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河南省35岁及以上居民糖尿病防治现状及影响因素

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目的 了解河南省35岁及以上居民糖尿病患病、治疗和控制情况,分析血糖控制的影响因素,为河南开展糖尿病防治提供数据支持和科学依据.方法 数据来源于2013年和2018年河南省卫生服务调查资料,分析糖尿病防控相关指标的变化趋势以及影响血糖控制的因素.结果 河南省2018年35岁及以上居民糖尿病患病率、治疗率和控制率分别为8.23%、73.88%和36.13%,与2013年调查相比,糖尿病患病率上升,治疗率和控制率均下降(P<0.05);多因素logistic 回归表明,自评健康状况良好(一般:OR=0.689,95%CI 0.533~0.890.良好:OR=0.628,95%CI 0.430~0.918)、参加体育锻炼(OR=0.710,95%CI:0.564~0.895)是糖尿病控制率的积极因素,农村(OR=1.311,95%CI:1.041~1.652)、超重(OR=1.282,95%CI:1.013~1.623)、肥胖(OR=1.462,95%CI:1.086~1.967)、焦虑或抑郁(OR=1.494,95%CI:1.089~2.050)为糖尿病控制率的危险因素(P<0.05).结论 河南省居民糖尿病患病率处于较高水平,糖尿病防治效果不明显,亟待针对农村、超重、肥胖、焦虑或抑郁和缺乏体育锻炼等人群开展糖尿病综合防控.
Status Quo of Prevention and Treatment and Influencing Factors of Diabetes Among Residents Aged 35 Years and Above in Henan Province
Objective To examine the situation in the prevalence,treatment and control of diabetes among residents aged 35 years and above in Henan Province,and to analyze the influencing factors of blood glucose control and provide the support and scientific basis for prevention and treatment of diabetes in Henan.Methods The data were from the health service survey data of Henan Province in 2013 and 2018,the trend of diabetes prevention and control related indicators and the influencing factors of blood glucose control were analyzed.Results The prevalence,treatment and control rates of diabetes among residents aged 35 years and above in Henan Province in 2018 were 8.23%,73.88%and 36.13%.Compared with 2013,the prevalence of diabetes had increased,and the treatment and control rates had decreased(P<0.05).The multivariate logistic regression analysis showed that self-rated health(Common:OR=0.689,95%CI 0.533-0.890.Excellent:OR=0.628,95%CI 0.430-0.918)and taking part in physical exercise(OR=0.710,95%CI:0.564-0.895)were positive factors for the rate of diabetes control(P<0.05).Rural areas(OR=1.311,95%CI:1.041-1.652),overweight(OR=1.282,95%CI:1.013-1.623),fat(OR=1.462,95%CI:1.086-1.967)and anxiety or depression(OR=1.494,95%CI:1.089-2.050)were the risk factors of diabetes control rate(P<0.05).Conclusion The prevalence of diabetes in Henan Province in 2018 is still at a high level,and the effect of diabetes prevention and control is not obvious.It is urgently necessary to take comprehensive interventions on rural areas,overweight,obesity,anxiety or depression and lack of physical exercise for prevention and control of diabetes.

Henan Provincediabeteprevention and treatmentinfluencing factor

谭琳琳、时松和、李姣姣

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郑州大学第二附属医院医政办,河南郑州 450000

郑州大学公共卫生学院,河南郑州 450000

河南省 糖尿病 防治 影响因素

河南省医学科技攻关计划国家重点研发计划国家重点研发计划

2014030072017YFC13077032017YFC1307705

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(10)
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