Stroke Center, Neuroscience Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin 130021, China.
Center for Neurovascular Ultrasound, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin 130021, China.
Diabetes Res Clin Pract. 2018 Oct;144:302-313. doi: 10.1016/j.diabres.2018.09.005. Epub 2018 Sep 12.
To explore the current prevalence and risk factors for diabetes and impaired fasting glucose in Northeast China.
This study adopted the multistage stratified random cluster sampling method to obtain a representative sample of adults aged 40 years or older in Dehui City, Jilin Province, Northeast China. Diabetes and impaired fasting glucose were defined according to the 1999 World Health Organization criteria.
A total of 4052 participants were included, with prevalence of diabetes in Northeast China of 11.2% (95% confidence interval [CI], 10.1-12.4%); that of diagnosed, 5.9% (95% CI, 5.1-6.8%); and that of impaired fasting glucose, 6.9% (95% CI, 6.0-8.0%). Among them, 52.9% were aware of their condition, 47.7% were receiving antidiabetic medication, and 75.9% had their diabetes controlled. Rural residents were more likely to have diabetes but were less inclined to be aware of and report antidiabetic treatment and to have their diabetes controlled than urban residents.
Diabetes and impaired fasting glucose were highly prevalent among adults in Northeast China. However, awareness and treatment rates remained relatively low compared with those of developed countries. Health policymakers should put more basic medical and healthcare into rural areas in the future.
探讨中国东北地区目前糖尿病和空腹血糖受损的流行情况及其危险因素。
本研究采用多阶段分层随机整群抽样方法,在吉林省德惠市抽取了年龄在 40 岁及以上的成年人进行代表性调查。糖尿病和空腹血糖受损的定义依据 1999 年世界卫生组织标准。
共纳入 4052 名参与者,中国东北地区糖尿病的患病率为 11.2%(95%置信区间,10.1-12.4%);确诊糖尿病的患病率为 5.9%(95%置信区间,5.1-6.8%);空腹血糖受损的患病率为 6.9%(95%置信区间,6.0-8.0%)。其中,52.9%的患者知晓自己的病情,47.7%的患者正在接受抗糖尿病药物治疗,75.9%的患者血糖得到控制。与城镇居民相比,农村居民更有可能患有糖尿病,但他们知晓病情、报告抗糖尿病治疗和控制糖尿病的比例较低。
中国东北地区成年人的糖尿病和空腹血糖受损患病率较高。然而,与发达国家相比,知晓率和治疗率仍相对较低。未来卫生政策制定者应加大对农村地区基本医疗和医疗保健的投入。