Feng Bao-Yu, Huang Chen, Cao Jie, Dong Zhong, Liu Fang-Chao, Ji Li-Nong, Yang Jin-Kui, Li Gang, Li Jian-Xin, Yang Xue-Li, Xie Jin, Fang Kai, Huang Jian-Feng, Gu Dong-Feng
Department of Epidemiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, China.
Institute of Chronic Diseases Control and Prevention, Beijing Center for Diseases Control and Prevention, Beijing 100013, China.
Chronic Dis Transl Med. 2016 Dec 15;2(3):147-158. doi: 10.1016/j.cdtm.2016.11.011. eCollection 2016 Sep.
To examine the awareness, treatment and control rates of diabetes and identify their associated risk factors among Beijing residents.
A cross-sectional survey was conducted in 2011, using a stratified multistage cluster random sampling method to select a representative sample of 20,242 residents in Beijing aged 18-79 years. Diabetes was defined as fasting blood glucose (FBG) ≥7.0 mmol/L and/or history of diabetes and/or using insulin or hypoglycemic agents. All estimates of awareness, treatment and control rates were weighted by the 2010 Beijing Population Census data and the sampling scheme. Multivariate Logistic regression was used to identify factors associated with awareness, treatment and control rates.
A total of 2061 (10.3%) participants were diagnosed as diabetes. The overall awareness, treatment and control rate among patients were 60.9%, 51.3% and 22.4%, respectively, while overall control rate among treated patients was 33.8%. These rates differed across subgroups. Women were more likely to be aware of diabetes status, receive treatment and have better glucose controlled than men (69.5% 54.7% for awareness, 61.0% 44.3% for treatment, and 27.6% 18.6% for control, respectively). In addition, only 22.2% of treated patients had both FBG and hemoglobin A1c (HbA1c) controlled well. Multivariate Logistic regression suggested that old age, women, higher education and family history of diabetes were associated with higher awareness, treatment and control rates (All < 0.05). Treated individuals living in rural ( = 0.67(95%: 0.47-0.96)) or with dyslipidemia ( = 0.63 (95%: 0.44-0.91)) had a lower diabetic control rate.
Awareness, treatment and control rates of diabetes in Beijing were still low. A comprehensive intervention strategy on diabetes management and control is warranted.
调查北京居民糖尿病的知晓率、治疗率和控制率，并确定其相关危险因素。
2011年进行了一项横断面调查，采用分层多阶段整群随机抽样方法，选取了20242名年龄在18 - 79岁的北京居民作为代表性样本。糖尿病定义为空腹血糖（FBG）≥7.0 mmol/L和/或有糖尿病史和/或使用胰岛素或降糖药物。所有知晓率、治疗率和控制率的估计值均根据2010年北京人口普查数据和抽样方案进行加权。采用多因素Logistic回归分析确定与知晓率、治疗率和控制率相关的因素。
共有2061名（10.3%）参与者被诊断为糖尿病。患者的总体知晓率、治疗率和控制率分别为60.9%、51.3%和22.4%，而接受治疗患者的总体控制率为33.8%。这些率在不同亚组中有所差异。女性比男性更有可能知晓糖尿病状况、接受治疗且血糖控制更好（知晓率分别为69.5%对54.7%，治疗率分别为61.0%对44.3%，控制率分别为27.6%对18.6%）。此外，仅22.2%的接受治疗患者的空腹血糖和糖化血红蛋白（HbA1c）均得到良好控制。多因素Logistic回归分析表明，老年、女性、高学历和糖尿病家族史与较高的知晓率、治疗率和控制率相关（均P<0.05）。居住在农村的接受治疗者（OR = 0.67（95%CI：0.47 - 0.96））或患有血脂异常的接受治疗者（OR = 0.63（95%CI：0.44 - 0.91））糖尿病控制率较低。
北京糖尿病的知晓率、治疗率和控制率仍然较低。有必要对糖尿病管理和控制采取综合干预策略。
