作　　者： (徐继英）; (严青华）; (姚海宏）; (黎衍云）; (李锐）; (程旻娜）; (施燕）; (仲伟鉴）;

机构地区： 上海市疾病预防控制中心慢性病防治所,上海200336

出　　处： 《中国慢性病预防与控制》 2017年第8期565-568,共4页

摘　　要： 目的了解上海市不同地区成人血糖测量及血糖知晓情况,为制定糖尿病防治计划提供参考依据。方法利用2013年上海市慢性病及其危险因素监测数据,以上海市15岁及以上常住居民为目标人群,采用多阶段分层随机抽样方法,抽取25 444名18岁及以上居民,20 587名35岁及以上居民纳入研究,进行问卷调查,对35岁及以上居民进行血糖水平测定。比较不同地区、不同性别及年龄的18岁及以上调查对象的自测血糖时间分布情况以及35岁及以上调查对象自报血糖与实测血糖一致性。为使调查结果能较好地反映总人群的水平,用SPSS 20.0软件对所有统计分析均采用复杂加权进行调整。不同人群间率的比较采用抽样设计校正的Rao-Scottχ2检验。结果上海市18岁及以上成人6个月内测过血糖的比例为30.04%,最近1次血糖测量时间在12个月内、12个月前、记不清楚的比例分别为12.90%、11.79%和6.66%,38.61%的调查对象从未测量过血糖。男性、女性居民从未测过血糖的比例分别为38.89%、38.31%,差异无统计学意义(P>0.05);18~34岁年龄组从未测过血糖的比例高达50.34%,随着年龄增长从未测过血糖的比例逐渐下降,≥65岁年龄组为17.76%,年龄组别间差异有统计学意义(P<0.01);农村地区调查对象从未测过血糖的比例最高(47.52%),城乡结合部为44.66%,城市地区为33.41%,地区间差异有统计学意义(P<0.01)。64.68%的35岁及以上的调查对象自报知晓自己的血糖情况,经血糖检测结果对比,59.11%的调查对象自报血糖情况与实测血糖一致。男性、女性居民自报血糖准确率分别为57.99%和60.28%,差异有统计学意义(P<0.05);35~44岁年龄组自报血糖准确率为48.56%,≥65岁年龄组为72.12%,不同年龄组间差异有统计学意义(P<0.01);小学及以下文化程度居民自报血糖准确率为56.62%,大专及以上文化程度者为66.65%,不同文化程度人群间差异有统计学意义(P<0 Objective To understand the status of measurement and the awareness of blood glucose among adults in difference areas of Shanghai and to provide the basis for establishing the plan of preventing and treating diabetes. Methods The Shanghai chronic disease and risk factors surveillance data irr 2013 were used to select the 25 444 residents （ ≥18 years old） by multi-stage stratified random sampling method from the residents （ ≥ 15 years old） as the subjects, then 20 587 residents （ ≥35 years old）were included in present investigation. The investigation was conducted with the questionnaire, detection of blood glucose level （ ≥ 35 years old） to compare the time distribution of self-test blood glucose in different areas, different gender and different age groups among residents （≥ 18 years old）, and the consistency between self-report blood glucose and actual blood glucose among residents （I〉35 years old）. SPSS 20.0 software was used to analyze the data by complex weighting. Rao-Scott X2 was utilized to compare the rates between different populations by sampling design correction. Results The proportions of subjects with detecting blood glucose in 6 months, 12 months and before 12 months were 30.04%, 12.90%, 11.79%, respectively and 6.66% of subjects could not remember clearly. But 38.61% of subjects have never detected the blood glucose.The proportions of males and females never detecting blood glucose were 38.89% and 38.31% （P〉0.05）. The proportion of 18-34 years old subgroup never detecting blood glucose was 50.34%, which decreased with age; the proportion of ≥65 years old subgroup never detecting blood glucose was 17.76%.There was significant difference among the different age groups （P〈0.01）. The proportions of subjects in rural area, urban- rural area and urban area were 47.52%, 44.66% and 33.41%, respectively （P〈0.01）. 64.68% of the subjects （≥35 years old） reported they knew their blood sugar level. The proportion of self-reported blood sugar accurac

关 键 词： 成人 血糖测量 血糖知晓