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Prevalence, awareness, status of treatment and control on ty
作者:中糖院 時間:2020-12-16 09:21:21 瀏覽:178

趙艷芳,王卓群,楊靜,王麗敏,趙振平,曾新穎,王臨虹.中國2013年18~49歲育齡婦女2型糖尿病患病率、知曉率、治療率和控制率狀況分析[J].中華流行病學雜志,2018,39(2):213-217  
中國2013年18~49歲育齡婦女2型糖尿病患病率、知曉率、治療率和控制率狀況分析  
Prevalence, awareness, status of treatment and control on type 2 diabetes mellitus among Chinese premenopausal women aged 18-49 in 2013  
收稿日期:2017-06-13  出版日期:2018-02-10  
DOI:10.3760/cma.j.issn.0254-6450.2018.02.015  
中文關鍵詞: 糖尿病,2型;育齡婦女;患病率;知曉率;治療率;控制率  
英文關鍵詞: Type 2 diabetes mellitus;Childbearing women;Prevalence;Awareness;Treatment;Control  
基金項目:  
作者   單位   E-mail  
趙艷芳    100050 北京, 中國疾病預防控制中心慢性非傳染性疾病預防控制中心科教與國際合作室       
王卓群    100050 北京, 中國疾病預防控制中心慢性非傳染性疾病預防控制中心科教與國際合作室       
楊靜    100050 北京, 中國疾病預防控制中心慢性非傳染性疾病預防控制中心科教與國際合作室       
王麗敏    100050 北京, 中國疾病預防控制中心危險因素監測室       
趙振平    100050 北京, 中國疾病預防控制中心危險因素監測室       
曾新穎    100050 北京, 中國疾病預防控制中心綜合防控與評價室       
王臨虹    中國疾病預防控制中心慢性非傳染性疾病預防控制中心    linhong@chinawch.org.cn   
 
摘要點擊次數: 1398  
全文下載次數: 806  
中文摘要:  
      目的 分析2013年中國18~49歲育齡婦女2型糖尿病患病水平及知曉、治療和控制情況。方法 2013年在中國慢性病及其危險因素監測的302個監測點,采用多階段分層整群隨機抽樣方法調查≥ 18歲居民共計176 534人,其中18~49歲女性46 674人。每名調查對象抽取靜脈血測定FPG和糖化血紅蛋白。自報無糖尿病病史者測定服糖后2 h血糖(OGTT-2 h)。糖尿病診斷標準依據1999年WHO糖尿病診斷標準FPG ≥ 7.0 mmol/L和/或OGTT-2 h ≥ 11.1 mmol/L。對樣本經過復雜加權后,計算不同年齡、教育程度、城鄉地區居民的糖尿病患病率及知曉率、治療率和控制率。結果 中國18~49歲育齡婦女2型糖尿病患病率為5.6%,其中城市為5.7%,農村為5.4%;東、中、西部地區分別為5.8%、6.2%和4.4%,中、東部地區高于西部地區。在糖尿病人群中,患病知曉率、治療率和控制率分別為29.3%、27.9%和29.4%;知曉自己患糖尿病的育齡婦女治療率為95.4%,采取措施治療的育齡婦女糖尿病控制率為38.9%;育齡婦女糖尿病知曉率呈現城市高于農村,治療率在不同教育程度組間的差異有統計學意義,但趨勢檢驗差異無統計學意義。結論 中國18~49歲育齡婦女2型糖尿病患病率較高,且無明顯的城鄉差異;而糖尿病知曉率、治療率和控制率均處于較低水平,具有明顯的城鄉差異。  
英文摘要:  
      Objective To analyze the rates on prevalence, awareness, status on treatment and control of type 2 diabetes mellitus among Chinese premenopausal women aged 18-49, in 2013. Methods Data on China Chronic and Non-Communicable Disease Surveillance in year 2013 was used for analysis. Source of data covered 302 surveillance points which were selected by Multi-stage cluster random sampling method that including 176 534 adults over 18 years of age, with 46 674 premenopausal women aged 18-49. Plasma glucose and hemoglobin A1c levels were determined after a 10-hour overnight fast for all the participants, before a 2-hour oral glucose tolerance test was conducted among participants without a self-reported history of diagnosed diabetes. Diabetes was defined according to the 1999 WHO diagnostic criteria-fasting blood glucose level as ≥ 7.0 mmol/L and/or 2 hours oral glucose tolerance test (OGTT-2 h) level as ≥ 11.1 mmol/L. After being weighed, according to complex sampling scheme and post-stratification, the sample was used to estimate the rates of prevalence, awareness, treatment and control of type 2 diabetes mellitus by age, education, urban and rural areas, and geographic locations. Results The overall prevalence of type 2 diabetes mellitus was 5.6% among the Chinese premenopausal women aged 18-49. No statistical difference on the prevalence rates (5.7% and 5.4%, respectively) was seen, between participants from the rural or the urban areas. Prevalence rates in the eastern, central or western geographic areas were 5.8%, 6.2% and 4.4% respectively. The rates of awareness, treatment and control of diabetes appeared as 29.3%, 27.9% and 29.4% in childbearing women aged 18-49. The rate of treatment was 95.4% among those who knew their diabetic situation in childbearing women aged 18-49 years. The control rate of diabetes was 38.9% among those who had taken measures to control glucose, in 18-49-year-old childbearing women. The rate of awareness on diabetes in childbearing women aged 18-49 years in urban areas was higher than that in the rural areas. There were significantly statistical differences on the treatment rates among groups of different education levels but not in the trend test. Conclusion The prevalence of type 2 diabetes mellitus in childbearing women aged 18-49 appeared high, but with low rates on awareness, treatment and control. However, statistical difference was seen on awareness, between urban and rural areas.  
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