Awareness, treatment, control of diabetes mellitus and the risk factors: survey results from northeast China.
Awareness, treatment, control of diabetes mellitus and the risk factors: survey results from northeast China.
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DOI：
10.1371/journal.pone.0103594
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Liu Y
中科院分区：
文献类型：
--
作者：
Wang C;Yu Y;Zhang X;Li Y;Kou C;Li B;Tao Y;Zhen Q;He H;Kanu JS;Huang X;Han M;Liu Y
对糖尿病的认识、治疗和控制可以有效地反映糖尿病的社会状况。虽然一些研究人员调查了中国糖尿病的知晓率、治疗率和控制率，但对其与危险因素的关系知之甚少。本研究旨在探讨东北地区糖尿病危险因素与糖尿病知晓、治疗和控制的关系。2012年进行了一次横断面调查。采用多阶段分层随机整群抽样设计，选择18 ~ 79岁的受试者。该分析基于1，854名成年受试者的代表性样本。采用多因素Logistic回归分析，探讨社会人口学因素与糖尿病的知晓、治疗和控制水平的关系。糖尿病知晓率、治疗率和控制率分别为64.1%、52.9%和44.2%。在多因素Logistic回归分析中，糖尿病家族史与知晓率显著正相关（OR，2.145; 95% CI，1.600-2.875）和治疗糖尿病组与对照组呈负相关（OR，2.021，95%CI，1.559-2.619），对照组与糖尿病组呈负相关（OR，0.671，95%CI，0.529-0.951）。吸烟者和饮酒者比不吸烟者和不饮酒者更不可能意识到自己的血糖水平（OR，0.895，0.614; 95%CI，0.659-1.216，0.446-0.844）。经常锻炼的参与者比从不或很少锻炼的人更容易意识到自己的糖尿病状况（OR，2.003; 95%CI，1.513-2.651）。我们发现，糖尿病的认识和治疗与年龄呈正相关，在有糖尿病家族史和经常锻炼的参与者中较高，但吸烟者和饮酒者较低。有糖尿病家族史的参与者的糖尿病病情控制不佳。
The awareness, treatment and control of diabetes mellitus (DM) can effectively reflect on the social status of diabetes conditions. Although several researchers have investigated the awareness, treatment and control rates of diabetes mellitus in China, little is known about their association with risk factors. This study aims to examine the relationship between risk factors and awareness, treatment and control of diabetes mellitus in northeast China. A cross-sectional survey was conducted in 2012. Multistage stratified random cluster sampling design was used to select participants aged 18 to 79 years old. The analysis was based on a representative sample of 1,854 adult subjects. Multivariable logistic regression analysis was used to examine socio-demographic factors associated with the levels of awareness, treatment and control of diabetes mellitus. The awareness, treatment, and control rates of diabetes mellitus were 64.1%, 52.9% and 44.2%, respectively. In the multivariable logistic regression analysis, family history of diabetes was significantly positively associated with awareness (OR, 2.145; 95% CI, 1.600–2.875) and treatment (OR, 2.021; 95% CI, 1.559–2.619) of diabetes mellitus, while negatively associated with control (OR, 0.671; 95% CI, 0.529–0.951). Cigarette smokers and alcohol drinkers were less likely than non-smokers and non-drinkers to be aware of their blood glucose levels (OR, 0.895, 0.614; 95% CI, 0.659–1.216, 0.446–0.844, respectively). Participants who frequently exercise were more likely to be aware of their diabetic conditions than people who never or rarely exercise (OR, 2.003; 95% CI, 1.513–2.651). We found that the awareness and treatment of diabetes mellitus were positively associated with age and were high in participants with a family history of diabetes and those who exercise frequently, but low for cigarette smokers and alcohol drinkers. Participants with a family history of diabetes had their diabetic condition poorly controlled.
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