重庆市巴南区城乡居民糖尿病患病情况及其危险因素分析  

Analysis on the Prevalence of Diabetes and its Related Risk Factors Among Urban and Rural Residents in Banan District of Chongqing City

作　　者：余兰英[1] 方旭东[1] 陶小红[1] 刘成果[1] 王星引 谭丽丽[1] 

机构地区：[1]重庆市巴南区疾病预防控制中心,重庆401320

出　　处：《预防医学情报杂志》2016年第8期775-778,共4页Journal of Preventive Medicine Information

基　　金：重庆市巴南区科学技术项目(项目编号:2015-19)

摘　　要：目的了解重庆市巴南区城乡居民糖尿病患病情况及其危险因素,为制定相关干预措施提供科学依据。方法采用分层多阶段随机抽样方法抽取巴南区城乡18岁及以上常住居民,开展问卷调查、体格测量和实验室检测。结果共调查18岁及以上居民600人,糖尿病患病率为9.00%,标化患病率为8.85%。其中,城乡居民糖尿病患病率分别为10.00%和8.50%,两者差异无统计学意义(χ2=0.37,P>0.05);女性高于男性(χ2=3.99,P<0.05);糖尿病患病率随着年龄增长而呈上升趋势(P<0.05))。单因素分析显示城乡居民糖尿病患病均受年龄、性别、文化程度、婚姻状况、腰围、高血压、血脂异常影响,而饮酒和体质指数与城市居民糖尿病患病有关。多因素回归分析显示年龄、腰围和血脂异常为糖尿病危险因素,文化程度为保护因素。结论巴南区城乡居民糖尿病患病率均较高,应加强健康教育,尤其对高年龄、肥胖、血脂异常等高危人群采取主动干预,以降低糖尿病的发生。Objective To investigate the prevalence of diabetes and its related risk factors among urban and rural residents in Banan District of Chongqing, and to provide scientific evidence for the intervention measures. Methods The multi - stage random sampling method was used to select the urban and rural residents （ ≥ 18 years old ） for questionnaire survey, anthropometrie measurements and laboratory tests. Results Totally 600 residents were investigated. The prevalence rate of diabetes in total was 9% , and the standardized prevalence rate was 8.85%. The prevalence rate of diabetes was 10% and 8.50% in urban and rural residents respectively, with no significant difference （χ^2 = 0.37, P 〉 0.05 ）. The prevalence of diabetes increased with age （P 〈 0. 05） ）. Single factor analysis showed that the prevalence of diabetes was affected by age, gender, education level, marital status, waist circumference, hypertension, dyslipidemia in both urban and rural residents, while the factors of alcohol intake and BMI was related to the city residents. Multi - factor regression analysis showed that age, waist circumference and blood lipid abnormal were the risk factors of diabetes mellitus, while the education level was a protective factor. Conclusion The prevalence of diabetes was high among both urban and rural residents in Banan District. Health education should be strengthened, take active intervention especially for the people with high age, obesity, dyslipidemia or other high - risk factors to reduce the incidence of diabetes.

关 键 词：糖尿病 患病率 危险因素 预防控制 

分 类 号：R587.1[医药卫生—内分泌]