江苏省非糖尿病人群糖尿病知识知晓情况及其影响因素分析

Cognition on diabetes and its influencing factors among adult non-diabetic community residents in Jiangsu province: a cross-sectional survey

目的了解江苏省非糖尿病人群糖尿病知识的知晓情况及其影响因素,为更好地开展全人群糖尿病防控提供参考依据。方法于2017年4—7月采用多阶段分层随机抽样方法在江苏省盐城盐都区和镇江句容市抽取5227名18~82岁居民进行问卷调查和血糖检测,分析其中4386名非糖尿病人群对糖尿病相关知识的知晓情况及其影响因素。结果江苏省4386名非糖尿病人群糖尿病知识的总知晓率为37.81%,对基本知识、典型症状、并发症、易感人群和预防措施五类糖尿病知识的知晓率分别为62.81%、32.91%、22.33%、24.94%和39.12%;该江苏省非糖尿病人群对糖尿病知识认知合格者336人,认知合格率为7.66%;多因素非条件logistic回归分析结果显示,女性、文化程度高中/职高/中专及以上和家庭月收入≥1000元的江苏省非糖尿病人群对糖尿病知识的认知合格率较高;苏南地区和无/不清楚糖尿病家族史的江苏省非糖尿病人群对糖尿病知识的认知合格率较低。结论江苏省非糖尿病人群对糖尿病知识的总体知晓水平较低,性别、文化程度、家庭月收入、地区和有无糖尿病家族史是影响该地区非糖尿病人群糖尿病知识认知情况的主要因素。

Objective To examine the awareness on diabetes-related knowledge and its influencing factors in non-diabetic population in Jiangsu province, and to provide evidences for effective prevention and control of diabetes in general population.Methods We recruited 5 227 urban and rural 18-82-year-old residents in two municipalities of Zhenjiang province using stratified multistage random sampling and conducted a questionnaire survey and blood glucose testing among the residents from April to July 2017. Then, we analyzed the awareness on diabetes-related knowledge and its influencing factors in 4 386 non-diabetics from the residents surveyed.Results The overall awareness rate of diabetes knowledge for all the non-diabetics was 37.81%, with the rates of knowledge domains of 62.81% for basics, 32.91% for typical symptoms, 22.33% for complications, 24.94% for susceptible population, and 39.12% for prevention measures, respectively. Of all the non-diabetics, only 336 (7.66%) were assessed with adequate diabetes knowledge. Multivariate unconditional logistic regression analysis demonstrated that the non-diabetics of female gender, with an education of high school/professional high school/technical secondary school and above, with household monthly income of ≥ 1 000 yuan RMB were more likely to have adequate diabetes knowledge;while, those living in southern region of Jiangsu province and with no/unclear family history of diabetes were more likely to have poor diabetes knowledge.Conclusion The awareness about diabetes knowledge is generally poor and mainly influenced by gender, education level, family monthly income, residential region and family history of diabetes among adult non-diabetic residents in Jiangsu province.