上海市徐汇区2010和2015年社区人群血糖异常状况调查  

Hyperglycemia analysis in some community population in Xuhui District of Shanghai in 2010 and 2015

作　　者：张小红[1] 顾海雁[1] 汪澜 王现[1] 付朝伟[3] 玄泽亮 ZHANG Xiao-hong;GU Hai-yan;WANG Lan;WANG Xian;FU Chao-wei;XUAN Ze-liang(Xuhui District Center for Disease Control and Prevention,Shanghai 200237,China;Health Commission of Xuhui District,Shanghai 200030,China;School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市徐汇区疾病预防控制中心,上海200237 [2]上海市徐汇区卫生健康委员会,上海200030 [3]复旦大学公共卫生学院,上海200032

出　　处：《上海预防医学》2020年第8期669-674,共6页Shanghai Journal of Preventive Medicine

基　　金：上海市徐汇区医学重点学科(XHZDXK1112)。

摘　　要：【目的】了解上海市徐汇区社区血糖异常人群情况及相关因素,为糖尿病早期干预提供依据。【方法】采用多阶段人口规模比例(PPS)随机抽样方法,分别于2010年、2015年对同一地区15岁及以上约5000户居民开展调查,分别调查10130、9085人,并进行血糖检测。单因素分析采用t检验和χ2检验,用logistic回归分析相关因素。【结果】2010和2015年所涉社区糖尿病发病率分别为2.21%、1.93%,高血糖发生率分别为12.63%、15.28%,两者均随年龄增长和BMI值增加呈上升趋势,2015年高血糖发生率较2010年上升。文化程度较低者、血压值异常者、自报高血压患者、自报冠心病患者和吸烟者糖尿病和高血糖发生率较高;logistic回归分析结果显示,糖尿病的发病率与年龄、BMI、血压值异常、吸烟呈正相关;高血糖的发生与调查年份、性别、年龄、BMI、血压值异常呈正相关;两者均与文化程度呈负相关。【结论】高血糖发生率较高,应着力开展糖尿病高危筛查,重点干预文化程度较低、超重和肥胖、合并高血压以及具有不良生活行为的重点人群。[Objective]To investigate the hyperglycemia rate and its correlative factors for the undiagnosed diabetes population in Xuhui District of Shanghai,and to provide the basis for early intervention of diabetes mellitus.[Methods]Multi-stage cluster sampling was adopted by probability proportionate to size method,and physical examination information and questionnaires were made and collected from 10130 and 9085 people in 2010 and 2015 respectively from 5000 households,blood-glucose being examined at the same time.Univariate analysis was made by t test andχ2 test and logistic regression was used for analysis of related factors.[Results]In 2010 and 2015,the diabetes incidence rate was 2.21%and 1.93%respectively,and the hyperglycemia incidence rate in 2015 was higher than that in 2010(15.28%vs.12.63%),both increased with age and BMI value.The rate was higher in those with lower education,abnormal blood pressure,self-reported hypertension,self-reported coronary heart disease and smokers.The logistic regression analysis results showed the incidence of diabetes was positively correlated with age,BMI,abnormal blood pressure and smoking,while the incidence of hyperglycemia was positively correlated with the survey year,sex,age,BMI and abnormal blood pressure;both were negatively correlated with educational level.[Conclusion]The hyperglycemia incidence rate is high among the community undiagnosed diabetic population.We should focus on high-risk screening for diabetes mellitus,and key intervention of the population with low educational level,overweight and obesity,hypertension and unhealthy lifestyle.

关 键 词：糖尿病 高血糖 不良生活方式 

分 类 号：R18[医药卫生—流行病学]