四川省中老年人群糖尿病患病率及相关因素分析

Analysis of prevalence and related risk factors of diabetes in elderly population in Sichuan province

目的了解四川省中老年人群糖尿病患病及治疗管理状况,探讨糖尿病患病相关危险因素,为糖尿病三级预防提供参考依据。方法利用2013年四川省慢性非传染性疾病(慢性病)监测数据,分析四川省中老年人群糖尿病患病、知晓及治疗情况;比较糖尿病患者与非糖尿病人群的行为习惯;采用Logistic回归分析分析糖尿病患病的影响因素。结果四川省≥45岁中老年人群糖尿病患病率、知晓率和治疗率分别为15.4%、40.9%和40.4%。高年龄组、高教育程度、非农民职业人群及患有高血压和血脂异常的人群糖尿病患病率、知晓率、治疗率均高于其他人群。知晓自己患糖尿病的患者依然存在诸多不良行为习惯。多因素Logistic回归分析显示,年龄、婚姻、超重或肥胖、是否患有高血压、是否患有血脂异常等是糖尿病患病的危险因素。结论四川省中老年人群糖尿病患病率高、知晓率和治疗率低,应加强全人群健康教育,倡导健康生活方式,重视中老年人群糖尿病治疗和控制,规范糖尿病患者管理。

Objective To study the prevalence, treatment and related risk factors of diabetes in Sichuan province, to investigate the risk factors of diabetes mellitus and provide reference for the three level prevention of diabetes mellitus. Method Non-communicable diseases surveillance data in 2013 was used to analyze the prevalence, awareness and treatment of diabetes in Sichuan, compared behavioral risk factors between diabetes patients and other population. Logistic regression model was used to analyze the risk factors on diabetes. Result The prevalence rate of diabetes was 15.4% in elderly population, and awareness rate, treatment rate were 40.9% and 40.4%, respectively. The prevalence rate, awareness rate and control rate appeared in the older age groups, high education level group, non-farming population group, and population with hypertension or dyslipidemia, were higher than that in the other groups. The population who know about their diabetes still lived with high risk factors. Factors as older age, marital status, overweight or obesity, hypertension, dyslipidemia were the risk factors of diabetes. Conclusion The prevalencerate of diabetes is high, and awareness and treatment rates of diabetes were lower in elderly population. Programs on health education should be strengthened in all the population with contents focusing on healthy lifestyle. Special attention should be paid on the treatment and control of diabetes in the elderly population. Patients with diabetes should follow the standardized management programs.