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目的了解农村人群糖尿病(diabetes mellitus,DM)的患病情况,分析农村DM患者的认知行为特征,为农村人群DM的预防控制提供科学依据。方法采用多级整群抽样的方法,对35~74岁的本地常住农村居民和移民人群进行调查。结果 DM的总患病率为4.47%,标化患病率为4.43%。其中DM在移民与本地居民中的患病率分别为6.57%和3.95%,且患病率随年龄的增长呈上升趋势。DM患者的“无体力活动”比例达10.12%,DM患者中超重、肥胖的患病风险是正常人群的2.74倍,DM患者的知晓率、治疗率、空腹血糖控制率分别为41.95%、55.14%、48.11%。结论宜昌市夷陵区农村人群DM的患病率较高,知晓率、治疗率、控制率低的现状已对社区人群的健康构成了威胁,开展农村社区综合性防治是今后工作的重点。
Objective To understand the prevalence of diabetes mellitus (DM) in rural areas and to analyze the cognitive behavioral characteristics of rural DM patients so as to provide a scientific basis for the prevention and control of DM in rural areas. Methods The method of multistage cluster sampling was used to investigate the local resident rural residents and immigrants from 35 to 74 years old. Results The overall prevalence of DM was 4.47%, the standardized prevalence was 4.43%. Among them, the prevalence rates of DM among immigrants and local residents were 6.57% and 3.95% respectively, and the prevalence increased with age. DM patients “physical activity ” ratio of 10.12%, DM patients overweight, obesity risk is 2.74 times the normal population, DM patients awareness, treatment, fasting blood glucose control rates were 41.95%, respectively, 55.14%, 48.11%. Conclusion The prevalence of DM in rural population in Yiling District of Yichang City is high. The status of awareness rate, treatment rate and low control rate have posed a threat to the health of community population. It is the focus of future work to carry out comprehensive prevention and control of rural community.