浙江省某市居民糖尿病患病情况调查及分析  

The Prevalence Survey on the Distribution and the Relative Risk Factors of Diabetes in Some City of Zhejiang Province

作　　者：金寒洁[1] 胡松林 雷莹[3] 江晓玲[3] 

机构地区：[1]南方医科大学公共卫生与热带医学学院 [2]浙江上虞疾病预防控制中心地方病慢性病防治科,312300 [3]南方医科大学公共卫生与热带医学学院流行病学系

出　　处：《中华全科医学》2011年第3期425-426,478,共3页Chinese Journal of General Practice

摘　　要：目的随着我国社会经济的发展,膳食结构的改变,人口老龄化的加剧,糖尿病患病率呈逐渐升高趋势,对我国人群健康的影响也越来越严重。本次研究旨在了解浙江省某市居民糖尿病患病情况及其相关因素,为糖尿病的防治策略和干预措施的制定提供参考。方法采用分层整群随机抽样方法,抽取该市城区、农村常年居住5年以上20～74岁1 047位居民进行问卷调查、体格测量和血糖血脂测定,用SPSS统计软件分析糖尿病的患病率和影响因素。结果 1 047名被调查居民中糖尿病患者74人,糖尿病粗患病率为7.07%,标化患病率为5.07%。糖尿病家族史、饮酒史,文化程度、职业、肥胖与糖尿病患病之间存在一定的统计学关联。结论该市糖尿病患病率处于较高水平,形势不容乐观。多种因素与糖尿病发病有关,建议加强居民健康教育,通过提高糖尿病的自我防治意识和改善生活行为方式,从而有效地预防控制糖尿病的发生。Objective With the development of social economy, changes in diet and increasing intensification of old aging, the prevalence of diabetes was gradually increasing, and the impacts on human health became more and more serious in our country. The purports of this study was to get the information of the distribution and the relative risk factors of diabetes in the city of Zhejiang province,provide ideas for the development of appropriate prevention and control strategies and intervention. Methods With multi-stage randomized cluster sampling, 1 047 permanent residents aged 20 - 74 years old who lived in the city more than 5 years were selected from urban and suburb districts. Questionnaire, physical examination, blood glucose and lipids measuring were used to collect data, to find out the prevalence of diabetes and its influencing factor by SPSS. Results In a total of 1 047 sub- jects, there were 74 diabetic patients, the general prevalence rate of DM was 7.07% , thestandardized prevalence rate of diabetes was 5.07%. There was statistics significance in the prevalence rate of DM among crowds with different degree education, occupa- tion, BMI,WHR,TC,TG, HDL-C and whether smoking, drinking or had family history of diabetes. Conclusion More attention should be paid on the relatively high level of the prevalence rate of diabetes in some city of Zhejiang. It was suggested that health education should be strengthened to help people improve behavior and life style in order to prevent and control the diabetes dis- ease.

关 键 词：糖尿病 患病率 危险因素 

分 类 号：R195.4[医药卫生—卫生统计学]