常熟市社区2型糖尿病患者药物治疗率及影响因素

目的调查江苏省常熟市社区2型糖尿病(Type 2 diabetes mellitus,T2DM)患者药物治疗率及影响因素,为糖尿病的干预提供科学依据。方法于2013年12月至2014年1月采用多阶段分层整群抽样的方法,对该市已纳入基本公共卫生服务管理并登记的12个乡镇10 246名T2DM患者进行问卷调查、体格检查和实验室检测,其中10 032名患者纳入分析。采用Logistic回归分析影响糖尿病患者药物治疗率的相关因素。结果 10 032例T2DM患者药物治疗率为85.22%。多因素Logistic回归分析显示糖尿病病程、文化程度、糖尿病并发症,中心性肥胖、糖尿病家族史、饮酒是糖尿病患者药物治疗率的独立影响因素。糖尿病病程(以3年组为对照),3~组OR=1.843(95.0%CI:1.596~2.130)、5~组OR=4.255(95.0%CI:3.646~4.965)、≥9组OR=13.307(95.0%CI:10.670~16.594),文化程度(以未接受正规教育为对照),小学组OR=1.272(95.0%CI:1.110~1.457)、初中及以上组OR=1.528,(95.0%CI:1.298~1.798)、糖尿病并发症OR=1.560(95.0%CI:1.336~1.822)、中心性肥胖OR=1.329(95.0%CI:1.177~1.501)、糖尿病家族史OR=1.477(95.0%CI:1.278~1.708)、饮酒OR=0.844(95.0%CI:0.722~0.987)。结论常熟市社区T2DM患者治疗率有待进一步提高,应结合危险因素开展有针对性的干预措施。

Medication treatment rate and its influence factors of type 2 diabetes mellitus patients in communities of Changshu City

Objective To investigate the medication treatment rate and its influence factors of type 2 diabetes mellitus (T2DM) patients in communities of Changshu City,and provide scientific evidence for the intervention of diabetes.Methods Stratified cluster random sampling method was conducted from December.2013 to January.2014.12 communities and 10 246 T2DM patients who were included in the basic public health services management and registration were selected in Changshu.These patients were investigated with questionnaires,while taken physical and biochemical examinations.10 032 patients were included in the analysis.The influence factors of medication treatment rate in T2DM patients were analyzed by logistic regression.Results The medication treatment rate of 10 032 T2DM patients was 85.22％.The results of multivariate 1logistic regression analysis showed that the course of disease (＜3 years as control),3 ～group OR =1.843 (95.0％ CI:1.596～ 2.130)、5 ～ group OR =4.255 (95.0％ CI:3.646～ 4.965)、≥9 group OR =13.307 (95.0％ CI:10.670 ～ 16.594),education (No formal education as control),primary culture OR =1.272 (95.0％ CI:1.110 ～ 1.457),junior high school and above OR =1.528,(95.0％ CI:1.298 ～ 1.798),diabetic complications OR =1.560(95.0％ CI:1.336 ～ 1.822),central obesity OR =1.329(95.0％ CI:1.177 ～ 1.501),family history of diabetic OR =1.477 (95.0％ CI:1.278 ～ 1.708) and alcohol consumption OR =0.844(95.0％ CI:0.722 ～0.987) were independent influence factors associated with the medication treatment rate.Conclusions The medication treatment rate of T2DM patients in communities of Changshu should be further improved.The targeted interventions should be carried out according to the risk factors.