重庆市永川区居民糖尿病患病率及影响因素分析  

Analysis of diabetes prevalence and its influencing factors among residents in Yongchuan district of Chongqing

作　　者：谷伟 袁跃龙 丁贤彬[3] 沈卓之[3] 张春华[3] 陈克江[4] 张红军[4] 

机构地区：[1]重庆市永川区茶山竹海街道社区卫生服务中心,402160 [2]重庆市永川区人民医院心内科,402160 [3]重庆市疾病预防控制中心慢病所,400042 [4]重庆市永川区疾病预防控制中心慢病科,402160

出　　处：《重庆医学》2015年第3期372-375,共4页Chongqing medicine

基　　金：重庆市卫生局重点科研项目(2012-1-082);中国/世界卫生组织2012~2013年度正规预算项目(162)

摘　　要：目的：了解永川区居民糖尿病患病率及影响因素，为开展糖尿病综合防治工作提供建议。方法采用分层整群随机抽样的方法抽取3个镇与1个街道的18岁以上的常住居民进行问卷调查、体格检查与抽血检测空腹血糖和餐后2h血糖，采用SPSS17．0统计分析糖尿病患病率，χ2检验与多因素Logistic回归分析糖尿病影响因素。结果共计调查1202人，调查发现居民对糖尿病防治知识认知水平低于30％，21．46％的居民每天吸烟，31．78％的居民平时进行体育锻炼，超重的比例为24．63％，肥胖率为6．07％，糖尿病患病率10．48％。多因素Logistic回归分析结果显示：年龄（OR＝1．41，95％CI1．24～1．62）、中国居民膳食指南推荐的盐摄入量知晓率（OR＝2．12，95％CI＝1．13～3．96）、吸烟（OR＝1．44，95％CI＝1．10～1．89）、体质量（OR＝1．06，95％CI＝1．00～1．12）、血压（OR＝0．76，95％CI＝0．59～0．98）是糖尿病的独立影响因素。结论永川区糖尿病患病率高，居民糖尿病防治知识匮乏，膳食不合理、吸烟、身体活动不足等危险因素普遍存在，糖尿病综合防控工作应引起政府的高度重视。Objective To understand diabetes prevalence and its factors is to provide the suggestion for diabetes prevention and control in Yongchuan district .Methods Residents aged above 18 years old from 3 towns and 1 street were sampled by stratified clustered random sampling method .Residents were investigated with the questionnaire and physical examination and taken blood sample to test fasting glucose ,2‐h glucose .The data were analyzed to calculate diabetes prevalence by SPSS17 .0 .The factors of dia‐betes was compared by chi‐square and the independent influencing factors of diabetes were identified by step backward logistic re‐gression .Results A total of 1 202 were investigated .The rate of cognition about diabetes was below 30% .21 .46% of residents smoke every day .31 .78% of them do exercise .The prevalence of overweight ,obesity and diabetes was 24 .63% ,6 .07% and 10 .48% .The result of multi‐variant logistic regression indicated that the independent influencing factors of diabetes prevalence in‐cluded age（OR=1 .41 ,95% CI=1 .24-1 .62） ,the rate of cognition about the dose of salt intake per person per day recommended by Chinese guideline of diet（OR= 2 .12 ,95% CI= 1 .13 -3 .96） ,smoking at present（OR= 1 .44 ,95% CI= 1 .10 -1 .89） ,body weight（OR=1 .06 ,95% CI= 1 .00 -1 .12） ,blood pressure（OR=0 .76 ,95% CI=0 .59 -0 .98） .Conclusion Diabetes prevalence was high in Yongchuan district .The risk factors such as unhealthy diet ,smoking ,physical inactivity were common .Government should take the major role for diabetes prevention and control .

关 键 词：糖尿病 患病率 影响因素 知识与行为 

分 类 号：R587.1[医药卫生—内分泌]