Hu Xiangju, Fang Xin, Wu Minxia
School of Public Health, Fujian Medical University, Fuzhou, China.
Department for Chronic and Noncommunicable Disease Control and Prevention, Fujian Provincial Center for Disease Control and Prevention, Fuzhou, China.
J Diabetes Investig. 2024 Aug;15(8):1034-1041. doi: 10.1111/jdi.14213. Epub 2024 May 13.
AIMS/INTRODUCTION: To estimate the prevalence, awareness, treatment, control rate, and influence factors of type 2 diabetes in Fujian province and provide the scientific basic for prevention.
A population-based study with the analysis of binary logistic regression was carried out to estimate the odds ratios of the influencing factor on type 2 diabetes. Data of the Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) in southeast China were used. The study sample originated from 12 counties in Fujian province and included 135,352 permanent residents aged 35-75 years in 2021.
The prevalence of type 2 diabetes was 18.32% (24,801/135,352). Among them, 13,921 (56.13%) were aware of their condition, 11,894 (47.96%) were receiving treatment, and 4,537 (18.29%) had achieved control of blood glucose. Multivariate logistic regression analysis showed that older age, men, low-family income, low-education level, urban locality, no medical insurance, and histories of myocardial infarction, stroke, dyslipidemia, hypertension, alcohol consumption, and obesity were associated with a higher prevalence of type 2 diabetes.
The prevalence of type 2 diabetes among residents aged 35-75 years in southeast China is high, whereas the status of its low awareness, treatment and control is severe, warranting a broad-based global strategy, including greater efforts in earlier screening, and more effective and affordable treatment is essential.
目的/引言：估算福建省2型糖尿病的患病率、知晓率、治疗率、控制率及影响因素，为预防提供科学依据。
开展一项基于人群的研究，并进行二元逻辑回归分析，以估算影响2型糖尿病的因素的比值比。使用中国东南部心脏事件患者中心评估（PEACE）的数据。研究样本来自福建省的12个县，包括2021年年龄在35 - 75岁的135352名常住人口。
2型糖尿病的患病率为18.32%（24801/135352）。其中，13921人（56.13%）知晓自己的病情，11894人（47.96%）正在接受治疗，4537人（18.29%）血糖得到控制。多因素逻辑回归分析表明，年龄较大、男性、家庭收入低、教育水平低、城市地区、无医疗保险以及有心肌梗死、中风、血脂异常、高血压、饮酒和肥胖病史与2型糖尿病的较高患病率相关。
中国东南部35 - 75岁居民中2型糖尿病的患病率较高，而其知晓率、治疗率和控制率低的状况严重，需要一项广泛的全球战略，包括加大早期筛查力度，且更有效且负担得起的治疗至关重要。
