北京市M区成年居民糖尿病患病及认知情况分析

Analysis on Morbidity and Awareness of Diabetes among Adults in M District in Beijing City

目的调查北京市M区成人糖尿病的患病情况、认知及行为特征,探讨糖尿病的管理策略。方法抽样调查M区9个乡镇4个街道的3 602例成人,包括调查问卷、血生化检测和体格测量,采用描述性分析总结糖尿病患病、认知及行为情况,率的比较采用χ2检验。结果 M区成年人的糖尿病患病率为13.25%,肥胖、吸烟、被动吸烟、蔬菜水果摄入不足和文化程度低是患糖尿病的主要风险因素。患者中经医生确诊的糖尿病患者占60.49%,对血糖的知晓率为22.74%。患者对疾病的认知可影响患者的行为。结论需要重视成年人的糖尿病筛查与管理,重视糖尿病的风险因素干预,加强健康教育与宣传,充分发挥社区在糖尿病一级预防中的作用。

Objectives To investigate epidemiological characteristics and prevalent of diabetes among adults in M district in Beijing city,and to put forward prevention suggesting of diabetes.Methods Totally 3 602 adults aged 18 to 79were randomly selected in 9towns and 4streets of M District.The questionnaire interview,physical examination and laboratory tests were used.Results The prevalence of adult diabetes was 13.25%in M district.Obesity,smoking,secondhand smoking,lacks of vegetables and fruit in diet,and low level of education were the main risk factors of diabetes.60.49% of the patients were diagnosed by a doctor.The awareness rate of the blood glucose of the patients was 22.74%.The cognition of the disease affected the risk behavior of the patients.Conclusions It＇s needed to pay attention to the screening and management of diabetes of elderly,and pay attention to the intervention of risk factors.It＇s needed to strengthen health education and advocacy,and make community work in the prevention of diabetes.