宁夏地区职业人群2型糖尿病流行现状及危险因素分析  

Epidemic Situation and Risk Factors of Type Ⅱ Diabetes in Occupational Population of Ningxia

作　　者：杨阳[1] 陈莉莉[1] 强艳[2] 刘贺荣[1] 王勇[1] 宋辉[1] 

机构地区：[1]宁夏医科大学公共卫生学院,宁夏银川750004 [2]宁夏医科大学附属医院,宁夏银川750004

出　　处：《工业卫生与职业病》2011年第2期65-68,共4页Industrial Health and Occupational Diseases

基　　金：宁夏自然科学基金(NZ0879);宁夏医科大学特殊人才启动项目(XT200706)

摘　　要：目的探讨宁夏地区职业人群2型糖尿病的流行现状及其危险因素。方法采用分层整群随机抽样的方法收集了2009年4-10月在宁夏医科大学附属医院进行体检的3191名宁夏地区职业人群的临床资料,对抽样人群进行问卷调查、体格检查以及血液生化等指标的检测,并对糖尿病的危险因素进行多因素Logistic回归分析。结果空腹血糖受损患病率为3.42%(标化率为3.17%),2型糖尿病患病率为5.86%(标化率为5.46%),男性空腹血糖受损和糖尿病患病率均高于女性,差异有统计学意义(P<0.01);回族糖尿病患病率为2.77%(标化率为8.31%);汉族糖尿病患病率为3.69%(标化率为2.58%);2型糖尿病患病的危险因素主要有年龄、工龄、糖尿病家族史、腰围、甘油三酯以及总胆固醇;保护性因素包括文化程度及锻炼身体。结论宁夏地区职业人群2型糖尿病患病率接近全国平均水平;回族的T2DM标化患病率高于汉族;控制血脂水平、加强体育锻炼、提高自我防护意识是预防2型糖尿病的重要措施。Objective To investigate the epidemic situation and risk factors of typeⅡdiabetes among occupational population in Ningxia.Methods According to multi-stage random cluster sampling,a total of 3191 occupational population who received medical health examination in affiliated hospital of Ningxia Medical University from April 2009 to October 2009 were enrolled in the study.Data were collected through questionnaires,physical examinations and blood biochemical analyses.Risk factors of diabetes were analyzed by logistic regression.Results The prevalence of Impaired Fasting Glucose（IFG） was 3.42%（standardized prevalence：3.17%）.The prevalence of type II diabetes（T2D） was 5.86%（standardized prevalence：5.46%）.Both prevalence in males was higher than that of females（P0.01）.The prevalence of T2D in Hui nationality was 2.77%（standardized prevalence：8.31%）,and the prevalence of T2D in Han nationality was 3.69%（standardized prevalence：2.58%）.The risk factors for type II diabetes included age,seniority,family history of diabetes,WC,TG and TC.The protective factors included educational level and physical exercises.Conclusions The prevalence of type II diabetes in Ningxia is close to average national level.The standardized prevalence in Hui nationality is higher than that of Han nationality.To regulate the blood lipid levels,strengthen the physical exercises and improve self-preventive awareness are necessary in preventing T2D.

关 键 词：宁夏地区 回汉民族 2型糖尿病 患病率 危险因素 

分 类 号：R135[医药卫生—劳动卫生]