昆明市城乡老年人糖尿病流行现状的对比分析
|
摘要
目的对比分析昆明市城乡两地60岁及以上老年人糖尿病的流行现状。方法采用多阶段分层随机抽样方法,抽取昆明市官渡区和宜良县3 225名≥60岁的老年人进行现场问卷与体格检查。结果昆明市城市老年人糖尿病前期及糖尿病的患病率分别为46.7%和24.6%,农村地区的分别为23.2%和11.1%;城市老年人糖尿病前期和糖尿病的患病率均明显高于农村(P<0.01),且分性别、年龄组和文化程度的患病率也均是城市明显高于农村(P<0.01)。城市老年人糖尿病前期的患病率随着年龄增长逐渐降低(P<0.05)。结论昆明市老年人糖尿病前期及糖尿病的患病率存在着明显的城乡差异,应根据昆明市城乡两地不同特征老年人群的特点,制定有针对性的糖尿病预防控制措施。
Objective To compare the prevalence of diabetes in the elderly among the urban and rural area in Kunming. Methods Multi-stage stratified random sampling method was used to select 3225 people aged ≥60 years from Guandu District and Yi Liang County of Kunming for on-site questionnaire survey and blood glucose measurement. Results The prevalence of pre-diabetes and diabetes in the urban elderly were 46.7% and 24.6%,and in rural area were 23.2% and 11.1%, respectively. The prevalence of pre-diabetes and diabetes among the urban elderly was significantly higher than that in the rural elderly(P<0.01). Moreover, the gender, age and education specific prevalence of both pre-diabetes and diabetes were also significantly higher in the urban elderly than those in rural elderly(P <0.01). The prevalence of pre-diabetes in the urban elderly decreased with age(P<0.05). Conclusion There are obviously geographical differences of prevalence of pre-diabetes and diabetes among the elderly between urban and rural area in Kunming. Future targeted measures for prevention and control of diabetes should consider the different characteristics of the elderly population in urban and rural area of Kunming.
Objective To compare the prevalence of diabetes in the elderly among the urban and rural area in Kunming. Methods Multi-stage stratified random sampling method was used to select 3225 people aged ≥60 years from Guandu District and Yi Liang County of Kunming for on-site questionnaire survey and blood glucose measurement. Results The prevalence of pre-diabetes and diabetes in the urban elderly were 46.7% and 24.6%,and in rural area were 23.2% and 11.1%, respectively. The prevalence of pre-diabetes and diabetes among the urban elderly was significantly higher than that in the rural elderly(P<0.01). Moreover, the gender, age and education specific prevalence of both pre-diabetes and diabetes were also significantly higher in the urban elderly than those in rural elderly(P <0.01). The prevalence of pre-diabetes in the urban elderly decreased with age(P<0.05). Conclusion There are obviously geographical differences of prevalence of pre-diabetes and diabetes among the elderly between urban and rural area in Kunming. Future targeted measures for prevention and control of diabetes should consider the different characteristics of the elderly population in urban and rural area of Kunming.
引文
[1]葛均波,徐永健.内科学[M].第8版.北京:人民卫生出版社,2016:19.
[2]中国老年医学学会老年内分泌代谢分会,国家老年疾病临床医学研究中心(解放军总医院),中国老年糖尿病诊疗措施专家共识编写组.中国老年2型糖尿病诊疗措施专家共识(2018年版)[J].中华内科杂志,2018,57(9):626-641.
[3]孙明晓.老年糖尿病医学营养治疗指南解读[J].中国医学前沿杂志(电子版),2014,7(12):5-7.
[4]SHAW J E.Global estimates of the prevalence of diabetes for 2010 and 2030[J].Diabetes Research and Clinical Practice,2010,87(1):4-14.
[5]CHEEMA A,ADELOYE D.Urbanization and prevalence of type 2 diabetes in Southern Asia:A systematic analysis[J].J Glob Health,2014,4(1):010404.
[6]YANG W,LU J,WENG J,et al.Prevalence of diabetes among men and women in China[J].N Eng J Med,2010,362(12):1090-1101.
[7]宁光.新形势下中国糖尿病的预防与控制[J].中华内分泌代谢杂志,2017,33(3):181-184.
[8]XU Y,WANG L M,HE J,et a1.Prevalence and control of diabetes in Chinese adults[J].JAMA,2013,310(9):948-959.
[9]郭燕,李芳,王亮,等.武汉市≥65岁城乡老年人糖尿病患病及控制现状分析[J].中国公共卫生,2014,30(6):729-731.
[10]明洁,徐少勇,谢璇,等.西安市50岁以上人群糖尿病患病率及其合并疾病调查:以社区为基础的研究[J].中华糖尿病杂志,2018,10(8):531-536.
[11]罗先策,黄晓波,刘雅,等.成都地区老年人群糖尿病的流行状况及危险因素分析[J].四川医学,2011,32(10):1505-1508.
