辽宁省21~60岁钢铁行业职业人群糖尿病流行情况及影响因素  

Analysis on diabetes and impaired glucose regulation prevalence and their risk factors in steel industry workers aged 21 to 60 years in Liaoning Province

作　　者：赵闯[1] 张春宇 张国强 孙永太 刘新[1] ZHAO Chuang;ZHANG Chunyu;ZHANG Guoqiang;SUN Yongtai;LIU Xin(Medical Management Department,The Eighth Affiliated Hospital,China Medical University,Ansteel Group General Hospital,Anshan 110114,China)

机构地区：[1]中国医科大学附属第八临床学院,鞍钢集团公司总医院医务科,辽宁鞍山110114

出　　处：《中国医科大学学报》2021年第12期1121-1127,共7页Journal of China Medical University

摘　　要：目的探讨职业人群糖尿病和糖耐量受损的影响因素,为防控糖尿病提供依据。方法采用多阶段随机抽样方法,选取21~60岁钢铁行业人群进行问卷调查、体格检查和实验室检测。结果职业人群糖尿病标化患病率为8.96%,糖耐量受损标化患病率为7.36%。多因素logistic回归分析结果显示,年龄、超重和肥胖、中心性肥胖、吸烟、过量饮酒、高血压、糖尿病家族史和总胆固醇异常是糖尿病或糖耐量受损的危险因素(P<0.05)。结论职业人群糖尿病和糖耐量受损患病情况不乐观,针对高危人群,应采用综合干预的方法来防控糖尿病。Objective To explore the risk factors of diabetes and impaired glucose regulation in workers aged 21-60 y so as to provide a basis for diabetes control and prevention.Methods A multi-stage random sampling method was used to investigate steel industry workers aged 21 to 60 years,with whom a questionnaire survey,physical exams,and laboratory tests were conducted.Results The prevalence rates of diabetes and impaired glucose regulation in the workers were 8.96%and 7.36%,respectively.The multivariate logistic regression results showed that age,overweight,obesity,central obesity,smoking,excessive drinking,hypertension,family history of diabetes,and dyslipidemia were risk factors of diabetes and impaired glucose regulation(P<0.05).Conclusion The prevalence of diabetes and impaired glucose regulation in the workers was not good.Greater attention should be paid to high-risk populations,and comprehensive methods should be used to prevent and control diabetes.

关 键 词：糖尿病 糖耐量受损 患病率 影响因素 

分 类 号：R181.2[医药卫生—流行病学]