北京市朝阳区2008—2014年60～79岁居民糖尿病患病及相关影响因素趋势分析  

Change trend in diabetes prevalence and related factors among 60-79 years old residents in Chaoyang district of Beijing,2008- 2014

作　　者：王银会[1] 韩晓燕[2] 李哲[2] 齐智[2] 陶丽丽[2] 许志远[2] 陈明[2] 郭明辉 

机构地区：[1]郑州大学公共卫生学院流行病与卫生统计学教研室,河南郑州450001 [2]北京市朝阳区疾病预防控制中心慢病科 [3]北京市朝阳区十八里店社区卫生服务中心保健科

出　　处：《中国公共卫生》2015年第7期907-911,共5页Chinese Journal of Public Health

摘　　要：目的了解北京市朝阳区2008—2014年老年居民糖尿病患病及相关影响因素的变化,为采取相应的糖尿病防治措施提供科学依据。方法采用分层整群随机抽样方法于2008、2011和2014年在北京市朝阳区分别抽取750、1 510和532名60~79岁居民进行问卷调查、体格检查和实验室检测。结果北京市朝阳区2008、2011和2014年60~79岁居民糖尿病患病率分别为18.9%、19.1%和21.1%,标化患病率分别为10.9%、10.2%和10.8%,患病率随年龄的增加呈上升趋势（χ^2趋势=9.351,P=0.025）;2008、2011和2014年糖尿病患病情况比较,居民3年糖尿病患病率在城市/农村户籍、是/否中心性肥胖、是/否吸烟、是/否饮酒和患有高血压方面差异均有统计学意义（均P〈0.01）;多因素logistic回归分析结果显示,高血压和中心性肥胖是北京市朝阳区2008年60~79岁居民糖尿病患病的危险因素;男性、高血压和血脂异常是北京市朝阳区2011年60~79岁居民糖尿病患病的危险因素,饮酒和有效锻炼是保护因素;年龄较大和血脂异常是北京市朝阳区2014年60~79岁居民糖尿病患病的危险因素。结论北京市朝阳区2008—2014年60~79岁居民糖尿病患病率呈上升趋势,性别、年龄、高血压、中心性肥胖、血脂异常、饮酒、有效锻炼是该地区居民糖尿病患病的主要影响因素。Objective To analyze changes in diabetes prevalence and its risk factors among residents aged 60- 79 years in Chaoyang district of Beijing from 2008 through 2014. Methods The elderly residents were selected with multistage stratified sampling in 2008（ n = 750）,2011（ n = 1 510）,and 2014（ n = 532） and investigated with a same questionnaire,physical examination,and laboratory test. Results The annual diabetes prevalence were 18. 9%,19. 1%,and21. 1%,and the age-adjusted prevalence were 10. 9%,10. 2%,and 10. 8% for the year of 2008,2011,and 2014 and the prevalence increased with the age（ χ^2trend= 9. 351,P = 0. 025）. Significant yearly differences were observed in the prevalence of diabetes among the residents with different living area（ urban or rural） and statuses of central obesity,smoking,alcohol drinking,and blood pressure（ all P〈0. 01）. Multivariate logistic regression analysis showed that hypertension and central obesity were risk factors of diabetes in 2008; male gender,hypertension and dyslipidemia were risk factors in2011; alcohol drinking and effective exercise were protective factor; while elder age and dyslipidemia were risk factors in2014. Conclusion Diabetes prevalence increased among 60- 79 years old residents in Chaoyang district of Beijing between 2008 and 2014 and gender,age,hypertension,central obesity,dyslipidemia,alcohol consumption,and effective exercise were the main influencing factors of the disease in the elderly.

关 键 词：糖尿病 患病率 影响因素 趋势分析 

分 类 号：R181.37[医药卫生—流行病学]