云南独有少数民族居民糖尿病患病知识及自我管理比较

发布时间：2019-05-22 18:58

【摘要】：比较分析云南省4个独有少数民族糖尿病患病、知晓、治疗、控制及自我管理现状。方法采用多阶段分层抽样方法,抽取云南省5 532名≥35岁纳西族、傈僳族、傣族和景颇族常住居民进行问卷调查和体格检查。结果纳西族、傈僳族、傣族和景颇族居民标化后糖尿病患病率分别为3.9%、2.7%、7.6%和4.3%,傣族最高,傈僳族最低(P0.05);知晓率分别为55.7%、66.7%、56.1%和41.6%,以傈僳族最高,景颇族最低(P0.05);治疗率分别为39.1%、29.1%、41.9%和30.8%,傣族最高,傈僳族最低(P0.05);控制率分别为21.9%、20.5%、23.2%和12.8%(P0.05)。纳西族、傈僳族、傣族和景颇族糖尿病患者自我监测血糖率分别为55.0%、12.5%、39.7%和20.0%,纳西族最高,傈僳族最低(P0.01);遵医嘱服药率分别为60.0%、41.7%、82.1%和68.0%,傣族最高,傈僳族最低(P0.01)。4个民族糖尿病患者采取饮食控制、控制体重或减肥以及戒烟措施的比例差异均无统计学意义(P0.05)。结论云南省4个独有少数民族在糖尿病患病率、知晓率、治疗率和自我管理行为方面存在民族差异,其知晓率、治疗率、控制率和糖尿病自我管理行为均处于较低水平。
[Abstract]:The prevalence, knowledge, treatment, control and self-management of diabetes mellitus in four unique ethnic minorities in Yunnan Province were compared and analyzed. Methods A questionnaire survey and physical examination were conducted among 5332 residents of Naxi nationality, Lisu nationality, Dai nationality and Jingpo nationality aged more than 35 years old in Yunnan Province by multi-stage stratified sampling. Results the prevalence of diabetes mellitus in Naxi nationality, Lisu nationality, Dai nationality and Jingpo nationality was 3.9%, 2.7%, 7.6% and 4.3%, respectively. the Dai nationality was the highest and Lisu nationality was the lowest (P 0.05). The awareness rate was 55.7%, 66.7%, 56.1% and 41.6%, respectively. Lisu was the highest and Jingpo was the lowest (P 0.05). The treatment rate was 39.1%, 29.1%, 41.9% and 30.8%, Dai was the highest, Lisu was the lowest (P 0.05), and the control rate was 21.9%, 20.5%, 23.2% and 12.8%, respectively (P 0.05). The self-monitoring blood glucose rate of Naxi, Lisu, Dai and Jingpo diabetic patients was 55.0%, 12.5%, 39.7% and 20.0%, respectively. Naxi was the highest and Lisu was the lowest (P01). According to the doctor's orders, the medication rate was 60.0%, 41.7%, 82.1% and 68.0%, respectively. Dai was the highest and Lisu was the lowest (P01). Four ethnic diabetic patients took diet control. There was no significant difference in the proportion of weight control or weight loss and quitting smoking (P 0.05). Conclusion there are ethnic differences in the prevalence, awareness rate, treatment rate and self-management behavior of diabetes mellitus among the four unique ethnic minorities in Yunnan Province. the awareness rate, treatment rate, control rate and diabetic self-management behavior are at a low level.
【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医学科;云南省芒市疾病预防控制中心;
【基金】：国家自然科学基金(71263032) 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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