2010年罗平县农村居民糖尿病社会经济影响因素分析  

Analysis on the Social and Economic Factors of Diabetes Among Rural Residents,Luoping County,2010

作　　者：刘国华[1] 蔡乐[2] 熊祥玲[1] 石宝堂 韩芳[1] 张涵[1] 吴杰[1] 

机构地区：[1]昆明医科大学海源学院,云南昆明650601 [2]昆明医科大学公卫学院,云南昆明650500

出　　处：《预防医学论坛》2015年第3期165-168,共4页Preventive Medicine Tribune

基　　金：国家自然科学基金资助项目(30960335);云南省自然科学基金资助项目(2008CD115)

摘　　要：目的探讨影响曲靖市罗平县18岁以上农村居民糖尿病患病的社会经济影响因素。方法 2010年3~4月采用按比例概率抽样方法（PPS）抽取罗平县4 801名18岁及以上村民进行现场问卷调查和体检。分别以个体糖尿病患病与否作为应变量,以个体和群体社会学指标为自变量。以个体经济学指标为第一级,乡或村的经济学指标为较高级,建立两水平模型,分析糖尿病的社会经济影响因素。结果罗平县农村居民糖尿病的标化患病率为6.79%,其中男性标化患病率为5.27%,女性标化患病率为7.95%;通过建立两水平模型对糖尿病的社会经济因素分析,年龄越大者患糖尿病的可能性就越大（OR=1.55,95%CI：1.21~1.99）;女性比男性患糖尿病的风险性越大（OR=1.04,95%CI：1.02~1.05）;而少数民族比例越高的乡镇患糖尿病的可能性越小（OR=0.98,95%CI：0.96~0.99）。结论糖尿病已经成为影响当地18岁及以上农村居民主要的公共卫生问题之一,应采取措施降低糖尿病的患病率,以减轻农民的经济负担。Objective To explore the social and economic factors of diabetes among rural residents above 18 years old in Luoping county,Yunnan province. Methods Probability proportional to size（PPS）sampling method was used to select representative samples of 4 801 residents aged 18 years and over from Luoping county.Information was obtained from a cross-sectional health examination survey.The occurrence of individual diabetes or not was used as the dependent variable,the socio-economic indicators of individuals and groups were used as the independent variable.And the individual economic indicators were the first level,the economic indicators of townships or village were the higher level.The establishment of two-level model was to analyze the factors of diabetes. Results Among the study populations,the overall standardized prevalence of diabetes was 6.79%,and females had higher standardized prevalence of diabetes than males（7.95%vs.5.27%,P〈0.05）.By establishing two-level model to analyze,older adults had higher probability of occurrence of diabetes（OR =1.55,95%CI ：1.21-1.99）;females had higher probability of occurrence of diabetes than males（OR =1.04,95%CI ：1.02-1.05）;The towns with high proportion of minority had lower probability of occurrence of diabetes than the towns with low proportion of minority（OR =0.98,95%CI ：0.96-0.99）. Conclusion Diabetes has been one of the main diseases affecting the health of the local residents above 18 years old,therefore measures should be taken to reduce the prevalence of diabetes,so as to reduce the economic burden of farmers.

关 键 词：糖尿病 患病率 社会经济影响因素 农村 

分 类 号：R587.1[医药卫生—内分泌]