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目的了解四川省流动人口中糖尿病流行情况、自报糖尿病患者对卫生服务资源的利用情况和影响因素,为探索针对流动人口的糖尿病防治和管理工作提供依据。方法利用中国慢性病及其危险因素监测2012年流动人口专题调查四川省数据,分析流动人口糖尿病流行情况及其对卫生服务利用情况,并采用Logistic回归分析影响患病的主要因素。结果共调查2 373名流动人口,糖尿病患病率为4.8%,其中男性5.2%,女性4.6%;糖尿病知晓率为27.8%;自报患者中治疗率为81.3%,但控制率仅6.5%,有59.4%自报患者没有参加居住地的糖尿病管理;年龄大、患高血压、超重是流动人口患糖尿病的危险因素,而性别和行业间无统计学意义。结论此次调查的流动人口中糖尿病患病率低于常住居民,糖尿病知晓率和控制率较低,参与基层糖尿病管理率较低;应探索适合流动人口的糖尿病管理和治疗防治模式,加强宣传教育和早期筛查,及早控制超重等可控危险因素,加强对流动人口的其本公共卫生服务。
Objective To understand the prevalence of diabetes among migrants in Sichuan Province and to report the utilization and influencing factors of health service resources in patients with diabetes mellitus, so as to provide basis for exploring the prevention and management of diabetes for floating population. Methods Using the data of chronic diseases and risk factors in China to monitor the 2012 Sichuan special subject survey data of Sichuan Province, analyze the prevalence of diabetes mellitus and utilization of health services in floating population. Logistic regression analysis was used to analyze the main factors influencing the prevalence. Results A total of 2 373 floating population were surveyed. The prevalence of diabetes was 4.8%, of which 5.2% for males and 4.6% for females. The awareness rate of diabetes was 27.8%. The self-reported treatment rate was 81.3%, but the control rate was only 6.5% There were 59.4% self-reported diabetic patients who did not participate in the management of diabetes mellitus. Older persons with hypertension and overweight were risk factors for diabetes in floating population, but no statistical significance was found between sex and industry. Conclusions The prevalence of diabetes in this survey population is lower than that of the resident population. The awareness rate and control rate of diabetes is low, and the management rate of participating in primary diabetes is relatively low. Diabetes management and treatment control mode suitable for floating population should be explored to enhance publicity and education And early screening, early control of risk factors such as being overweight and to strengthen their own public health services to migrants.