Prevalence of Type 2 diabetes in urban and rural Chinese populations in Qingdao, China
Prevalence of Type 2 diabetes in urban and rural Chinese populations in Qingdao, China
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DOI：
10.1111/j.1464-5491.2005.01658.x
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发表时间：
2005-10-01
影响因子：
3.5
通讯作者：
Qiao, Q
中科院分区：
文献类型：
--
作者：
Dong, Y;Gao, W;Qiao, Q
目的了解青岛市城乡成年人群糖尿病患病情况，方法采用横断面调查方法，对2001 ~ 2002年青岛市12436例（5346例男性）20-74岁成年人进行糖尿病流行病学调查。对所有参与者进行空腹毛细血管全血葡萄糖试验（FCG），并对初始筛选后FCG ≥ 6.1 mmol/l的参与者进行2小时75 g口服葡萄糖耐量试验。结果20-74岁成年人的糖尿病年龄标准化患病率为6.1%（未诊断糖尿病为4.1%，既往已知糖尿病为2.1%）。糖尿病患病率随着年龄的增长而增加，直至最大年龄组（70-74岁）;在50岁以上的受试者中，患病率达到10%。男性已知糖尿病的患病率往往高于女性，而男性未诊断糖尿病的患病率低于女性（4.6%比3.3%，d.f. = 1，P = 0.001）。糖尿病在城市比在农村更普遍（6.9%对5.6%，d.f. = 1，P < 0.001）。然而，未确诊糖尿病的比例在农村高于城市地区（70.5%比58.0%，d. f.结论青岛市2型糖尿病患病率处于中等偏高水平，但较1996年报告的患病率有明显上升。未确诊的糖尿病病例比例很大，表明公众对糖尿病缺乏认识，医疗设施短缺。鉴于中国庞大的人口，本研究结果强调需要提高中国糖尿病的早期发现和预防，以防止新出现的糖尿病流行。
Aims To determine the prevalence of diabetes in the Chinese adult population in rural and urban areas of Qingdao city.Methods A population-based cross-sectional study of diabetes was performed in 12 436 (5346 men) Chinese adults (20-74 years old) from 2001 to 2002. Fasting capillary whole blood glucose test (FCG) was performed in all participants and a 2-h 75-g oral glucose tolerance test in those with FCG >= 6.1 mmol/l following initial screening. The 1999 World Health Organization diagnostic criteria for diabetes were used.Results The age-standardized prevalence of diabetes was 6.1% (4.1% for undiagnosed and 2.1% for previously known diabetes) in adults aged 20-74 years. Diabetes prevalence increased with age up to the oldest age group (70-74); in subjects over 50 years of age, the prevalence reached 10%. Men tended to have a higher prevalence of known diabetes than women, whereas the prevalence of undiagnosed diabetes was lower in men than in women (4.6% vs. 3.3%, d.f. = 1, P = 0.001). Diabetes was more prevalent in the urban than in the rural population (6.9% vs. 5.6%, d.f. = 1, P < 0.001). However, the proportion of undiagnosed diabetes was higher in the rural than in the urban areas (70.5% vs. 58.0%, d.f. = 1, P < 0.001).Conclusions The prevalence of Type 2 diabetes in Qingdao city is moderately high, but much higher than reported in 1996. The large proportion of undiagnosed cases of diabetes indicates the lack of public awareness of diabetes and shortage of medical facilities. In view of the huge population in China, the results of this study emphasize the need to improve the early detection and prevention of diabetes in China to prevent the emerging diabetes epidemic.