[12]张素勤,吴连拼,陈鹏,等.温州市老年及老年前期空腹血糖增高人群的临床特征分析[J].实用老年医学,2007,21(1):52-55.
[13]许国章,应焱燕,林鸿波,等.宁波地区60岁及以上老年人群糖尿病筛查研究[J].中国慢性病预防与控制,2014,22(4):405-407.
[14]王宁,陈龙,王英斌,等.乌鲁木齐市汉族老年人糖代谢异常的流行病学调查[J].中华老年医学杂志,2010,29(12):1036-1038.
[15]杨佳熙,洪峰,洪阳.贵阳市某社区60岁以上老年人2型糖尿病患病现况及危险因素分析[J].中国初级卫生保健,2017,31(1):29-31.
[16]刘薇,华琳,张雪莲,等.宁夏固原地区回族老年人群糖代谢状况及影响因素研究[J].首都医科大学学报,2016,37(6):812-816.
[17]傅应晶.上海市高行镇农村老年人体检状况及相关因素调查研究[J].实用心脑肺血管病杂志,2011,19(6):927-928.
[18]黄晶晶,杨胜杰,崔文龙,等.弥渡县农村老年人糖尿病患病、知晓、治疗、控制及自我管理现状[J].昆明医科大学学报,2018,39(1):45-49.
[19]王晗影,李子康,陈庚阳,等.2型糖尿病危险因素研究进展[J].养生保健指南,2018,2(11):314.
[20]潘劲,胡如英,龚巍巍,等.浙江省2007至2012年糖尿病流行特征的描述性分析[J].中华内分泌代谢杂志,2015,31(10):846-850.
[2]中国老年医学学会老年内分泌代谢分会,国家老年疾病临床医学研究中心(解放军总医院),中国老年糖尿病诊疗措施专家共识编写组.中国老年2型糖尿病诊疗措施专家共识(2018年版)[J].中华内科杂志,2018,57(9):626-641.
[3]孙明晓.老年糖尿病医学营养治疗指南解读[J].中国医学前沿杂志(电子版),2014,7(12):5-7.
[4]SHAW J E.Global estimates of the prevalence of diabetes for 2010 and 2030[J].Diabetes Research and Clinical Practice,2010,87(1):4-14.
[5]CHEEMA A,ADELOYE D.Urbanization and prevalence of type 2 diabetes in Southern Asia:A systematic analysis[J].J Glob Health,2014,4(1):010404.
[6]YANG W,LU J,WENG J,et al.Prevalence of diabetes among men and women in China[J].N Eng J Med,2010,362(12):1090-1101.
[7]宁光.新形势下中国糖尿病的预防与控制[J].中华内分泌代谢杂志,2017,33(3):181-184.
[8]XU Y,WANG L M,HE J,et a1.Prevalence and control of diabetes in Chinese adults[J].JAMA,2013,310(9):948-959.
[9]郭燕,李芳,王亮,等.武汉市≥65岁城乡老年人糖尿病患病及控制现状分析[J].中国公共卫生,2014,30(6):729-731.
[10]明洁,徐少勇,谢璇,等.西安市50岁以上人群糖尿病患病率及其合并疾病调查:以社区为基础的研究[J].中华糖尿病杂志,2018,10(8):531-536.
[11]罗先策,黄晓波,刘雅,等.成都地区老年人群糖尿病的流行状况及危险因素分析[J].四川医学,2011,32(10):1505-1508.
[12]张素勤,吴连拼,陈鹏,等.温州市老年及老年前期空腹血糖增高人群的临床特征分析[J].实用老年医学,2007,21(1):52-55.
[13]许国章,应焱燕,林鸿波,等.宁波地区60岁及以上老年人群糖尿病筛查研究[J].中国慢性病预防与控制,2014,22(4):405-407.
[14]王宁,陈龙,王英斌,等.乌鲁木齐市汉族老年人糖代谢异常的流行病学调查[J].中华老年医学杂志,2010,29(12):1036-1038.
[15]杨佳熙,洪峰,洪阳.贵阳市某社区60岁以上老年人2型糖尿病患病现况及危险因素分析[J].中国初级卫生保健,2017,31(1):29-31.
[16]刘薇,华琳,张雪莲,等.宁夏固原地区回族老年人群糖代谢状况及影响因素研究[J].首都医科大学学报,2016,37(6):812-816.
[17]傅应晶.上海市高行镇农村老年人体检状况及相关因素调查研究[J].实用心脑肺血管病杂志,2011,19(6):927-928.
[18]黄晶晶,杨胜杰,崔文龙,等.弥渡县农村老年人糖尿病患病、知晓、治疗、控制及自我管理现状[J].昆明医科大学学报,2018,39(1):45-49.
[19]王晗影,李子康,陈庚阳,等.2型糖尿病危险因素研究进展[J].养生保健指南,2018,2(11):314.
[20]潘劲,胡如英,龚巍巍,等.浙江省2007至2012年糖尿病流行特征的描述性分析[J].中华内分泌代谢杂志,2015,31(10):846-850.