CAJ | 학술논문

目的：了解我国东北农村地区35岁及以上人群糖尿病患病、知晓、治疗和控制情况以及糖尿病的影响因素，为制定农村地区糖尿病干预策略提供科学依据。方法采用整群随机抽样的方法选取吉林省2个县的35岁及以上的农村居民作为研究对象，通过问卷调查、体格检查和实验室检查来获取糖尿病及相关因素的资料。结果本研究用于糖尿病患病情况和影响因素分析的有效数据为2600人。我国东北地区35岁及以上农村居民糖尿病粗（年龄标化）患病率为7.3％（5.3％），粗（年龄标化）知晓率、治疗率、控制率和治疗控制率分别为54.7％（44.0％）、48.9％（39.7％）、14.7％（10.0％）和30.11％（18.0％）。女性、高龄、有家族史和不饮酒人群知晓率和治疗率较高（ P＜0.05），而且治疗率还与腹型肥胖有关（ P＜0.05）。多因素Logistic回归分析发现年龄、家族史、是否为腹型肥胖、血脂异常和高血压患病情况等5个因素是我国东北地区35岁及以上农村居民糖尿病的影响因素（OR＝1.55～5.30）。结论我国东北地区35岁及以上农村居民糖尿病患病率较高，但是知晓、治疗和控制水平较低，亟待采取有针对性的干预措施来防控糖尿病的发生和发展。
목적：료해아국동북농촌지구35세급이상인군당뇨병환병、지효、치료화공제정황이급당뇨병적영향인소，위제정농촌지구당뇨병간예책략제공과학의거。방법채용정군수궤추양적방법선취길림성2개현적35세급이상적농촌거민작위연구대상，통과문권조사、체격검사화실험실검사래획취당뇨병급상관인소적자료。결과본연구용우당뇨병환병정황화영향인소분석적유효수거위2600인。아국동북지구35세급이상농촌거민당뇨병조（년령표화）환병솔위7.3％（5.3％），조（년령표화）지효솔、치료솔、공제솔화치료공제솔분별위54.7％（44.0％）、48.9％（39.7％）、14.7％（10.0％）화30.11％（18.0％）。녀성、고령、유가족사화불음주인군지효솔화치료솔교고（ P＜0.05），이차치료솔환여복형비반유관（ P＜0.05）。다인소Logistic회귀분석발현년령、가족사、시부위복형비반、혈지이상화고혈압환병정황등5개인소시아국동북지구35세급이상농촌거민당뇨병적영향인소（OR＝1.55～5.30）。결론아국동북지구35세급이상농촌거민당뇨병환병솔교고，단시지효、치료화공제수평교저，극대채취유침대성적간예조시래방공당뇨병적발생화발전。
Objective To investigate the rates of prevalence ,awareness ,treatment and control of diabetes mellitus (DM) as well as the DM risk factors among Chinese rural population aged 35 and older in northeast China.Methods Rural residents aged 35 and older in 2 counties of Jilin Province were randomly selected through cluster sampling.Data related to DM and other factors was obtained by ques-tionnaires ,physical measures and laboratory tests to provide scientific evidence for the diabetes intervention in rural areas.Results A to-tal of 2600 individuals were eligible for the analysis of DM prevalence and relevant risk factors.The crude (age_adjusted ) prevalence of DM among the rural residents aged 35 and older in northeast China was 7.3% (5.3% );the crude (age_adjusted ) rates of awareness , treatment ,control and control under treatment of diabetes were 54.7% (44.0% ) ,48.9% (39.7% ) ,14.7% (10.0% ) and 30.11%(18.0% ) respectively.The rates of awareness and treatment were significantly higher in female population ,the elderly ,individuals with a family history and non_drinkers ( P<0.05 ).Additionally ,the rate of treatment was found correlated with abdominal obesity ( P<0.05 ).Multiple logistic regression analysis showed that 5 factors were correlated with DM among the rural residents aged 35 and older in northeast China ,including age ,family history ,abdominal obesity ,dyslipidemia and hypertension.Conclusions A relatively high preva-lence of DM was seen in this study while the rates of awareness ,treatment ,and control stayed low among rural residents aged 35 and older in northeast China ,indicating an urgent need for targeted interventions to prevent and control DM.