本文選題：獨(dú)有少數(shù)民族 + 糖尿病　； 參考：《中國(guó)公共衛(wèi)生》2016年06期

【摘要】：目的了解云南省納西族、傈僳族、傣族、景頗族4個(gè)獨(dú)有少數(shù)民族糖尿病患者的自我管理現(xiàn)狀及其社會(huì)經(jīng)濟(jì)差異,為今后少數(shù)民族地區(qū)開展糖尿病自我管理干預(yù)提供參考依據(jù)。方法于2013年8月—2014年8月采用多階段分層隨機(jī)抽樣方法,在云南省玉龍縣、永勝縣和德宏傣族景頗族自治州抽取5 532名≥35歲的納西族、傈僳族、傣族和景頗族4個(gè)獨(dú)有少數(shù)民族常住居民進(jìn)行問(wèn)卷調(diào)查和血糖檢測(cè)。結(jié)果云南省5 532名≥35歲納西族、傈僳族、傣族和景頗族居民中,自我報(bào)告糖尿病患病167例,糖尿病自我報(bào)告患病率為3.02%;糖尿病患者的自我監(jiān)測(cè)血糖率、遵醫(yī)囑用藥率、控制飲食率、增加體育鍛煉率、控制體重或減肥率和戒煙率分別是36.5%、68.9%、82.6%、18.0%、37.1%和7.8%;在控制了年齡、性別、民族等混雜因素后,多因素非條件logistic回歸分析結(jié)果顯示,中等偏上社會(huì)經(jīng)濟(jì)地位者和高社會(huì)經(jīng)濟(jì)地位者自我監(jiān)測(cè)血糖的可能性分別為低社會(huì)經(jīng)濟(jì)地位者的1.91倍(OR=1.91,95%CI=1.03~3.50)和2.02倍(OR=2.02,95%CI=1.32~3.11),遵醫(yī)囑用藥的可能性分別為低社會(huì)經(jīng)濟(jì)地位者的2.13倍(OR=2.13,95%CI=1.29~3.52)和1.97倍(OR=1.97,95%CI=1.37~2.83)。結(jié)論云南省納西族、傈僳族、傣族、景頗族4個(gè)獨(dú)有少數(shù)民族糖尿病患者的自我管理水平總體較低,且存在明顯的社會(huì)經(jīng)濟(jì)差異。
[Abstract]:Objective to investigate the self-management status and socioeconomic differences of diabetic patients in Naxi, Lisu, Dai and Jingpo ethnic groups in Yunnan Province, and to provide a reference for self-management intervention in minority areas.Methods from August 2013 to August 2014, 5,532 Naxi, Lisu, aged more than 35 years old, were selected from Yulong County, Yongsheng County and Dehong Dai Jingpo Autonomous Prefecture of Yunnan Province.Dai and Jingpo ethnic minority residents were investigated by questionnaire and blood glucose test.Results among the 5 532 Naxi, Lisu, Dai and Jingpo residents over 35 years of age in Yunnan Province, 167 cases of diabetes were self-reported, and the prevalence rate of self-report of diabetes was 3.02%.Controlling diet rate, increasing physical exercise rate, controlling weight or weight loss rate and quitting smoking rate were 36.5%, 82.6% and 37.01% and 7.8%, respectively. After controlling for age, sex, nationality and other mixed factors, the results of multivariate conditional logistic regression analysis showed that,The odds of self-monitoring of blood glucose in the upper socioeconomic status group and the high social economic status group were 1.91 times as high as those in the low socioeconomic status group, respectively. The odds of self-monitoring were 1.91 times higher than those of the low socioeconomic status group, respectively, and 2.02 times higher than that of the low socioeconomic status group. The odds of taking medicine according to the doctor's instructions were 2.13 times that of the low socioeconomic status group, 1.293.52) and 1.97 times that of the low socioeconomic status group respectively. The odds of using medicine according to the doctor's instructions were 1.372.830.The odds of self-monitoring of blood glucose were 1.91 times as high as that of the low socioeconomic status group, and 2.02 times as high as that of the low socioeconomic status group.Conclusion the self-management level of diabetes patients in Naxi, Lisu, Dai and Jingpo nationalities in Yunnan Province is lower and there are obvious social and economic differences.
【作者單位】： 昆明醫(yī)科大學(xué)公共衛(wèi)生學(xué)院;昆明醫(yī)科大學(xué)附屬甘美醫(yī)院老年病科;
【基金】：國(guó)家自然科學(xué)基金(71263032) 云南省教育廳重大專項(xiàng)(Zd2014005) 昆明醫(yī)科大學(xué)重大科技成果培育項(xiàng)目(CGPY201503)
【分類號(hào)】：R587.1
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本文編號(hào)：1748937