Zhao Y F, Wang Z Q, Yang J, Wang L M, Zhao Z P, Zeng X Y, Wang L H
Division of Science, Education and International Cooperation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Division of Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Feb 10;39(2):213-217. doi: 10.3760/cma.j.issn.0254-6450.2018.02.015.
To analyze the rates on prevalence, awareness, status on treatment and control of type 2 diabetes mellitus among Chinese premenopausal women aged 18-49, in 2013. Data on China Chronic and Non-Communicable Disease Surveillance in year 2013 was used for analysis. Source of data covered 302 surveillance points which were selected by Multi-stage cluster random sampling method that including 176 534 adults over 18 years of age, with 46 674 premenopausal women aged 18-49. Plasma glucose and hemoglobin A1c levels were determined after a 10-hour overnight fast for all the participants, before a 2-hour oral glucose tolerance test was conducted among participants without a self-reported history of diagnosed diabetes. Diabetes was defined according to the 1999 WHO diagnostic criteria-fasting blood glucose level as ≥7.0 mmol/L and/or 2 hours oral glucose tolerance test (OGTT-2 h) level as ≥11.1 mmol/L. After being weighed, according to complex sampling scheme and post-stratification, the sample was used to estimate the rates of prevalence, awareness, treatment and control of type 2 diabetes mellitus by age, education, urban and rural areas, and geographic locations. The overall prevalence of type 2 diabetes mellitus was 5.6% among the Chinese premenopausal women aged 18-49. No statistical difference on the prevalence rates (5.7% and 5.4%, respectively) was seen, between participants from the rural or the urban areas. Prevalence rates in the eastern, central or western geographic areas were 5.8%, 6.2% and 4.4% respectively. The rates of awareness, treatment and control of diabetes appeared as 29.3%, 27.9% and 29.4% in childbearing women aged 18-49. The rate of treatment was 95.4% among those who knew their diabetic situation in childbearing women aged 18-49 years. The control rate of diabetes was 38.9% among those who had taken measures to control glucose, in 18-49-year-old childbearing women. The rate of awareness on diabetes in childbearing women aged 18-49 years in urban areas was higher than that in the rural areas. There were significantly statistical differences on the treatment rates among groups of different education levels but not in the trend test. The prevalence of type 2 diabetes mellitus in childbearing women aged 18-49 appeared high, but with low rates on awareness, treatment and control. However, statistical difference was seen on awareness, between urban and rural areas.
分析2013年中国18 - 49岁绝经前女性2型糖尿病的患病率、知晓率、治疗和控制状况。采用2013年中国慢性病与非传染性疾病监测数据进行分析。数据来源涵盖302个监测点,通过多阶段整群随机抽样方法选取,包括176534名18岁以上成年人,其中46674名18 - 49岁绝经前女性。所有参与者在禁食10小时后测定血糖和糖化血红蛋白水平,对无自我报告糖尿病诊断史的参与者进行2小时口服葡萄糖耐量试验。糖尿病根据1999年WHO诊断标准定义——空腹血糖水平≥7.0 mmol/L和/或2小时口服葡萄糖耐量试验(OGTT - 2h)水平≥11.1 mmol/L。称重后,根据复杂抽样方案和事后分层,该样本用于按年龄、教育程度、城乡地区和地理位置估计2型糖尿病的患病率、知晓率、治疗率和控制率。中国18 - 49岁绝经前女性2型糖尿病的总体患病率为5.6%。城乡参与者的患病率(分别为5.7%和5.4%)无统计学差异。东部、中部和西部地理区域的患病率分别为5.8%、6.2%和4.4%。18 - 49岁育龄妇女糖尿病的知晓率、治疗率和控制率分别为29.3%、27.9%和29.4%。18 - 49岁育龄妇女中知晓自己糖尿病状况的人群治疗率为95.4%。18 - 49岁育龄妇女中采取措施控制血糖的人群糖尿病控制率为38.9%。城市18 - 49岁育龄妇女糖尿病知晓率高于农村地区。不同教育程度组的治疗率存在显著统计学差异,但趋势检验无差异。18 - 49岁育龄妇女2型糖尿病患病率较高,但知晓率、治疗率和控制率较低。然而,城乡之间在知晓率方面存在统计学差异。