ABSTRACT
Objective To analyze the rates on prevalence,awareness,status on treatment and control of type 2 diabetes mellitus among Chinese premenopausal women aged 18-49,in 2013.Methods Data on China Chronic and Non-Communicable Disease Surveillance in year 2013 was used for analysis.Source of data covered 302 surveillance points which were selected by Multi-stage cluster random sampling method that including 176 534 adults over 18 years of age,with 46 674 premenopausal women aged 18-49.Plasma glucose and hemoglobin A 1 c levels were determined after a 10-hour overnight fast for all the participants,before a 2-hour oral glucose tolerance test was conducted among participants without a self-reported history of diagnosed diabetes.Diabetes was defined according to the 1999 WHO diagnostic criteria-fasting blood glucose level as ≥7.0 mmol/L and/or 2 hours oral glucose tolerance test (OGTT-2 h) level as ≥ 11.1 mmol/L.After being weighed,according to complex sampling scheme and post-stratification,the sample was used to estimate the rates of prevalence,awareness,treatment and control of type 2 diabetes mellitus by age,education,urban and rural areas,and geographic locations.Results The overall prevalence of type 2 diabetes mellitus was 5.6％ among the Chinese premenopausal women aged 18-49.No statistical difference on the prevalence rates (5.7％ and 5.4％,respectively) was seen,between participants from the rural or the urban areas.Prevalence rates in the eastern,central or western geographic areas were 5.8％,6.2％ and 4.4％ respectively.The rates of awareness,treatment and control of diabetes appeared as 29.3％,27.9％ and 29.4％ in childbearing women aged 18-49.The rate of treatment was 95.4％ among those who knew their diabetic situation in childbearing women aged 18-49 years.The control rate of diabetes was 38.9％ among those who had taken measures to control glucose,in 18-49-year-old childbearing women.The rate of awareness on diabetes in childbearing women aged 18-49 years in urban areas was higher than that in the rural areas.There were significantly statistical differences on the treatment rates among groups of different education levels but not in the trend test.Conclusion The prevalence of type 2 diabetes mellitus in childbearing women aged 18-49 appeared high,but with low rates on awareness,treatment and control.However,statistical difference was seen on awareness,between urban and rural areas.
ABSTRACT
Objective To analyze the rates on prevalence,awareness,status on treatment and control of type 2 diabetes mellitus among Chinese premenopausal women aged 18-49,in 2013.Methods Data on China Chronic and Non-Communicable Disease Surveillance in year 2013 was used for analysis.Source of data covered 302 surveillance points which were selected by Multi-stage cluster random sampling method that including 176 534 adults over 18 years of age,with 46 674 premenopausal women aged 18-49.Plasma glucose and hemoglobin A 1 c levels were determined after a 10-hour overnight fast for all the participants,before a 2-hour oral glucose tolerance test was conducted among participants without a self-reported history of diagnosed diabetes.Diabetes was defined according to the 1999 WHO diagnostic criteria-fasting blood glucose level as ≥7.0 mmol/L and/or 2 hours oral glucose tolerance test (OGTT-2 h) level as ≥ 11.1 mmol/L.After being weighed,according to complex sampling scheme and post-stratification,the sample was used to estimate the rates of prevalence,awareness,treatment and control of type 2 diabetes mellitus by age,education,urban and rural areas,and geographic locations.Results The overall prevalence of type 2 diabetes mellitus was 5.6％ among the Chinese premenopausal women aged 18-49.No statistical difference on the prevalence rates (5.7％ and 5.4％,respectively) was seen,between participants from the rural or the urban areas.Prevalence rates in the eastern,central or western geographic areas were 5.8％,6.2％ and 4.4％ respectively.The rates of awareness,treatment and control of diabetes appeared as 29.3％,27.9％ and 29.4％ in childbearing women aged 18-49.The rate of treatment was 95.4％ among those who knew their diabetic situation in childbearing women aged 18-49 years.The control rate of diabetes was 38.9％ among those who had taken measures to control glucose,in 18-49-year-old childbearing women.The rate of awareness on diabetes in childbearing women aged 18-49 years in urban areas was higher than that in the rural areas.There were significantly statistical differences on the treatment rates among groups of different education levels but not in the trend test.Conclusion The prevalence of type 2 diabetes mellitus in childbearing women aged 18-49 appeared high,but with low rates on awareness,treatment and control.However,statistical difference was seen on awareness,between urban and rural areas.
ABSTRACT
Objective To investigate the incidence of poverty ,population carrying rate and its genetic type through the thalasse‐mia screening analysis of 2 650 cases of childbearing women .Methods Hematologic examination and hemoglobin electrophoresis were applied in people who were laboratory tested the crowd ,screening suspected people ,then use the genetic analysis confirm the diagnoses .Results Preliminary screening of the 536 cases which were suspected the thalassemia (or gene carriers) ,hematologic ex‐amination showed that the red blood cells ,reticulocyte counts in the cases were significantly higher than those in the controls ;and hemoglobin ,mean corpuscular volume (MCV)and mean corpuscular hemoglobin (MCH) were significantly lower .Hemoglobin elec‐trophoresis test showed that in 512 abnormal cases ,68 cases were diagnosed as α thalassemia and 438 cases were β thalassemia(506 cases in total ,accounting for 19 .09% of the total number) .In this area ,Southeast Asia(SEA) heterozygotes(‐SEA /αα) ,right hetero‐zygotes(‐α3 .7 /αα) ,left heterozygotes(‐α4 .2 /αα) ,Hb Constant Spring(‐αCS /αα) were common type of α thalassemia ;CD41‐42 hetero‐zygotes ,CD17 heterozygotes ,CD71‐72 heterozygotes and CD28 heterozygotes were common type of β thalassemia .Conclusion In Guangxi ,there was high incidence rate of thalassemia ,thus ,though premarital and prenancy anterior screening ,guide the rational marriage and pregnancy ,and through the crowd to intervene to prevent common human monogenic death and disabling genetic dis‐orders are of great importance for prepotency promotion and population quality improve .