摘要
目的了解常山县18岁以上居民糖尿病的患病现状及其相关危险因素,为有关部门制定糖尿病的预防控制策略提供理论支撑。方法运用多阶段抽样的方法,抽取14个乡镇常住成年居民为调查对象,共对2 064人进行问卷调查、体格检查及实验室检测,应用SPSS22.0软件进行统计分析。结果常山县18岁以上居民的糖尿病粗患病率为6.98%,标化患病率为6.17%,糖尿病患病率伴随着年龄增高呈现上升趋势(χ■=323.54,P<0.05)。高龄、糖尿病家庭遗传史、超重肥胖、高血压以及高血脂是导致糖尿病的危险因素,其OR值及95%CI分别为1.025(1.007~1.043)、3.322(1.183~9.330)、3.002(1.529~5.894)、1.724(1.183~9.330)和2.089(1.443~3.025)。结论常山县18岁以上人群糖尿病的患病率较高,需重点针对糖尿病危险因素,在全社会开展健康教育和健康促进,干预和纠正人们的不良行为生活方式,以遏制农村糖尿病流行的快速增长趋势。
Objective To investigate the type 2 diabetes mellitus prevalence and the related risk factors among residents aged above 18 years old in Changshan,provide the scientific basis for strategies of prevention and control of type 2 diabetes mellitus for the government departments.Methods By using the method of multi-stage sampling,14 adult permanent residents in towns and villages were selected as the survey objects,and a total of 2 064 people were investigated through questionnaires,physical examinations and laboratory tests.SPSS22.0 software was used for statistical analysis.Results The crude prevalence rate of type 2 diabetes mellitus was 6.98%and the standardized rate was 6.17%,which increased with age(χ2trend=323.54,P<0.05).Advanced age,type 2 diabetes mellitus family history,overweight-obesity,hypertension and hyperlipidemia were all the main risk factors of type 2 diabetes mellitus,the OR values and 95%CI were 1.025(1.007~1.043),3.302(1.183~9.330),3.002(1.529~5.894),1.724(1.183~9.330)and 2.089(1.443~3.025),respectively.Conclusion The type 2 diabetes mellitus prevalence among residents aged above 18 years old in Changshan is considerably high.Health education and health promotion regarding the risk factors for type 2 diabetes mellitus should be intensified among the residents.Moreover,rational life style and other intervention measures should be reinforced to hold back the quick increasing trend of type 2 diabetes mellitus in rural area of Changshan.
作者
刘文峰
刘胜
付美华
郭水梅
徐天亮
LIU Wen-feng;LIU Sheng;FU Mei-hua;GUO Shui-mei;XU Tian-liang(Changshan County Center for Disease Control and Prevention,Changshan,Zhejiang 324200,China)
出处
《中国公共卫生管理》
2019年第3期419-421,共3页
Chinese Journal of Public Health Management
关键词
危险因素
患病率
糖尿病
LOGISTIC回归
risk factors
prevalence rate
type 2 diabetes mellitus
Logistic regression analysis
