目的了解青岛市8~15岁中小学生糖尿病的认知情况,为制定中小学生糖尿病健康教育策略提供依据。方法采用分层整群随机抽样的方法,于2014年1月抽取青岛市8~15岁中小学生1 680人,对其进行问卷调查(包括人口学信息、糖尿病认知情况等),获得有效问卷1 451份。应用SPSS 19.0统计软件进行χ2检验。结果被调查中小学生的糖尿病总体知晓率为58.6%。中学生总体知晓率(62.2%)高于小学生(54.8%),差异有统计学意义(χ2=41.006,P<0.05);城市学生总体知晓率(61.5%)高于农村学生(55.8%),差异有统计学意义(χ2=24.220,P<0.05)。中小学生对糖尿病概念、症状、并发症、预防、是否是严重疾病、肥胖有害健康方面的知晓率分别为60.4%、48.4%、33.4%、77.1%、73.5%和84.0%;中小学生、城乡学生和有无糖尿病家族史学生对糖尿病概念、症状、并发症方面的知晓率差异均有统计学意义(P<0.01)。中小学生对糖尿病危险因素肥胖、家族史、缺乏锻炼、吸烟、酗酒和不良情绪的总体知晓率分别为79.5%、58.9%、62.4%、42.9%、43.6%和31.6%;中小学生、城乡学生和父母文化程度不同的学生糖尿病危险因素肥胖、家族史和缺乏锻炼的知晓率差异均有统计学意义(P<0.05,P<0.01)。随着父母的文化程度的升高,中小学生对糖尿病危险因素肥胖、家族史、缺乏锻炼和不良情绪的知晓率呈现递增趋势(P<0.05,P<0.01)。结论青岛地区8~15岁中小学生对糖尿病的认知不足,应针对中小学生开展糖尿病健康教育,提高糖尿病的知晓率。 Objective To understand the prevalence of diabetes in primary and secondary school students aged 8-15 years in Qingdao and to provide evidence for the development of primary and secondary school students’ diabetes health education strategies. Methods A stratified cluster random sampling method was used to collect 1 680 primary and secondary school students aged 8-15 years in Qingdao in January 2014. Questionnaires (including demographic information and cognitive status of diabetes) were collected and valid questionnaires were obtained 1 451 copies. SPSS 19.0 statistical software for χ2 test. Results The overall awareness rate of primary and secondary school students was 58.6%. The overall awareness rate of middle school students (62.2%) was higher than that of primary school students (54.8%), with significant difference (χ2 = 41.006, P <0.05). The overall awareness of urban students was 61.5% higher than that of rural students (55.8% There was statistical significance (χ2 = 24.220, P <0.05). The awareness rate of primary and secondary school students on the concept of diabetes, symptoms, complications, prevention, whether it is a serious disease, and obesity is about 60.4%, 48.4%, 33.4%, 77.1%, 73.5% and 84.0% respectively. Primary and secondary students, urban and rural students There was significant difference in the awareness rate of diabetic concept, symptom and complication with family history of diabetes mellitus (P <0.01). The overall awareness rates of primary and secondary school students on the risk factors of diabetes were obesity, family history, lack of exercise, smoking, alcoholism and bad emotions were 79.5%, 58.9%, 62.4%, 42.9%, 43.6% and 31.6% respectively. Primary and secondary students, urban and rural students and There were significant differences in the awareness rate of diabetes risk factors obesity, family history and lack of exercise among students with different education levels (P <0.05, P <0.01). With the increase of parents’ educational level, the awareness rates of primary and secondary school students on the risk factors of diabetes were obesity, family history, lack of exercise and bad mood showed an increasing trend (P <0.05, P <0.01). Conclusion Primary and secondary school students aged 8-15 years in Qingdao are not aware of diabetes mellitus. Diabetes health education should be conducted for primary and secondary school students so as to improve the awareness of diabetes.