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云南独有少数民族糖尿病患者自我管理现状及其社会经济差异分析

发布时间:2018-04-14 10:29

  本文选题:独有少数民族 + 糖尿病 ; 参考:《中国公共卫生》2016年06期


【摘要】:目的了解云南省纳西族、傈僳族、傣族、景颇族4个独有少数民族糖尿病患者的自我管理现状及其社会经济差异,为今后少数民族地区开展糖尿病自我管理干预提供参考依据。方法于2013年8月—2014年8月采用多阶段分层随机抽样方法,在云南省玉龙县、永胜县和德宏傣族景颇族自治州抽取5 532名≥35岁的纳西族、傈僳族、傣族和景颇族4个独有少数民族常住居民进行问卷调查和血糖检测。结果云南省5 532名≥35岁纳西族、傈僳族、傣族和景颇族居民中,自我报告糖尿病患病167例,糖尿病自我报告患病率为3.02%;糖尿病患者的自我监测血糖率、遵医嘱用药率、控制饮食率、增加体育锻炼率、控制体重或减肥率和戒烟率分别是36.5%、68.9%、82.6%、18.0%、37.1%和7.8%;在控制了年龄、性别、民族等混杂因素后,多因素非条件logistic回归分析结果显示,中等偏上社会经济地位者和高社会经济地位者自我监测血糖的可能性分别为低社会经济地位者的1.91倍(OR=1.91,95%CI=1.03~3.50)和2.02倍(OR=2.02,95%CI=1.32~3.11),遵医嘱用药的可能性分别为低社会经济地位者的2.13倍(OR=2.13,95%CI=1.29~3.52)和1.97倍(OR=1.97,95%CI=1.37~2.83)。结论云南省纳西族、傈僳族、傣族、景颇族4个独有少数民族糖尿病患者的自我管理水平总体较低,且存在明显的社会经济差异。
[Abstract]:Objective to investigate the self-management status and socioeconomic differences of diabetic patients in Naxi, Lisu, Dai and Jingpo ethnic groups in Yunnan Province, and to provide a reference for self-management intervention in minority areas.Methods from August 2013 to August 2014, 5,532 Naxi, Lisu, aged more than 35 years old, were selected from Yulong County, Yongsheng County and Dehong Dai Jingpo Autonomous Prefecture of Yunnan Province.Dai and Jingpo ethnic minority residents were investigated by questionnaire and blood glucose test.Results among the 5 532 Naxi, Lisu, Dai and Jingpo residents over 35 years of age in Yunnan Province, 167 cases of diabetes were self-reported, and the prevalence rate of self-report of diabetes was 3.02%.Controlling diet rate, increasing physical exercise rate, controlling weight or weight loss rate and quitting smoking rate were 36.5%, 82.6% and 37.01% and 7.8%, respectively. After controlling for age, sex, nationality and other mixed factors, the results of multivariate conditional logistic regression analysis showed that,The odds of self-monitoring of blood glucose in the upper socioeconomic status group and the high social economic status group were 1.91 times as high as those in the low socioeconomic status group, respectively. The odds of self-monitoring were 1.91 times higher than those of the low socioeconomic status group, respectively, and 2.02 times higher than that of the low socioeconomic status group. The odds of taking medicine according to the doctor's instructions were 2.13 times that of the low socioeconomic status group, 1.293.52) and 1.97 times that of the low socioeconomic status group respectively. The odds of using medicine according to the doctor's instructions were 1.372.830.The odds of self-monitoring of blood glucose were 1.91 times as high as that of the low socioeconomic status group, and 2.02 times as high as that of the low socioeconomic status group.Conclusion the self-management level of diabetes patients in Naxi, Lisu, Dai and Jingpo nationalities in Yunnan Province is lower and there are obvious social and economic differences.
【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;
【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


本文编号:1748937

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