济南市城乡结合部居民代谢性疾病及相关知识知晓率调查

了解济南市城乡结合部居民既往患者遵医情况及对代谢性疾病基本知识的知晓情况，为制定该类地区居民的代谢性疾病防制策略和措施提供依据。方法:采用现况研究的方法，选择济南市城乡结合部两个具有代表性的居委会，对年龄≥35岁的居民进行问卷调查及相关指标测定。结果:所调查的394位居民中，代谢性疾病的知晓率为37.0%，对代谢性疾病相关知识完全不知晓者占20.8%；125例既往代谢性疾病患者中有104例（83.2%）曾经服过药，仅57例（45.6%）按医嘱规律服药；患者不规律服药的原因中，自认为无大碍者所占比例最高，为47.2%；多因素分析表明，文化程度是影响居民代谢性疾病知识知晓情况的主要因素。结论：城乡结合部居民对代谢性疾病知识的认知及治疗现状不容乐观，通过提高居民的文化程度促进知识的普及，加强居民的健康教育势在必行。

Knowledge, attitudes and practices of Jinan rural-urban fringe population towards chronic metabolic disease: a cross-sectional study

To learn the status on knowledge, attitudes, practices of people with chronic metabolic disease in Jinan urban rural binding region and provide evidence for chronic metabolic disease preventive policy and measure in these areas. Methods： In the cross over study, 394 persons in two communities of Jinan urban rural binding region were interviewed face to face, and fasting plasma glucose and blood fat were tested uniformly. Results： About 37.0% of the subjects knew chronic metabolic disease, and 20.8% of them knew little about the disease. Of the 125 individuals previously diagnosed, 104 were taking medicine; however, only 57 participants were taking medicine according to how it was prescribed by their physicians. The main reason for not taking the medicine as recommended by the physicians was a failure to realize the imperilment of the chronic metabolic disease, accounting for 47.2%. Multivariable analysis showed that degree of education was a significant factor in the knowledge level of chronic metabolic disease. Conclusion： The residents′ knowledge about chronic metabolic disease and treatment status are unsatisfying, so it is imperative to promote chronic metabolic disease knowledge awareness through raising residents′ cultural level and to strengthen health education.