云南少数民族糖尿病患病和管理的社会经济影响因素

发布时间：2018-03-19 07:23

本文选题：糖尿病　切入点：患病率　出处：《中华疾病控制杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的分析云南四个独有少数民族糖尿病患病、知晓、治疗和自我管理的社会经济影响因素。方法对云南省≥35岁的纳西族、傈僳族、傣族和景颇族村民,采用多阶段分层抽样方法抽取5 600人进行问卷调查和体检。应用多水平模型分析影响糖尿病患病和管理的社会经济因素。结果糖尿病的总体患病率、知晓率、治疗率和控制率分别为4.7%、63.7%、48.1%和24.8%;糖尿病病人采取降糖措施率、遵医嘱用药率和监测血糖率分别为91.0%、68.9%和36.5%。教育水平和家庭财产越高以及医疗服务可及性越好的糖尿病病人,其治疗率越高。居住在收入越高乡镇者患糖尿病的风险越大,患病后治疗的可能性也越高。教育水平越高、医疗服务可及性越好及居住在高收入乡镇者更易遵医嘱用药;教育水平和家庭财产越高以及居住在教育水平较高乡镇者监测血糖率越高。在高收入乡镇,其糖尿病病人采取降糖措施的可能性也越大。结论云南独有少数民族地区糖尿病的预防和干预工作应同时考虑个体和乡级社会经济影响因素。
[Abstract]:Objective to analyze the social and economic factors affecting diabetes prevalence, knowledge, treatment and self-management in four unique minority nationalities in Yunnan Province. Methods Naxi, Lisu, Dai and Jingpo villagers aged more than 35 years old in Yunnan Province were studied. A multi-stage stratified sampling method was used to collect 5,600 people for questionnaire and physical examination. The social and economic factors affecting the prevalence and management of diabetes mellitus were analyzed by multi-level model. Results the overall prevalence rate and awareness rate of diabetes mellitus were analyzed. The rates of treatment and control were 48.1% and 24.8%, respectively; the rate of hypoglycemic measures, the rate of prescribed medication and the rate of monitoring blood sugar were 91.0% and 36.5%, respectively. The higher the level of education and family property, the better the availability of medical services. The higher the treatment rate is, the greater the risk of diabetes is, and the higher the possibility of treatment is, the higher the education level is, the better the medical service is, and the more easily people living in the high-income villages and towns are more likely to follow the doctor's advice. The higher the level of education and family property, and the higher the blood sugar rate of those living in the higher education level township, the higher the blood sugar rate in the high income township. Conclusion the prevention and intervention of diabetes in the unique minority areas of Yunnan should consider both individual and township social and economic influence factors.
【作者单位】：昆明医科大学公共卫生学院;昆明医科大学附属甘美医院老年病科;昆明医科大学公共卫生学院卫生事业管理与卫生经济系;
【基金】：国家自然科学基金(71263032) 云南省教育厅重大专项(Zd2014005) 昆明医科大学重大科技成果培育项目(CGPY201503)
【分类号】：R587.1

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