河北省清苑县居民糖尿病患病现况及危险因素分析  

Epidemiological status and risk factors of diabetes mellitus among residents in Qingyuan County of Hebei Province

作　　者：马继飞[1] 张利[1] 李淑芳[1] 唐丽娟[2] 张进国 MA Jifei;ZHANG Li;LI Shufang;TANG Lijuan;ZHANG Jinguo(Baoding Center for Disease Control and Prevention,Hebei 071000,China)

机构地区：[1]保定市疾病预防控制中心,河北071000 [2]河北省疾病预防控制中心 [3]易县妇幼保健院

出　　处：《医学动物防制》2020年第7期700-702,共3页Journal of Medical Pest Control

基　　金：河北省医学科学研究重点课题计划(20170444)。

摘　　要：目的调查清苑县常住居民糖尿病的患病现况,为糖尿病防治提供科学依据。方法通过多阶段随机抽样选择清苑县6个乡镇4968名15岁以上常住居民为调查对象,开展现况研究。结果清苑县居民糖尿病患病率为3.93%。其中男性患病率为3.32%、女性患病率为4.54%,差异有统计学意义(χ^2=4.937,P<0.05)。患病率随年龄的增长呈现上升趋势,不同年龄组间糖尿病患病率存在差异,且差异有统计学意义(χ^2=384.545,P<0.05)。糖尿病总治疗率为92.67%,控制率为51.98%。Logistic回归分析,年龄大的患糖尿病的风险高于年龄小的(OR=1.971);女性的患病风险高于男性(OR=1.834);吸烟的患病风险高于不吸烟(OR=2.478);患有高血压的患病风险高于未患高血压(OR=4.727);患有向心性肥胖的患病风险高于未患有向心性肥胖(OR=1.612);超重的患病风险高于未超重(OR=1.515)。结论针对清苑县糖尿病患病现状,今后应加强糖尿病防治知识的宣传和教育,以中老年、女性、吸烟、患高血压、向心性肥胖和超重人群为重点防制对象。Objective To investigate the prevalence status of diabetes mellitus among the residents in Qingyuan County,and to provide a scientific basis for the prevention and control of diabetes mellitus.Methods A total of 4968 residents aged over 15 and selected from 6 villages and towns of Qingyuan County through a multi-stage random sampling were surveyed.Results The prevalence rate of diabetes mellitus in Qingyuan was 3.93%on average and significantly higher in women(4.54%)than in men(3.32%).There was a statistically significant difference(χ^2=4.937,P<0.05).The prevalence rate was on the rise with the increase of age,and there was a statistically significant difference among different age groups(χ^2=384.545,P<0.05).The total treatment rate of diabetes mellitus was 92.67%,and the control rate was 51.98%.Logistic regression analysis showed that the older people had a higher risk of diabetes than younger ones(OR=1.971);females were at a higher risk than males(OR=1.834);smokers had a higher risk than non-smokers(OR=2.478);the risk of residents with hypertension was higher than that of residents without hypertension(OR=4.727);the risk of people suffering from central obesity was higher than that of people without central obesity(OR=1.612);the risk of overweight people was higher than that of people with normal weights(OR=1.515).Conclusion According to the current situation of diabetes mellitus in Qingyuan County,publicity and education should be strengthened for the knowledge of prevention and control of diabetes,with the elderly,women,smokers,people with hypertension and central obesity,and overweight individuals as the key objects.

关 键 词：糖尿病 患病率 危险因素 流行病学 防制 

分 类 号：R587.1[医药卫生—内分泌]