某社区女性居民糖尿病与空腹血糖损害现状及影响因素研究  

A cross-sectional study on the prevalence and risk factors of diabetes and impaired fasting glucose in women of the community.

作　　者：周建军[1] 

机构地区：[1]上海市黄浦区疾病预防控制中心,上海200011

出　　处：《上海预防医学》2006年第8期374-376,共3页Shanghai Journal of Preventive Medicine

摘　　要：[目的]探讨上海某社区女性居民糖尿病与空腹血糖损害现状及影响因素。[方法]采用现况研究方法，由经培训的调查员用统一的调查表进行面对面调查，于1999年12月～2000年2月在该社区20岁以上女性居民中开展研究。同时对所有研究对象进行体格检查（身高、体重、血压、脉搏、腰围、臀围、空腹血糖）。对数据进行多元无序多分类logistic回归分析。[结果]1989名女性社区居民糖尿病和空腹血糖损害（IFG）标化患病率分别为4．1％和3．0％。进一步分析表明，年龄（OR=1．034，95％可信限：1．016～1．052）、腰臀比（OR=14．984，95％可信限：1．175～191．028）、高血压（OR=2．448，95％可信限：1．550～3．865）、饮酒史（OR=4．646，95％可信限：1．670～12．982）、体质指数（OR=1．123，95％可信限：1．061～1．188）和糖尿病家族史（OR=5．312，95％可信限：2．664～10．589）是女性社区居民糖尿病可能的独立危险因素；体质指数（OR=1．096，95％可信限：1．026～1．172）和糖尿病家族史（OR=3．292，95％可信限：1．399～7．745）也是IFG可能的独立危险因素。[结论]该社区女性居民的糖尿病和IFG患病率水平较高，应该加强对较胖（特别是中心性肥胖）、有糖尿病家族史、年龄较大（50岁以上）、有高血压及有饮酒史的女性高危人群的监测与干预。[ Objective] To describe the prevalence of diabetes and impaired fasting glucose （ IFG） and explore the possible risk factors in women of the urban community. [ Methods ] A population based cross - sectional study was conducted in Shanghai, China in 1999 -2000. Face to face interview was used in data collection together with physical examinations including testing fasting glucose. Multinomial Logistic Regression was adopted in data analysis. [ Results] Among 1989 women in the urban community, the prevalence of diabetes and IFG were 4. 1% and 3.0% respectively. Age（ OR = 1. 034,95% CI： 1. 016 - 1. 052 ）, ratio of waist circles and hip circles （ OR = 14. 984,95% CI：1. 175 - 192. 048 ）, hypertension （ OR = 2. 448,95% CI： 1. 550 -3. 865）, history of drinking alcohol{ OR =4. 646,95% CI： 1. 670 -12. 982）, Body Mass Index {BMI} {OR = 1. 123, 95% CI：I. 061 - 1. 188）and family history of diabetes（ OR =5. 312,95% CI：2. 664 - 10. 589）were independent risk factors of diabetes. BMI （ OR = 1. 096,95 % CI： 1. 026 - 1. 172 ） and the family history of diabetes （ OR = 3. 292,95 % CI： 1. 399 - 7. 745 ） were independent risk factors of IFG. [ Conclusion] It was noticeable to health care providers that the prevalence of both dia- betes and IFG were comparatively high in women of the urban community in China and those with possible independent risk factors for diabetes and/or IFG should be under further surveillance and intervention.

关 键 词：糖尿病 空腹血糖损害 女性 社区 危险因素 

分 类 号：R587.1[医药卫生—内分泌]