内蒙古地区流动人口糖尿病影响因素的研究  

Influencing factors of diabetes among the floating population,Inner Mongolia

作　　者：王瑞琪[1] 杜茂林[1] 梁丹艳 钱永刚[2] 王培玉[3] 刘丹[1] 郑会秋[1] 王学梅[1] 

机构地区：[1]内蒙古医科大学,内蒙古呼和浩特010000 [2]内蒙古自治区疾病预防控制中心慢性病预防与控制所,内蒙古呼和浩特010000 [3]北京大学医学部公共卫生学院,北京100191

出　　处：《现代预防医学》2018年第1期155-159,共5页Modern Preventive Medicine

基　　金：内蒙古自治区科技计划项目(基于物联网技术的智能健康监控及现代医疗信息系统研发)

摘　　要：目的了解内蒙古流动人口糖尿病流行现状,探讨其影响因素,了解超重、肥胖合并中心性肥胖与糖尿病的相互关系。方法本研究为横断面调查,采用按行业多阶段分层整群随机抽样。调查内容包括问卷调查、身体测量和实验室检测。结果共调查流动人口1 494人,糖尿病患病率为12.52%。单因素分析显示,糖尿病患病率在年龄、工作方式、吸烟、饮酒、休闲运动、BMI与WC中均有差异(P<0.05)。Logistic回归分析结果显示,相较于BMI和WC均正常者,均异常者患糖尿病的风险较高(OR=2.272,95%CI=1.553~3.324);中年和老年患糖尿病的风险分别是青年的1.695倍、2.172倍;工作方式和休闲时间运动是糖尿病的影响因素。BMI与WC均异常者校正后糖尿病患病率(65.12%)高于均正常者(38.99%,P<0.05)。结论内蒙古地区流动人口糖尿病、超重、肥胖和中心性肥胖患病率处于较高水平,中年、老年、低体力劳动强度者是糖尿病的高风险人群。Objective To investigate the prevalence and influencing factors of diabetes mellitus among the floating population in Inner Mongolia, and to explore the relationship between diabetes and overweight, obesity and central obesity. Methods A total of 1494 migrants collected through stratified multi - stage cluster random sampling were investigated by questionnaire, physical measurement and laboratory examination. Results The prevalence of diabetes was 12. 52%. Age, working ways, smoking, drinking, BMI and WC were the influence factors of diabetes through univariate analysis （ P 〈 0. 05 ）. Migrants with abnormal BMI and WC were more susceptible to diabetes than whom with normal BMI and WC （ OR = 2. 272,95% CI = 1. 553 - 3. 324 ） . Compared with the youth, middle- aged people and the old had 1. 695 and 2. 172 times the risk of diabetes mellitus, respectively. Working ways and exercise during leisure time were also the influencing factors. The ＇adjusted prevalence of diabetes in people with abnormal BMI and WC （65.12%）was higher than that of people with normal BMI and WC （38.99% ,P 〈 0. 05 ）. Conclusion The prevalence rates of diabetes, overweight, obesity and central obesity were high among the floating population in Inner Mongolia. Middle - aged, the old and people who perform low - density manual labor were at high risk for diabetes.

关 键 词：流动人口 糖尿病 影响因素 肥胖 中心性肥胖 

分 类 号：R195[医药卫生—卫生统计学]