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中国益阳市农村老年糖尿病前期患者糖尿病信息获取的现状及影响因素:一项横断面研究。

Status and influencing factors of diabetes information acquisition among rural elderly with pre-diabetes in Yiyang City, China: a cross-sectional study.

机构信息

Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.

出版信息

BMJ Open. 2019 Jul 18;9(7):e029938. doi: 10.1136/bmjopen-2019-029938.

Abstract

OBJECTIVE

This study was designed to investigate the status of diabetes information acquisition and its influencing factors among patients, 60 years and older, with pre-diabetes in rural China.

DESIGN

This is a cross-sectional study.

SETTING

The survey was conducted in 42 rural communities in Yiyang City, Hunan Province, China.

PARTICIPANTS

A total of 461 elderly with pre-diabetes participated in this study, and 434 of them completed the survey (434/461, 94.1%).

OUTCOME MEASURES

Information on sociodemographic and diabetic information-seeking behaviours were assessed through the structured questionnaires and described by percentages, mean±SD. The influencing factors of diabetes information acquisition were analysed using multiple linear regression analysis.

RESULTS

The average score of diabetes information acquisition in the subjects was 8.39±11.28. The most popular and trusted source of diabetes information for the subjects was doctors. The level of information acquisition not only declined as the age progressed (95% CI -3.754 to -0.143) but also proved lowest among subjects with less than 1 year of education (95% CI 0.756 to 4.326). In addition, the level of information acquisition among elderly individuals with pre-diabetes, but with no history of hyperglycaemia, was lower than among those with a history of hyperglycaemia (95% CI 3.398 to 11.945).

CONCLUSIONS

These data indicated that the lack of ability to acquire diabetes information in elderly with pre-diabetes was common in rural China. Improving the ability of rural residents to access information should be incorporated into rural diabetes prevention efforts, especially for the elderly with pre-diabetes with low education and no history of hyperglycaemia.

TRIAL REGISTRATION NUMBER

ChiCTR-IOR-15007033; Pre-results.

摘要

目的

本研究旨在调查中国农村地区老年糖尿病前期患者获取糖尿病信息的现状及其影响因素。

设计

这是一项横断面研究。

地点

研究在中国湖南省益阳市 42 个农村社区进行。

参与者

共有 461 名老年糖尿病前期患者参与了本研究,其中 434 名完成了调查(434/461,94.1%)。

结果

采用结构问卷评估社会人口学和糖尿病信息搜索行为的信息,并用百分比、均数±标准差描述。采用多元线性回归分析糖尿病信息获取的影响因素。

结果

被试者糖尿病信息获取的平均得分为 8.39±11.28。被试者最受欢迎和信任的糖尿病信息来源是医生。信息获取水平不仅随年龄增长而下降(95%CI-3.754 至-0.143),而且在受教育程度低于 1 年的被试者中最低(95%CI0.756 至 4.326)。此外,无高血糖史的老年糖尿病前期患者的信息获取水平低于有高血糖史的患者(95%CI3.398 至 11.945)。

结论

这些数据表明,中国农村老年糖尿病前期患者普遍缺乏获取糖尿病信息的能力。改善农村居民获取信息的能力应纳入农村糖尿病预防工作中,特别是对受教育程度低且无高血糖史的老年糖尿病前期患者。

试验注册号

ChiCTR-IOR-15007033;预注册。

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