Yang Guang-Ran, Yuan Shen-Yuan, Fu Han-Jing, Wan Gang, Zhu Liang-Xiang, Yuan Ming-Xia, Lv Yu-Jie, Zhang Jian-Dong, Du Xue-Ping, Li Yu-Ling, Ji Yu, Zhou Li, Li Yue
Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Prim Care Diabetes. 2015 Dec;9(6):473-81. doi: 10.1016/j.pcd.2015.03.005. Epub 2015 Apr 10.
To investigate the effects of educational attainment on glucose control and morbid events in patients with type 2 diabetes in Beijing communities.
In this prospective multi-center study, 2866 type 2 diabetes patients receiving integrated care from 15 Beijing urban communities were investigated. Educational attainment was categorized into three levels: low, medium, and high. After a 42-month management, glucose control parameters and morbid events were analyzed.
At baseline, the percentages of patients with good glucose control (HbA1c ≤ 7.0%) in the low, medium and high educational groups were 49.09%, 54.82% and 62.59%, respectively (P<0.001). After the 42-month management, fasting plasma glucose and HbA1c values were the highest in the low educational group (7.51 ± 2.05 mmol/l and 7.20 ± 1.27%, respectively). Percentages of patients with good glucose control in the three groups were 49.6%, 55.83% and 67.23%, respectively, and the incidences of combined morbid events were 4.5%, 2.4% and 1.5%, respectively. Cox regression analysis showed that educational level was related to the incidence of combined morbid events (medium level, HR=0.572; high level, HR=0.351; P<0.05).
Educational level was associated with long-term glucose control, and seemed to be related to the incidence of combined morbid events in people with type 2 diabetes.
调查教育程度对北京社区2型糖尿病患者血糖控制及不良事件的影响。
在这项前瞻性多中心研究中，对来自北京15个城市社区接受综合治疗的2866例2型糖尿病患者进行了调查。教育程度分为低、中、高三个水平。经过42个月的管理后，分析血糖控制参数及不良事件。
基线时，低、中、高教育组血糖控制良好（糖化血红蛋白≤7.0%）的患者百分比分别为49.09%、54.82%和62.59%（P<0.001）。经过42个月的管理后，低教育组的空腹血糖和糖化血红蛋白值最高（分别为7.51±2.05 mmol/L和7.20±1.27%）。三组血糖控制良好的患者百分比分别为49.6%、55.83%和67.23%，合并不良事件的发生率分别为4.5%、2.4%和1.5%。Cox回归分析显示，教育水平与合并不良事件的发生率相关（中等水平，风险比=0.572；高水平，风险比=0.351；P<0.05）。
教育水平与2型糖尿病患者的长期血糖控制相关，且似乎与合并不良事件的发生率有关。
