社区居民糖尿病患病与吸烟指数关系  

Correlation of smoking index to prevalence of diabetes mellitus

作　　者：张典丰[1] 刘衷芳[1] 孙波[1] 崔文秀[1] 郭淑珍[1] 

机构地区：[1]黑龙江省哈尔滨市疾病预防控制中心,150056

出　　处：《中国公共卫生》2010年第8期1082-1084,共3页Chinese Journal of Public Health

摘　　要：目的探讨黑龙江省哈尔滨市社区居民糖尿病(DM)患病情况与吸烟指数关系。方法采用多级随机抽样方法,抽取哈尔滨市20～74岁社区常住居民2 300人,应用单因素及多因素非条件Logistic逐步回归方法,分析DM与吸烟关系及可能的DM危险因素。结果哈尔滨市社区居民DM患病率为7.29%,吸烟率为31.00%,吸烟指数与DM患病率呈线性趋势关系(χ2CMH=17.433 7,P<0.000 1,rs=0.164 2);多因素非条件Logistic回归分析显示,高脂血症、DM家族史、收缩压、腰臀比(WHR)、吸烟指数及年龄可能是DM危险因素,其中,吸烟指数OR=1.776(95%CI=1.191～2.649),人群归因危险度百分比(PAR%)为19.39%(95%CI=3.86～33.83)。结论哈尔滨市社区居民吸烟率较高,吸烟累积量越高,发生DM危险性越大。Objective To analyze the relationship between prevalence of diabetes mellitus（DM） and smoking index.Methods The subjects selected with multistage sampling were 2 300 residents living in Harbin more than 5 years and aged from 20 to 74 years.Single factor analysis and unconditional logistic regression model were used to study the correlation of smoking and other possible risk factors to DM.Results Among the subjects the prevalence rate of DM was 7.29% and the smoking rate was 31.00% in total.The analysis showed that the smoking index was correlated to DM prevalence（X2CMH=17.433 7,P0.000 1,rs=0.164 2）.Six possible risk factors for DM were identified with multivariate logistic regression analysis（hyperlipidemia,family history of DM,increase of systolic pressure,waist-to-hip ratio,higher smoking index,and age）.Among these factors,the odds ratio（OR） for smoking index was 1.776（95% confidence interval（CI）=1.191-2.649）,and population attributed risk was 19.39%（95%CI=3.86-33.83）.Conclusion Smoking rate is high in community residents of Harbin city.Smoking is positively related to the prevalence of diabetes mellitus among the residents.

关 键 词：糖尿病 危险因素 吸烟指数 

分 类 号：R181.37[医药卫生—流行病学]