江西省流动人口糖尿病及糖调节受损影响因素分析  

Analysis on influencing factors of diabetes mellitus and impaired glucose regulation among floating population in Jiangxi Province

作　　者：颜玮[1,2] 朱丽萍[1,2] 陈轶英[2] 吉路[2] 刘杰[2] 徐艳[2] 王瑞平[3] 何军荣[1] 

机构地区：[1]南昌大学研究生院医学部,江西南昌330006 [2]江西省疾病预防控制中心慢性非传染性疾病防制所,江西南昌330029 [3]上海市松江区疾病预防控制中心传染病防治科,上海201620

出　　处：《中华疾病控制杂志》2015年第11期1105-1108,共4页Chinese Journal of Disease Control & Prevention

基　　金：中央财政支付地方项目"慢性病监测流动人口专题调查"(2012年);江西省卫计委预防医学科研项目(20152008)

摘　　要：目的了解江西省就业流动人口糖尿病(diabetes mellitus,DM)及糖调节受损(impaired glucose regulation,IGR)流行现状与影响因素。方法采用按行业分层多阶段整群抽样方法,在江西省5个县(区)抽取制造、批发零售、住宿餐饮、社会服务、建筑和其他六大类行业共1 475名≥18岁就业流动人口为研究对象,进行问卷调查、体格检查和实验室检测。结果就业流动人口糖尿病、糖耐量受损(impaired glucose tolerance,IGT)和空腹血糖受损(impaired fasting glucose,IFG)标化患病率分别为6.87%、7.04%和5.81%;有随年龄增大而上升的趋势;多因素分析显示,DM的患病与年龄≥40岁、甘油三酯异常和1 d内累计睡觉时间不足密切相关(均有P<0.05);IGT的患病与不健康饮酒、中心性肥胖、超重和肥胖密切相关(均有P<0.05);IFG的患病与年龄≥40岁、不健康饮酒、中心性肥胖和高血压密切相关(均有P<0.05)。结论不良的生活方式与糖尿病及糖调节受损密切相关,应积极采取综合干预措施,降低流动人口糖尿病的患病水平。Objective To investigate the epidemic situation and influencing factors of diabetes mellitus （DM） and impaired glucose regulation （IGR） among the employees of floating population in Jiangxi Province. Methods A multi- stage stratified sampling method was adopted to investigate 1 475 participants from the manufacturing, wholesale and retail, accommodation and catering, social services, construction and others six major occupations in five counties （districts） of Jiangxi province by the questionnaire, physical examination and laboratory test. Results The standardized prevalence rates of DM, impaired glucose tolerance （IGT） and impaired fasting glucose （IFG） were 6. 87%, 7.04% and 5.81%, respectively. There was a growing trend with age increasing. Multi-factor unconditioned logistic regression analysis indica- ted that people aged 40 years old and above, high triglycerides and lacking sleep were influencing factors of DM （ all P 〈 0. 05 ） ; and unhealthy drinking, central obesity and high body mass index were risk factors of IGT （ all P 〈 0. 05 ） ; The age of more than 40 years, unhealthy drinking, central obesity and hypertension were risk factors of IFG （ all P 〈 0. 05 ）. Conclusions Unhealthy lifestyles were closely related to DM and IGR. It is urgent to take comprehensive prevention measures to reduce of the diabetes in floating population.

关 键 词：糖尿病 慢性病 流行病学方法 

分 类 号：R587.1[医药卫生—内分泌] R181.1[医药卫生—内科学]