摘要
目的了解杭州市萧山区18周岁及以上居民糖尿病患病情况及相关危险因素。方法 2014年采用多阶段分层整群抽样方法,对萧山区6个镇(街道)18周岁及以上居民通过问卷、体检和实验室检测进行三方面的横断面调査,应用单因素分析、多因素logistic回归分析进行糖尿病患病的影响因素分析。结果共调査4 473人,糖尿病粗患病率为10.64%(标化患病率为8.30%),男性和女性粗患病率分别为10.29%和10.94%(标化率为8.26%和8.36%),男女患病率差异无统计学意义(χ~2=0.497,P=0.481);患病率都有随年龄增高而上升的趋势(总人群χ_(趋势)~2=141.430,P=0.000;男性χ_(趋势)~2=46.096,P=0.000;女性χ_(趋势)~2=100.546,P=0.000)。空腹血糖受损率为9.23%(标化率为7.99%),男性和女性分别为9.25%和9.22%(标化率为8.24%和7.97%),性别间差异无统计学意义(χ~2=0.002,P=1.000);但均有随年龄增高而上升的趋势(总人群χ_(趋势)~2=50.022,P=0.000,男性χ_(趋势)~2=13.414,P=0.000,女性χ_(趋势)~2=40.026,P=0.000)。单因素分析显示不同年龄、文化程度、糖尿病家族史、身体活动量、BMI、腹型肥胖、高血压、血清总胆固醇、甘油三脂、高密度脂蛋白、低密度脂蛋白均影响糖尿病的患病率(P<0.05)。经多因素非条件logistic回归分析,高龄(OR=1.597,95%CI:1.460~1.747,P=0.000)、糖尿病家族史(OR=4.094,95%CI:3.038~5.517,P=0.000)、高BMI(OR=1.334,95%CI:1.133~1.571,P=0.001)、腹型肥胖(OR=1.338,95%CI:1.030~1.736,P=0.029)、高TG(OR=1.666,95%CI:1.316~2.109,P=0.000)和高血压(OR=1.537,95%CI:1.247~1.894,P=0.000)是糖尿病的危险因素。结论 2014年杭州市萧山区18周岁及以上居民糖尿病患病率处于较高水平,糖尿病家族史、高龄、超重、肥胖。
Objective To investigate the prevalence of diabetes mellitus （ DM ） and its related risk factors among residents aged 18 years and above in Xiaoshan District, Hangzhou City, 2014. Methods Residents aged 18 years and above in 6 towns （ streets ） in Xiaoshan District were randomly selected with stratified multi-stage cluster sampling method in 2014. A cross-section- al study was carried out, and the data were collected in a questionnaire survey, physical examination and laboratory test. Single factor and muhifactor logistic regression analyses were performed to determine the factors influencing DM. Results A total of 4,473 residents were surveyed. The crude prevalence rate of DM was 10.64% （ with the standardized prevalence rate of 8.30% ）. No statistically significant differences were found in the crude prevalence rate and the standardized prevalence rate between the males and females （10.29% vs. 10.94%, 8.26% vs. 8.36%, x^2= 0.497, P=0.481）. The prevalence rates showed an increasing trend with aging （in total x^2 trend= 141.430, P=0.000; in males x^2 trend=46.096, P=0.000; in females x^2 trend= 100.546, P=0.000）. The rate of impaired fasting glucose （IFG） was 9.23% （ with the standardized rate of 7.99% ）. No statistically significant differ- enees were found in the IFG rate and the standardized rate between the males and the females （9.25% vs. 9.22%, 8.24% vs. 7.97% ,x^2= 0.002, P = 1. 000 ） but the above-mentioned rates showed an increasing trend with age increase （ in total trend = 50.022 P=0.000; in males x^2 trend= 13.414, P=0.000; in females x^2 trend= 40.026, P = 0.000 ）. Single factor analysis showed that different age, educational background, family history of diabetes, physical exercise, BMI, abdominal obesity, hypertension, TC, TG, HDL-C and LDL-C affected the prevalence of DM （P〈0.05）. Muhifactor logistic regression analysis showed that advanced age （OR= 1.597, 95%C1： 1.460-1.747, P=0.000）, family history of diabetes （0R=4.094, 95%CI： 3.038-5.517, P=
出处
《实用预防医学》
CAS
2017年第2期141-144,共4页
Practical Preventive Medicine
关键词
糖尿病
患病率
危险因素
diabetes mellitus
prevalence rate
risk factors
