重庆市糖尿病的分布及影响因素研究  

Distribution and Relative Influencing Factors of Diabetes Mellitus in Chongqing

作　　者：刘先锋[1] 刘达伟[1] 杨小伶[1] 张华东[1] 向新志[1] 赵舰[1] 孙成平 

机构地区：[1]重庆市疾病预防控制中心,重庆400042

出　　处：《预防医学情报杂志》2007年第2期158-160,共3页Journal of Preventive Medicine Information

摘　　要：目的了解重庆市居民糖尿病（DM）患病特点及主要影响因素。方法采用多阶段随机抽样的方法,抽取重庆市4个区（县）的1415名18岁及以上居民,通过检测血糖和面对面询问方法进行糖尿病患病率和影响因素调查;用多因素Logistic回归分析方法筛选糖尿病相关因素。结果重庆市18岁及以上居民糖尿病的患病率为5.0%,18-44岁组1.3%,45-59岁组5.5%,60岁以上组9.7%;患病率随着年龄增加而上升;城市患病率高于农村。空腹血糖损害（IFG）患病率为3.7%,18-44岁组1.9%,45-59岁组2.6%,60岁以上组为8.0%;多因素Logistic回归分析：年龄、体重指数、腰围、体力活动和文化程度是重庆市DM和IFG患病率的影响因素。结论重庆市糖尿病状况严重,防治糖尿病应从相关的多个因素综合控制。Objective To know the prevalence of diabetes mellitus （DM） and main risk factors among residents in Chongqing. Methods Through multi-phase random sampling method, 1415 people above 18 years old from four districts of Chongqing were selected for blood sugar test and interviewed by face-to-face. The relative risk factors were screened by logistic regression analysis. Results The prevalence of DM was 5.0% for all. The prevalence of DM of group aged 18-44 years old, 45-59 years old and above 60 years old were 1.3% , 5.5% and 9.7% respectively. The prevalence, which was higher in the city than in rural area, showed a rise trend with the increase of age. The prevalence of impaired fasting glucose （IFG） was 3.7% for all. The prevalence of IFG of group aged 18-44 years old, 45-59 years old and above 60 years old were 1.9% , 2. 6% and 8.0% respectively. The multivariate logistic regression analysis showed that the main influencing factors of DM and IFG were age, body mass index, waistline, physical activity and education level. Conclusion The prevalence of DM in Chongqing is serious. To control the related factors synthetically is the best way to prevent and control DM.

关 键 词：糖尿病 空腹血糖损害 患病率 影响因素 

分 类 号：R587.1[医药卫生—内分泌]