| ObjectiveWith the advent of China’s ageing society,the incidence of diabetes in China has been increasing year by year.To prevent the development of diabetes,prevention and intervention should be started.A monitoring system of type 2 diabetes should be built,so we can collect and analysis people’s nutritional status and the influencing factors of type 2 diabetes systematically and continuously,so as to improve the monitoring and information management of type 2 diabetes in Zhongshan City.Therefore,a large-scale diabetes medical survey was conducted in Zhongshan City to further understand the prevalence of diabetes among residents in townships in Zhongshan City.We can provide a more comprehensive basis for the prevention and intervention of type 2 diabetes accurately in Zhongshan City.Method1.Survey object: Residents who are 18-79 years old(household population or non-family residents who have lived in the country for 5 years or more).Some unrelated members such as nannies and hired employees living in the resident households were also included in this survey.Considering the economic characteristics of each township in Zhongshan City and the demographic characteristics of each township,the factors such as population,gender and age of each township were considered.A multi-stage sampling method was proposed.Firstly,the villages/neighborhood committees were selected in 24 townships;And then,the households in the villages/neighborhoods were selected randomly where the villages were drawn,and one(the most recent birthday method)of healthy adult residents from the households was selected.According to the actual distribution of households,100 households are divided into a basic sample group.The plan sample size of this surveys 5900 people.2.Survey Content: laboratory tests,physical measurements,and questionnaires.Six indicators were checked according to the laboratory tests,such as fasting blood glucose,cholesterol,triglycerides,high-density lipoprotein cholesterol,low-density lipoprotein cholesterol,and blood uric acid.Physical measurements included blood pressure,height,weight,waist circumference,and hip circumference.The questionnaire survey included the general situation of the surveyed subjects,such as the chronic diseases,treatment and control,family history of chronic diseases,smoking and drinking,dietary habits,and physical activity.ResultsThe effective samples were 6,150 people totally,among which 2885 were men(46.9%),3265 were women(53.1%),and the ratio of men and women was 1:1.13.The results showed that the prevalence of type 2diabetes among adults was 10.4% in Zhongshan,and the prevalence of men was 11.4%,the prevalence of women was 9.5%.Men were higher than women.The awareness rate of adult patients was 18.9% in Zhongshan.With the increase of age,the awareness rate of diabetes was increased gradually;the treatment rate of type 2 diabetes patients was 17.7%,and the proportions of taking diet control,increasing physical activity,and drug treatment to control blood glucose were separately were 83.5%,52.1%,and 86.8%,and the proportion of the three methods were used simultaneously was 49.6%;the control rate of type 2 diabetics was 3.1%,of which men were 3.0% and women were 3.2%.With the increase of age,the prevalence of type 2diabetes increases.Age,gender,education level,smoking,drinking,physical activity,fruit,family history of diabetes,awareness of salt intake,central obesity,and BMI are all factors associated with type 2 diabetes in Zhongshan.Conclusion1.The residents of Zhongshan City have a higher prevalence of type 2 diabetes,and it is necessary to strengthen the monitoring and control of type 2diabetes.2.Age,drinking,family history of type 2diabetes,and central obesity are main risk factors of type 2 diabetes in Zhongshan City.High education is a protective factor.3.The awareness rate and treatment rate and control rate of type 2 diabetes in Zhongshan City were need to be improved.It is necessary to strengthen the prevention and treatment of type 2 diabetes in Zhongshan City. |
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