Department of Health Statistics, School of Public Health, Fourth Military Medical University, Xi'an, 710032, Shaanxi, China.
Xi'an Centre for Disease Control and Prevention, Xi'an, 710054, Shaanxi, China.
Sci Rep. 2017 Sep 5;7(1):10472. doi: 10.1038/s41598-017-10797-x.
The study aimed to investigate the prevalence, awareness, treatment and glycaemic control of diabetes and its associated risk factors among adults in Xi'an, China. We collected data among participants aged 18 years or older through a self-developed questionnaire and an additional health examination. A total of 8150 participants were included, with an overall prevalence of diabetes of 8.0%. Among 655 participants with diabetes, 52.5% were aware they had diabetes, 48.1% took antidiabetic treatment, and 19.1% had their fasting blood glucose level at less than 7.0 mmol/l. Older age, lower educational level, higher body mass index, larger waist circumference, having an unhealthy diet and having more comorbidities were positively associated with the risk of diabetes. Participants who were older, who had higher education and who had more comorbidities were more aware that they had diabetes. Being older age, having higher education and having more comorbidities were also factors for better treatment. Participants who were older were more likely to have their glucose level controlled. The prevalence of diabetes among adults in Xi'an is high, with suboptimal awareness, treatment, and glycaemic control rates. Comprehensive integrated strategies based on risk factors should be implemented to improve the prevention and glycaemic control of diabetes.
本研究旨在调查中国西安成年人糖尿病及其相关危险因素的患病率、知晓率、治疗率和血糖控制情况。我们通过自拟问卷和额外的健康检查收集了 18 岁及以上参与者的数据。共纳入 8150 名参与者，糖尿病总患病率为 8.0%。在 655 名糖尿病患者中，52.5%知晓自己患有糖尿病，48.1%接受了抗糖尿病治疗，19.1%的空腹血糖水平低于 7.0mmol/l。年龄较大、受教育程度较低、体重指数较高、腰围较大、饮食不健康和合并症较多与糖尿病的发病风险呈正相关。年龄较大、受教育程度较高和合并症较多的参与者更清楚自己患有糖尿病。年龄较大、受教育程度较高和合并症较多也是治疗效果较好的因素。年龄较大的参与者更有可能控制血糖水平。西安成年人的糖尿病患病率较高，知晓率、治疗率和血糖控制率均不理想。应实施基于危险因素的综合综合策略，以改善糖尿病的预防和血糖控制。
