唐山市居民空腹血糖受损患病现状及影响因素  被引量:5

Analysis of prevalence and influencing factors of impaired fasting glucose in residents of Tangshan

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作  者:王存 陈志新 任虹云 王自超 郭媛媛 蔡相颖 申佩璇 侯丽颖 刘海峰[5] 李云 WANG Cun;CHEN Zhi-xin;REN Hong-yun;WANG Zi-chao;GUO Yuan-yuan;CAI Xiang-ying;SHEN Pei-xuan;HOU Li-ying;LIU Hai-feng;LI Yun(Department of Preventive Medicine,School of Public Health,North China University of Science and Technology,Tangshan 063210,China;Department of Chronic Diseases,Luanzhou Center for Disease Control and Prevention,Luanzhou 063700,China;Department of Chronic Diseases,Zunhua Center for Disease Control and Prevention,Zunhua 064200,China;Department of Chronic Diseases,Caofeidian District Center for Disease Control and Prevention,Tangshan 063210,China;Department of Chronic Diseases,Tangshan Center for Disease Control and Prevention,Tangshan 063000,China)

机构地区:[1]华北理工大学公共卫生学院预防医学系,唐山063210 [2]滦州市疾病预防控制中心慢病科,滦州063700 [3]遵化市疾病预防控制中心慢病科,遵化064200 [4]曹妃甸区疾病预防控制中心慢病科,唐山063210 [5]唐山市疾病预防控制中心慢病科,唐山063000

出  处:《中华疾病控制杂志》2021年第1期95-100,共6页Chinese Journal of Disease Control & Prevention

基  金:唐山市科技创新团队培养计划(20130206D)。

摘  要:目的了解唐山市地区居民空腹血糖受损(impaired fasting glucose, IFG)患病现状及影响因素,为本地区糖尿病预防及心血管危险因素控制提供理论依据。方法依托于唐山市慢性病及其危险因素监测专项调查,于2018年1月1日-2018年12月31日期间,采用分层随机抽样方法,对11 475例唐山市常住成年居民进行问卷调查和体格检查,检测空腹血糖水平,采用Logistic回归分析模型分析IFG的可能影响因素。结果共收回有效问卷10 510份,应答率为91.6%。所有调查对象中,IFG者829例,总患病率为7.89%,其中男性8.59%,女性7.04%,差异有统计学意义(χ^2=15.458,P<0.001)。市区人群IFG患病率为10.95%,县区人群IFG患病率为6.36%(其中山区为9.56%,平原为6.55%,沿海为3.59%),差异有统计学意义(χ^2=43.340,P<0.001)。多因素非条件Logistic回归分析模型分析显示,年龄、BMI、高血压、高脂血症、糖尿病家族史、城乡与IFG患病风险有关。结论唐山地区成人居民IFG患病率较高,年龄、超重、高血压、高脂血症、糖尿病家族史、城乡是IFG患病的影响因素。Objective To investigate the prevalence and influencing factors of impaired fasting glucose(IFG) in residents of Tangshan, and to provide evidence for the prevention and control of diabetes and cardiovascular risk factors in the region. Methods Based on the survey of chronic diseases and their risk factors in Tangshan city, 11 475 adult residents in urban and rural districts of Tangshan were randomly enrolled in this study from January 1,2018 to December 31,2018. All data were collected by questionnaire and physical examination. The prevalence of IFG was calculated. The Logistic regression analysis model was used to analyze the risk factors of IFG. Results A total of 10 510 valid questionnaires(91.6%) were retrieved. Among all the subjects, there were 829 cases of IFG, with a total prevalence of 7.89%. The prevalence was 8.59% for males and 7.04% for females, and the difference was statistically significant(χ^2=15.458, P<0.001). The prevalence was 10.95% for urban residents and 6.36% for rural residents,(9.56% for residents in mountainous areas, 6.55% for residents in plain areas and 3.59% for residents in coastal areas). Multivariate unconditional Logistic regression analysis showed that age, body mass index, hypertension, hyperlipidemia, family history of diabetes, urban or rural areas were associated with the risk of IFG. Conclusions The prevalence of IFG is relatively high for adult residents in Tangshan area. Age, overweight, hypertension, hyperlipidemia, family history of diabetes and urban area are the influencing factors of IFG.

关 键 词:空腹血糖受损 患病率 影响因素 

分 类 号:R587.1[医药卫生—内分泌] R195.4[医药卫生—内科学]

 

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