目的了解上海市不同地区成人血糖测量及血糖知晓情况,为制定糖尿病防治计划提供参考依据。方法利用2013年上海市慢性病及其危险因素监测数据,以上海市15岁及以上常住居民为目标人群,采用多阶段分层随机抽样方法,抽取25 444名18岁及以上居民,20 587名35岁及以上居民纳入研究,进行问卷调查,对35岁及以上居民进行血糖水平测定。比较不同地区、不同性别及年龄的18岁及以上调查对象的自测血糖时间分布情况以及35岁及以上调查对象自报血糖与实测血糖一致性。为使调查结果能较好地反映总人群的水平,用SPSS 20.0软件对所有统计分析均采用复杂加权进行调整。不同人群间率的比较采用抽样设计校正的Rao-Scottχ2检验。结果上海市18岁及以上成人6个月内测过血糖的比例为30.04%,最近1次血糖测量时间在12个月内、12个月前、记不清楚的比例分别为12.90%、11.79%和6.66%,38.61%的调查对象从未测量过血糖。男性、女性居民从未测过血糖的比例分别为38.89%、38.31%,差异无统计学意义(P>0.05);18~34岁年龄组从未测过血糖的比例高达50.34%,随着年龄增长从未测过血糖的比例逐渐下降,≥65岁年龄组为17.76%,年龄组别间差异有统计学意义(P<0.01);农村地区调查对象从未测过血糖的比例最高(47.52%),城乡结合部为44.66%,城市地区为33.41%,地区间差异有统计学意义(P<0.01)。64.68%的35岁及以上的调查对象自报知晓自己的血糖情况,经血糖检测结果对比,59.11%的调查对象自报血糖情况与实测血糖一致。男性、女性居民自报血糖准确率分别为57.99%和60.28%,差异有统计学意义(P<0.05);35~44岁年龄组自报血糖准确率为48.56%,≥65岁年龄组为72.12%,不同年龄组间差异有统计学意义(P<0.01);小学及以下文化程度居民自报血糖准确率为56.62%,大专及以上文化程度者为66.65%,不同文化程度人群间差异有统计学意义(P<0.01);农村地区居民自报血糖准确率为50.00%,城乡结合部为51.30%,城市地区为65.12%,地区间差异有统计学意义(P<0.01)。结论上海市成人测量血糖、关注血糖、掌握实际血糖值的比例不高,应针对特定人群开展有针对性的健康教育,倡导血糖自测,知晓自身血糖情况,及早发现血糖异常。 Objective To understand the adult blood glucose measurement and blood glucose awareness in different areas of Shanghai and provide a reference for the development of diabetes prevention and control plan. Methods Using the monitoring data of chronic diseases and risk factors in Shanghai in 2013 and using the resident population aged 15 years and over in Shanghai as the target population, stratified random sampling method was used to collect 25,444 residents aged 18 and over and 20 587 35 Residents aged above and above are included in the study, and questionnaires are conducted to determine the level of blood glucose among residents 35 and over. To compare the time distribution of self-test blood glucose of people aged 18 years and over in different regions, different genders and ages as well as the self-reported blood glucose and the measured blood glucose consistency of 35 years and above subjects. In order to make the survey result reflect the general population level well, SPSS 20.0 software was used to adjust all the statistical analysis using complex weighting. Comparison of rates among different populations was performed using the Rao-Scottχ2 test for sample design correction. Results The proportion of blood glucose measured in 6 months of Shanghai adults aged 18 years and over was 30.04%. The latest 12 times of blood glucose measurement within 12 months and 12 months ago were 12.90% and 11.79% respectively. And 6.66%, 38.61% of the respondents never measured blood sugar. The proportions of male and female residents who had never measured blood glucose were 38.89% and 38.31% respectively, with no significant difference (P> 0.05). The percentage of never-before-observed blood glucose in 18-34 age group was as high as 50.34% The proportion of patients whose blood sugar had never been measured decreased gradually, the age≥65 years old group was 17.76%, the difference between the age groups was statistically significant (P <0.01); the proportion of rural residents who had never measured blood glucose was the highest (47.52% ), The urban-rural area was 44.66%, and the urban area was 33.41%. There was significant difference between different areas (P <0.01). 64.68% of 35-year-old and above respondents knew about their own blood glucose, compared with the blood glucose test results, 59.11% of the respondents reported blood glucose and blood glucose consistent with the measured. The accuracy rate of blood glucose was 57.99% and 60.28% respectively in male and female residents, the difference was statistically significant (P <0.05); the accuracy rate of self-reported blood glucose in 35-44 age group was 48.56%, and the age≥65 age group was 72.12 % Respectively. There were significant differences among different age groups (P <0.01). The average self-reported blood glucose of primary school and below was 56.62%, 66.65% of them were college graduates or above, and there were statistically significant differences among different education levels (P <0.01). The accuracy rate of self-reported blood glucose was 50.00%, that of urban areas was 51.30% and that of urban areas was 65.12%. There was a significant difference between the two groups (P <0.01). Conclusion Adult adults in Shanghai have a low rate of measuring blood sugar, attention to blood sugar and actual blood sugar. Specific health education should be conducted for specific groups of people. Self-monitoring of blood glucose should be advocated. Self-blood glucose should be known and blood glucose should be detected as soon as possible.