辽宁省城市40岁及以上居民糖尿病患病现状及影响因素分析  

Morbidity and influence factors of diabetes mellitus among urban residents (≥40 years old) in Liaoning Province

作　　者：张博强[1] 田园梦 井丽 阎涵[1] 李树宝 石雷[3] 张云江[4] 高政南[5] 徐冰[6] 邢立莹[1] ZHANG Bo-qiang;TIAN Yuan-meng;JING Li;YAN Han;LI Shu-bao;SHI Lei;ZHANG Yun-jiang;GAO Zheng-nan;XU Bing;XING Li-ying(The Institute of Non-communicable Chronic Diseases,Centers for Disease Control of Liaoning Province,Shenyang,Liaoning Province 110005,China;不详)

机构地区：[1]辽宁省疾病预防控制中心慢性非传染性疾病预防控制所,辽宁省沈阳110005 [2]朝阳市疾病预防控制中心 [3]辽阳市疾病预防控制中心 [4]丹东市疾病预防控制中心 [5]大连市中心医院 [6]沈阳市第一人民医院

出　　处：《中国慢性病预防与控制》2020年第11期823-827,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：2019年辽宁省重点研发计划项目(2019JH2/10300001);辽宁省“百千万人才工程”资助项目(辽人社[2018]47号)。

摘　　要：目的了解辽宁省40岁及以上城市居民糖尿病患病情况及影响因素,为糖尿病防治提供理论依据。方法于2018年3—12月,采用分层整群随机抽样的方法,选取辽宁省2个城市的5424名40岁及以上常住居民进行问卷调查、体格检查和实验室检测。采用SPSS 21.0统计软件进行χ^2检验、单因素和多因素logistic回归分析。结果辽宁省40岁及以上城市居民糖尿病患病率为20.21%,标化率为16.11%。男性患病率(22.06%)高于女性(19.24%),差异有统计学意义(P<0.05)。糖尿病患病率随着年龄的增加而升高,差异有统计学意义(P<0.01)。多因素logistic回归分析结果显示,高年龄(与40~49岁人群相比,50~59岁人群OR=2.04,95%CI:1.50~2.79;60~69岁人群OR=3.01,95%CI:2.22~4.07;70~79岁人群OR=3.72,95%CI:2.67~5.20;≥80岁人群OR=3.22,95%CI:1.94~5.36)、男性(OR=1.40,95%CI:1.17~1.68)、缺乏运动(OR=1.27,95%CI:1.01~1.61)、糖尿病家族史(OR=2.81,95%CI:2.40~3.30)、高血压(OR=1.73,95%CI:1.49~2.01)、高甘油三酯(OR=2.04,95%CI:1.73~2.41)、高低密度脂蛋白胆固醇(OR=1.27,95%CI:1.01~1.59)、低高密度脂蛋白胆固醇(OR=1.17,95%CI:1.00~1.37)、超重或肥胖(OR=1.52,95%CI:1.30~1.76)与糖尿病患病高风险相关,吸烟(OR=0.76,95%CI:0.61~0.94)、饮酒(OR=0.81,95%CI:0.66~0.99)与糖尿病患病低风险相关,均有统计学意义(P<0.05,P<0.01)。结论辽宁省城市居民糖尿病患病率较高,应加强宣传教育,建立社区糖尿病防治体系,加强糖尿病筛查和诊断工作及糖尿病患者的社区和个人管理。Objective To investigate the morbidity of diabetes mellitus among urban residents(≥40 years old)in Liaoning Province,and to explore the theoretical basis for prevention and treatment of diabetes mellitus.Methods From March to December 2018,the stratified cluster random sampling method was used to select 5424 permanent residents(≥40 years old)in2 cities of Liaoning Province as the subjects.The investigation was performed with questionnaire,physical examination and laboratory examination.Theχ^2 test,univariate and multivariate logistic regression were used to analyze the data,the used software was SPSS 21.0.Results The morbidity of diabetes mellitus was 20.21%and the standardized morbidity was 16.11%for residents(≥40 years old)in urban areas of Liaoning Province.The morbidity of diabetes mellitus in males(22.06%)was significantly higher than that in females(19.24%),P<0.05.The morbidity of diabetes mellitus increased significantly with age(P<0.05).The multivariate logistic regression analysis showed that high age(compared with 40-49 years old residents,50-59 years old residents OR=2.04,95%CI:1.50-2.79;60-69 years old residents OR=3.01,95%CI:2.22-4.07;70-79 years old residents OR=3.72,95%CI:2.67-5.20;≥80 years old residents OR=3.22,95%CI:1.94-5.36),male(OR=1.40,95%CI:1.17-1.68),lack of exercise(OR=1.27,95%CI:1.01-1.61),family history of diabetes(OR=2.81,95%CI:2.40-3.30),hypertension(OR=1.73,95%CI:1.49-2.01),high triglyceride(OR=2.04,95%CI:1.73-2.41),high low-density lipoprotein cholesterol(OR=1.27,95%CI:1.01-1.59),low high-density lipoprotein cholesterol(OR=1.17,95%CI:1.00-1.37),overweight or obesity(OR=1.52,95%CI:1.30-1.76)were associated with high risk of diabetes mellitus;smoking(OR=0.76,95%CI:0.61-0.94)and drinking(OR=0.81,95%CI:0.66-0.99)were related to low risk of diabetes mellitus(P<0.05 or P<0.01).Conclusion The diabetes mellitus morbidity of urban residents in Liaoning Province is high,the publicity and education should be strengthened,the community diabetes mellitus prevention and control system sh

关 键 词：糖尿病 患病率 影响因素 

分 类 号：R587.1[医药卫生—内分泌]