[1]徐永太),尤爱国)#,韩冰),等.河南某农村地区老年人2型糖尿病患病、知晓、治疗及控制现状[J].郑州大学学报(医学版),2012,(03):401.
 XU Yongtai),YOU Aiguo),HAN Bing),et al.Survey on prevalence, awareness, treatment and control of type 2 diabetes mellitus in the elderly in rural areas of Henan province[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(03):401.
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河南某农村地区老年人2型糖尿病患病、知晓、治疗及控制现状
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年03期
页码:
401
栏目:
应用研究
出版日期:
2012-05-20

文章信息/Info

Title:
Survey on prevalence, awareness, treatment and control of type 2 diabetes mellitus in the elderly in rural areas of Henan province
作者:
徐永太1)尤爱国2)#韩冰2)潘静静2)
1)新野县人民医院内科 新野 475300 2)河南省疾病预防控制中心传染病预防控制所流行病室 郑州 450016
Author(s):
XU Yongtai1)YOU Aiguo2)HAN Bing2)PAN Jingjing2)
1)Department of Internal Medicine, Xinye People’s Hospital,Xinye 475300 2) Department of Epidemiology, Institute for Infectious Disease Control and Prevention,Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016
关键词:
2型糖尿病患病率知晓率老年人河南
Keywords:
type 2 diabetes mellitusprevalenceawareness ratethe elderlyHenan
分类号:
R195.4
摘要:
目的:了解农村地区老年人2型糖尿病(T2DM)患病、知晓、治疗及控制情况。方法:采用随机整群抽样方法,以村为单位,对河南省某农村地区5 457名60岁及以上老年人进行问卷调查(一般人口学特征、文化程度、婚姻状况、人均年收入、糖尿病病程及治疗方式)和空腹血糖检测。结果:调查对象空腹血糖受损(IFG)和T2DM的患病率分别为11.25%和12.46%,其年龄标化率分别为11.16%和12.09%。女性IFG和T2DM患病率高于男性(χ2=17.163和 18.358,P<0.001)。T2DM患者的知晓率、治疗率和控制率分别为53.24%、47.65%和16.76%,其年龄标化率分别为45.05%、41.65%和15.67%。不同年龄、文化程度、收入水平和糖尿病病程的T2DM患者糖尿病知晓率差异有统计学意义(P均<0.05)。8~16 a糖尿病病程患者控制率较低。结论:T2DM已成为危害河南农村老年人健康的重要公共卫生问题,需要在农村地区老年人群中开展糖尿病健康教育和综合干预。
Abstract:
Aim:To investigate the prevalence,awareness, treatment and control of type 2 diabetes mellitus(T2DM)in the elderly in rural areas of Henan province.Methods:A total of 5 457 participants aged 60 or more than 60 years were selected randomly by cluster sampling. Questionnaire and laboratory measurements were conducted for all participants.Results:The prevalences of impaired fasting glucose(IFG) and T2DM in the participants were 11.25% and 12.46%, and the agestandardized prevalences were 11.16% and 12.09%. The prevalences of IFG and T2DM for females were significantly higher than those for males(χ2=17.163 and 18.358,P<0.001).The awareness, treatment and control rates for T2DM patients were 53.24%, 47.65% and 16.76%, respectively, and the agestandardized rates were 45.05%, 41.65% and 15.67%, respectively.There were significant differences in awareness rates of T2DM between different ages,education and income levels and duration of diabetes mellitus (P<0.05).Conclusion: T2DM has become an important public health problem for the elderly in rural areas of Henan province.Health education and comprehensive intervention for T2DM are urgently needed for the elderly in rural areas.

参考文献/References:

[1]谭安隽. 老年糖尿病的研究进展[J].昆明医学院学报,2009,30(3B):253
[2]Alberti KG, Zimmet PZ. Definition,diagnosis and classification of diabetes mellitus and its complications[J]. Diabet Med,1998,15(7):539
[3]Report of the expert committee on the diagnosis and classification of diabetes mellitus[J].Diabetes Care,2003,26(Suppl 1):S5
[4]唐锦辉, 王正平, 林慧. 上海市某郊区农民老年糖尿病患病情况调查[J]. 社区医学杂志,2011,9(6):46
[5]杭万双,潘晓群.江苏城乡居民糖尿病患病率、知晓率、治疗率及控制情况调查[J].中国实用医药,2008, 3(3):141
[6]Dunstan DW,Zimmet PZ,Welborn TA,et al.The rising prevalence of diabetes and impaired glucose tolerance: the Australian diabetes,obesity and lifestyle study[J].Diabetes Care,2002,25(5):829
[7]武阳丰,谢高强,李莹,等.中国部分中年人群糖尿病患病率、知晓率、治疗率及控制率现况调查[J].中华流行病学杂志,2005,26(8):564
[8]垣宏行.老年糖尿病血糖控制目标及管理[J].日本医学介绍, 2007, 28(9):398
[9]中野博司.老年糖尿病的临床病例生理特征[J].日本医学介绍, 2007, 28(9):392
[10]邵永梅,杨静,金翠香.老年糖尿病患者的社区健康干预效果与评价[J].中国初级卫生保健,2009,23(9):31

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备注/Memo

备注/Memo:
#通讯作者,男,1982年2月生,硕士,医师,研究方向:传染病与慢性病流行病学,Email: youaiguo11@126.com
更新日期/Last Update: 2012-05-31