions There is high prevalence of diabetes ,low awareness rate ,treatment rate and control rate among elderly residents in Xingtai city .It is essential to promote health education on diabetes ,lifestyle and medical intervention ,in order to reduce the incidence and improve the treatment of diabetes .