摘要
目的分析长沙市成年人糖尿病患病率及其影响因素，为制定糖尿病防控措施提供科学依据。
方法2013至2014年，采用多阶段整群随机抽样方法，在长沙市5个区县对18岁及以上常住居民进行流行病学调查，包含问卷调查、身体测量和实验室检测3部分。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。
结果共调查19 812人，有效应答19 580人，糖尿病患者1 970人，糖尿病粗患病率为10.06%，其中男性为8.95% （746/8 335），女性为10.88%（1 224/11 245），男、女患病率差异有统计学意义（χ2=19.80，P〈0.01）；城市为11.34%（1 048/9 238），农村为8.92%（922/10 342），城市与农村患病率差异有统计学意义（χ2=31.82 ，P〈0.01）；各年龄组患病率在1.10%~18.03％之间，不同年龄组糖尿病患病率差异有统计学意义（χ2=797.67，P〈0.01），且随年龄增加而升高（χ2趋势=731.99，P〈0.01）；初中及以下、高中、大专、本科及以上文化程度的调查对象患病率分别为10.88%（1 529/14 050）、9.06%（290/3 201）、6.94%（97/1 398）、5.84%（52/891），不同文化程度糖尿病患病率差异有统计学意义（χ2=46.62，P〈0.01）；患与不患高血压的人群的糖尿病患病率分别18.33%（1 180/6 437）和6.02%（790/13 132），差异有统计学意义（χ2=723.68 ，P〈0.01）。多因素Logistic回归分析结果显示，患高血压（OR=2.24 ）、肥胖（OR=2.12）与超重（OR=1.48 ）、生活在城区（OR=1.54 ）和年龄（OR=1.36 ）是糖尿病的独立影响因素。
结论长沙市成年人居民糖尿病患病率高，应对多种影响因素实施综合干预，重点关注40岁及以上者、高血压患者、超重或肥胖者、生活在城市者。
ObjectiveTo analyze the diabetes prevalence and it＇s risk factors among adults in Changsha city and provide the scientific evidence for diabetes prevention and control.MethodsThe stratified multi-stage cluster sampling method was used to collect data of residents （≥18 years old） from 5 counties or districts as the subjects during 2013 to 2014. The survey included structured questionnaire, physical examination and blood tests. Risk factors of diabetes were analyzed by Chi -square test and multivariate logistic regression analysis.ResultsA total of 19 812 subjects were investigated. The effective response subjects were 19 580; 1 970 subjects had diabetes and the crude prevalence of diabetes was 10.06%. The prevalence rates of male and female was 8.95% （746/8 335） and 10.88% （1 224/11 245） respectively, with statistically significant difference （χ2=19.80, P〈0.01）. The prevalence rates of urban and suburb were 11.34%（1 048/9 238） and 8.92%（922/10 342） respectively,which has statistical significance （χ2=31.82,P〈0.01）.The prevalence of diabetes between 1.10% and 18.03% among all age groups, which has statistical significance among different age groups （χ2=797.67, P〈0.01）, and increased with the increase of age （χ2trend=731.99, P〈0.01）. The prevalence of diabetes of those whose educational background was Junior high school, senior high school, college, bachelor or above was 10.88%（1 529/14 050）, 9.06%（290/3 201）, 6.94% （97/1 398）, 5.84% （52/891） respectively, The difference of diabetes prevalence also showed statistical significance among population with different educational background （χ2=46.62,P〈0.01）. The prevalence rates of people with hypertension and without hypertension were 18.33% （1 180/6 437） and 6.02% （790/13 132） respectively, which has statistical significance （χ2=723.68, P〈0.01）. The results of multi variant logistic regression analysis indicated that high blood pressure （OR=2.24）, obesity （OR=2.12）, overweig
作者
谢强明
黄渊秀
刘鲲
陈姗
陈发明
Xie Qiangming Huang Yuanxiu Liu Kun Chen Shan Chen Faming(Department of Chronic Diseases and Mental Health, Changsha Center for Disease Control and Prevention, Changsha 410004, China)
出处
《中华健康管理学杂志》
CAS
2016年第6期450-455,共6页
Chinese Journal of Health Management
基金
长沙市科技局科技项目（K15ZD043-33）
