摘要
目的分析重庆市成年人糖尿病患病率及其影响因素,为制定糖尿病综合防控措施提供科学依据。方法于2013年11月至2014年5月采取分层多阶段随机抽样的原则在9个区县抽样调查5 400名18岁及以上的常住居民,现场调查采取问卷调查、身体测量和实验室检测,采集血样检测空腹血糖、餐后2 h血糖、血脂,数据统一录入中国慢性病及危险因素监测数据管理系统,经统一清洗后采用SPSS 19.0进行统计分析。糖尿病影响因素采用χ2检验与多因素logistic回归分析进行统计学分析。结果共计调查5 394人,有效应答率为99.89%,平均年龄（57.8±13.2）岁,糖尿病粗患病率为15.74%,标化患病率为10.73%。单因素分析结果显示,年龄、职业、民族、居住地、有害饮酒史、职业性身体活动、总身体活动量、血脂、血压、体重和是否向心性肥胖是糖尿病的影响因素。多因素logistic回归分析结果显示,年龄（OR=1.23,95%CI：1.09~1.39）、过去12个月有害饮酒史（OR=1.36,95%CI：1.01~1.84）、血脂异常（OR=2.01,95%CI：1.46~2.75）、向心性肥胖（OR=2.70,95%CI：1.83~3.99）和血压（OR=1.55,95%CI：1.26~1.90）是糖尿病的独立影响因素。结论重庆市居民糖尿病患病率高,应针对糖尿病的影响因素进行综合防治。
Objective To analyze the diabetes morbidity and it risk factors among adults in Chongqing city and to provide the scientific evidence for diabetes prevention and control. Methods The stratified multi-stage cluster sampling method was used to collect 5 400 residents（≥18 years old） from 9 counties or districts as the subjects during November 2013 to May 2014. The investigation was performed by the national structured questionnaire, physical examination and blood tests（fast glucose,postprandial 2 h blood glucose and blood lipid）. All data were entered national data management platform of national survey of chronic non communicable disease prevention and control. Data were sorted and analyzed by SPSS 19.0. Risk factors of diabetes were identified by Chi-square test and multi-variant logistic regression analysis. Results A total of 5 394 subjects were investigated. The effective response rate was 99.89%. The average age of subjects was（57.8 ±13.2） years old. The crude and standardization morbidities of diabetes were 15.74% and 10.73% respectively. The results of single variant logistic regression analysis indicated age, profession, nationality, resident place, harmful alcohol, occupational physical activity, total physical activity, blood lipid, blood pressure, weight and central obesity were risk factors of diabetes. The results of multi variant logistic regression analysis indicated that age（OR=1.23,95%CI：1.09-1.39）, harmful alcohol use in the past 12 months（OR=1.36,95%CI： 1.01-1.84）, dyslipidemia（OR=2.01,95%CI： 1.46-2.75）, central obesity（OR=2.70,95%CI： 1.83-3.99） and blood pressure（OR=1.55,95%CI： 1.26-1.90） were independent risk factors of diabetes. Conclusion The diabetes morbidity in Chongqing is high. The comprehensive prevention measures according to risk factors of diabetes should be taken.
出处
《中国慢性病预防与控制》
CAS
2016年第1期1-4,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
