2013年中国糖尿病和糖尿病前期的流行和种族模式
Limin Wang1, Pei Gao2, Mei Zhang1
1National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
JAMA
|June 28, 2017
概括
中国面临着大规模的糖尿病流行,其中10.9%的成年人患有糖尿病,35.7%患有糖尿病前期. 藏族和穆斯林的中国人患糖尿病率低于汉族.
科学领域:
- 内分泌学
- 公共卫生
- 流行病学
背景情况:
- 中国是世界上糖尿病流行最严重的国家,
- 了解目前的患病率和种族差异对于公共卫生战略至关重要.
研究的目的:
- 估计中国成年人中糖尿病和糖尿病前期的近期流行情况.
- 在不同中国族群中调查糖尿病和糖尿病前期的种族差异.
主要方法:
- 在2013年对中国大陆170,287名成年人进行了全国代表性的横截面调查.
- 使用快速血葡萄糖,血红蛋白A1c和口服葡萄糖耐受性测试进行诊断.
- 汉族和少数民族 (藏族,朱族,满族,维吾尔族,穆斯林) 的糖尿病和糖尿病前期患病率的比较.
主要成果:
- 总糖尿病的标准化患病率为10. 9%,糖尿病前期患病率为35. 7%.
- 只有36. 5%的糖尿病患者知道自己的病情,而32. 2%的人接受治疗.
- 与汉族人相比,藏族和穆斯林中国人的糖尿病和糖尿病前期患病率明显较低.
结论:
- 这项研究强调了中国糖尿病和糖尿病前期的高患病率,
- 糖尿病和糖尿病前期患病率存在显著的种族差异,西藏和穆斯林人口的患病率较低.
- 这些发现强调了在中国糖尿病管理中考虑到种族差异的定制公共卫生干预的重要性.
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