2013年山东省成年居民糖尿病患病率、知晓率、治疗和控制状况分析

Morbidity, awareness rate, treatment and control among residents with diabetes(≥ 18 years old) of Shandong Province in 2013

目的了解2013年山东省成年居民的糖尿病患病、知晓、治疗和控制状况,为山东省糖尿病防治策略提供依据。方法采用多阶段抽样的方法,于2013年12月在山东省19个慢性病危险因素监测点,共选择11 024名18岁以上居民为调查对象,进行问卷调查(基本信息和糖尿病相关的知晓、治疗、控制等内容)和空腹血糖及餐后2 h血糖检测。数据加权后,分析山东省不同特征人群糖尿病患病、知晓、治疗及控制情况。采用SAS 9.3软件进行统计分析,率的差异性比较采用Rao-Scottχ2检验,用基于复杂抽样设计的logistic回归模型检验进行率的趋势性检验。结果调查对象糖尿病患病率为9.3%,经复杂加权后,糖尿病患病率为8.8%(95%CI:8.0%~9.6%);男性(9.8%)高于女性(7.8%),差异有统计学意义(P<0.01);糖尿病患病率随年龄增加呈上升趋势(χ_(趋势)~2=331.98,P<0.01),随文化程度增加呈下降趋势(χ_(趋势)~2=60.34,P<0.01),随家庭收入增加呈下降趋势(χ_(趋势)~2=25.68,P<0.01)。加权后糖尿病知晓率、治疗率、控制率和治疗控制率分别为34.8%(95%CI:30.3%~39.3%)、30.1%(95%CI:27.1%~33.2%)、25.2%(95%CI:17.2%~33.1%)和24.4%(95%CI:18.3%~30.6%)。其中男性的知晓率、治疗率、控制率均低于女性,差异均有统计学意义(P<0.01)。结论山东省成年居民糖尿病患病率较高,知晓率、治疗率、控制率和治疗控制率较低,应继续加强糖尿病的防治工作。

Objective To understand the prevalence, awareness, treatment and control of diabetes of adults in Shandong Province in 2013. Methods The multi-stage stratified cluster random sampling method was used to select 11 024 residents（≥18 years old） as subjects from 19 surveillance points in Decemberof 2013. The investigation was conducted with questionnaires（basic information, the morbidity, awareness, treatment and control of diabetes） and blood test（fasting blood glucose and 2 h postprandial blood glucose）. The morbidity, awareness, treatment and control of diabetes in different groups were analyzed by complex weighting analysis. Rao-Scott χ_（test）~2 was utilized to analyze the rate difference, and logistic regression model was used to analyze the trend. The used software was SAS 9.3. Results The morbidity of diabetes in 11 024 subjects was 9.3%. After weighting calculation, the diabetes morbidity was 8.8%（95%CI： 8.0%-9.6%）, the male diabetes morbidity was 9.8% which was significantly higher than female diabetes morbidity（7.8%）, P〈0.01. The diabetes morbidity increased with age（P〈0.01）, and decrease with education level and income（P〈0.01）. The rates of awareness, treatment, control and treatment-control of diabetes were 34.8%（95%CI： 30.3%-39.3%）, 30.1%（95%CI： 27.1%-33.2%）, 25.2%（95%CI：17.2%-33.1%） and 24.4%（95%CI： 18.3%-30.6%）,respectively. The rates of awareness, treatment and control in males were significantly lower than those in females（P〈0.05）.Conclusion The morbidity of diabetes is high, the rates of awareness, treatment, and control of diabetes are low in Shandong Province. It is necessary to strengthen the diabetes prevention and control.