摘要
目的了解武汉市开展的每两年一次免费体检对老年人糖尿病患病、知晓和控制情况的影响。方法以参与2012年和2014年武汉市65岁以上免费体检的老年人为研究对象,以现场测定空腹血糖为主要诊断指标,结合既往病史确定糖尿病和空腹血糖受损。结果与2012年相比,2014年武汉市体检老年人糖尿病患病率增长了1.78%,空腹血糖受损率稍降低。糖尿病知晓率和控制率从2012年的62.57%和35.08%提高到了2014年的67.66%和39.73%,差异有统计学意义(P<0.01),农村知晓率和控制率的增长幅度更大。2014年体育锻炼达标率显著高于2012年。结论免费体检后,武汉市老年人糖尿病患病率稍有增长,空腹血糖受损率显著降低,糖尿病知晓率和控制率显著提高。给老年人提供定期免费体检对老年人糖尿病的知晓和控制具有社会意义。
Objectives To describe the changes of prevalence,awareness and control status of senile diabetic mellitus（DM）in Wuhan city from 2012—2014after a free physical examination for the elderly.Methods Subjects were from those participated in the free medical examination of residents aged over 65 years in 2012 and 2014.The diagnosis of DM and IFG was made according to fasting blood-glucose,in combination with the survey of previous DM diagnosis in local hospitals.Results Compared with the data of 2012,the DM prevalence rate increased by 1.78%,and the impaired fasting glucose rate slightly decreased.The awareness rate and control rate were significantly improved from 62.57% and 35.08%in 2012 to 67.66% and 39.73%in 2014（P〈0.01）.The growth of awareness and control in rural area were more than those in urban area.The physical exercise achieved rate in 2014 was significantly higher than that in 2012.Conclusions The DM prevalence rate of old residents is still increasing,but the impaired fasting glucose rate decreased after a free physical examination.The awareness rate and control rate were significantly improved.It is necessary to enhance the publicity and education about DM knowledge.Free regular physical examination is of important social significance to be aware of and control the DM of old people in Wuhan.
出处
《中国社会医学杂志》
2017年第1期74-77,共4页
Chinese Journal of Social Medicine
基金
湖北省卫生计生委项目(WJ2015MB162)
关键词
糖尿病
患病率
知晓率
控制率
Diabetes mellitus
Prevalence rate
Awareness rate
Control rate
