河南省濮阳市成人糖尿病患病率、知晓率、治疗率、控制率及相关影响因素

doi:10.12183/j.scjpm.2025.0864

华南预防医学 ›› 2025, Vol. 51 ›› Issue (8): 864-869.doi: 10.12183/j.scjpm.2025.0864

河南省濮阳市成人糖尿病患病率、知晓率、治疗率、控制率及相关影响因素

张洪磊¹, 梁森¹, 闫现营¹, 王新杰², 段晓琦³, 穆晓红⁴, 李宁⁵

1.濮阳市疾病预防控制中心,河南濮阳 457000;
2.濮阳市华龙区疾病预防控制中心;
3.范县疾病预防控制中心;
4.濮阳县疾病预防控制中心;
5.清丰县疾病预防控制中心

收稿日期:2024-11-11 出版日期:2025-08-20 发布日期:2025-09-16
通讯作者: 梁森,E-mail：3772062821@qq.com
作者简介:张洪磊（1990—）,男,硕士研究生,主管医师,研究方向：代谢性疾病流行病学

Prevalence, awareness, treatment and control rate of diabetes mellitus and their related influencing factors among adults in Puyang, Henan Province

ZHANG Honglei¹, LIANG Sen¹, YAN Xianying¹, WANG Xinjie², DUAN Xiaoqi³, MU Xiaohong⁴, LI Ning⁵

1. Puyang Center for Disease Control and Prevention, Puyang, Henan 457000, China;
2. Hualong District Center for Disease Control and Prevention, Puyang;
3. Fanxian Center for Disease Control and Prevention;
4. Puyang Center for Disease Control and Prevention;
5. Qingfeng Center for Disease Control and Prevention

Received:2024-11-11 Online:2025-08-20 Published:2025-09-16

摘要/Abstract

摘要： 目的了解濮阳市成人糖尿病患病率、知晓率、治疗率和控制率情况,为糖尿病防治提供科学依据。方法采用多阶段分层整群抽样在濮阳市4个县区开展慢性病及危险因素监测调查,以18岁及以上常住居民为研究对象,采用χ²检验和χ²趋势检验对不同组别及随年龄变化的率进行分析,采用多因素logistic回归模型分析率的影响因素。结果共纳入12 373名18岁及以上濮阳市常住居民,糖尿病患病率为13.82%（标化率13.49%）。糖尿病患者中,糖尿病知晓率、治疗率、控制率分别为48.19%、45.85%、32.75%（标化率分别为35.01%、32.15%、27.23%）,随着年龄增加,糖尿病知晓率、治疗率和控制率呈上升趋势（均Ptrend<0.01）。多因素logistic回归分析结果显示,年龄增加（OR=1.830、3.249、5.667、8.194）、城市居民（OR=1.243）、饮酒（OR=1.182）、红肉摄入过多（OR=1.246）、超重/肥胖（OR=1.369、1.909）、高血压（OR=2.215）、有糖尿病家族史（OR=2.511）的人群罹患糖尿病的风险较高（均P<0.05）。年龄增加（OR=3.333、4.532、6.911、11.221）、城市居民（OR=1.271）、高血压患者（OR=1.499）、有糖尿病家族史（OR=2.293）与糖尿病高知晓率相关（均P<0.05）。年龄增加（OR=3.141、5.140、8.374、13.368）、城市居民（OR=1.358）、高血压患者（OR=1.484）、有糖尿病家族史（OR=2.413）与糖尿病高治疗率相关（均P<0.05）;年龄≥55岁（OR=1.826、2.399）的糖尿病患者控制率高（P<0.05）。结论濮阳市成人糖尿病患病率较高,知晓率、治疗率和控制率较低。应重点关注低年龄段和农村居民的健康宣教,采取针对性措施提高糖尿病知晓率、治疗率和控制率。

关键词: 糖尿病, 患病率, 知晓率, 治疗率, 控制率, 影响因素

Abstract: Objective To investigate the prevalence, awareness, treatment, and control rates of diabetes mellitus (DM) among adults in Puyang, Henan Province, and to provide scientific evidence for diabetes prevention and management. Methods A multistage stratified cluster sampling method was employed in a chronic disease and risk factor surveillance survey across four counties/districts of Puyang City. Permanent residents aged 18 years and older were included as study participants. χ²-tests and χ²-trend tests were used to analyze differences in rates across demographic groups and age trends. Multivariable logistic regression models were applied to identify influencing factors. Results A total of 12 373 permanent residents aged ≥18 years were included. The overall diabetes prevalence was 13.82% (age-standardized rate: 13.49%). Among individuals with diabetes, the awareness, treatment, and control rates were 48.19%, 45.85%, and 32.75%, respectively (standardized rates: 35.01%, 32.15%, and 27.23%). These rates exhibited a significant upward trend with increasing age (all P<0.05). Multivariable logistic regression analysis revealed the following risk factors for diabetes: age (OR=1.830, 3.249, 5.667, 8.194), urban residents (OR=1.243), alcohol consumption (OR=1.182), excessive red meat consumption (OR=1.246), overweight (OR=1.369), obesity (OR=1.909), hypertension (OR=2.215) and family history of diabetes (OR=2.511) (all P<0.05). Increased age (OR=3.333, 4.532, 6.911, 11.221), urban residents (OR=1.271), hypertension patients (OR=1.499), family history of diabetes (OR=2.293) were associated with high awareness rate (all P<0.05). Increased age (OR=3.141, 5.140, 8.374, 13.368), urban residents (OR=1.358), hypertension patients (OR=1.484), family history of diabetes (OR=2.413) were associated with high treatment rate (all P<0.05). Better glycemic control was observed in individuals aged ≥55 years (OR=1.826, 2.399, P<0.05). Conclusions Puyang exhibits a high prevalence of diabetes among adults, coupled with suboptimal awareness, treatment, and control rates. Targeted health education interventions should prioritize younger age groups and rural populations to improve diabetes detection, management, and outcomes.

Key words: Diabetes mellitus, Prevalence, Awareness rate, Treatment rate, Control rate, Influencing factors

中图分类号:

R195.4

张洪磊, 梁森, 闫现营, 王新杰, 段晓琦, 穆晓红, 李宁. 河南省濮阳市成人糖尿病患病率、知晓率、治疗率、控制率及相关影响因素[J]. 华南预防医学, 2025, 51(8): 864-869.

ZHANG Honglei, LIANG Sen, YAN Xianying, WANG Xinjie, DUAN Xiaoqi, MU Xiaohong, LI Ning. Prevalence, awareness, treatment and control rate of diabetes mellitus and their related influencing factors among adults in Puyang, Henan Province[J]. South China Journal of Preventive Medicine, 2025, 51(8): 864-869.

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河南省濮阳市成人糖尿病患病率、知晓率、治疗率、控制率及相关影响因素

Prevalence, awareness, treatment and control rate of diabetes mellitus and their related influencing factors among adults in Puyang, Henan Province

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