摘要
目的了解2010-2012年贵州省成年居民2型糖尿病患病状况及相关因素。方法采用多阶段分层整群随机抽样方法,抽取2010-2012年"中国居民营养与健康状况监测"中贵州省5个监测地区18岁及以上人群3073人(城市1576人,农村1497人;男性1362人,女性1711人),调查其基本情况、生活方式及行为,并检测体格指标及血压、血糖、总胆固醇(TC)、甘油三酯(TG),计算2型糖尿病患病率,采用非条件Logistic回归模型进行多因素分析。结果贵州省3073名18岁及以上居民中有151人检出患有2型糖尿病,患病率为4. 9%,其中城市居民80人,农村居民71人,患病率分别为5. 1%和4. 7%,城乡差异无统计学意义(χ^2=0. 183,P=0. 669)。年龄与2型糖尿病患病相关,且患病率随年龄增长而升高(χ趋势^2=55. 478,P=0. 001)。多因素Logistic回归分析结果显示,家族史、腹型肥胖、高血压、TC异常、TG异常对2型糖尿病患病率的影响均有统计学意义(OR值分别为2. 377、1. 721、1. 666、1. 619和1. 982,P<0. 05)。结论贵州省18岁及以上居民2型糖尿病的患病率低于全国平均水平,贵州省居民2型糖尿病的预防工作应把中老年人、具有家族史、腹型肥胖者、高血压患者、TC异常者、TG异常者作为重点人群。
OBJECTIVE To investigate the prevalence and relevant factors of type 2 diabetes mellitus among urban and rural residents over 18 years old in Guizhou Province in 2010-2012. METHODS A total of 3073 residents over 18 years old were sampled by multi-stage and stratified random cluster sampling in Guizhou Province from"2010-2012 Chinese nutrition and health surveillance",including 1576 people in urban areas and 1497 people in rural areas,1362 males and 1711 females. The participants were investigated for their basic conditions,lifestyle and behavior,and physical indicators,blood pressure,blood glucose,TC,and TG were also measured,and then the prevalence was calculated. Multivariate analysis was performed using an unconditional logistic regression model. RESULTS Among the 3073 residents aged 18 years and over in Guizhou Province,151 were diagnosed with type 2 diabetes mellitus,with a prevalence of4. 9%,among which 80 were urban residents and 71 were rural residents, with a prevalence of 5. 1% and 4. 7%, respectively. There was no statistically significant difference between urban and rural areas(χ^2= 0. 183,P = 0. 669). Age was associated with type 2 diabetes mellitus,and the prevalence increased with age(χ趋势^2= 55. 478,P =0. 001).The result of multivariate Logistic regression analysis showed that family history,abdominal obesity,hypertension,abnormal TC and abnormal TG all had statistically significant influences on the prevalence of type 2 diabetes mellitus( OR values were2. 377,1. 721,1. 666,1. 619 and 1. 982,respectively,all P <0. 05). CONCLUSION The prevalence of type 2 diabetes mellitus in residents aged 18 and over in Guizhou Province was lower than the national average level. The prevention of type 2 diabetes in Guizhou residents should be targeted at middle-aged and elderly people,people with family history, people with abdominal obesity, people with hypertension and dyslipidemia.
作者
刘怡娅
张晓琴
贺林娟
汪思顺
Liu Yiya;Zhang Xiaoqin;He Linjuan;Wang Sishun(Guizhou Center for Disease Control and Prevention,Guiyang 550004,China)
出处
《卫生研究》
CAS
CSCD
北大核心
2019年第5期723-727,共5页
Journal of Hygiene Research
基金
国家卫生计生委(原卫生部)医改重大项目[中国居民营养与健康状况监测(2010—2013年)]
关键词
成年人
2型糖尿病
患病率
adult
type 2 diabetes mellitus
prevalence
