2022年重庆市荣昌区40~79岁人群糖尿病前期流行现状及相关影响因素  

Prevalence of pre-diabetes mellitus and its related influencing factors among people aged 40-79 years in Rongchang District of Chongqing Municipality,2022

作　　者：于均梅 熊华利 舒强 邱建平 唐大乂 YU Junmei;XIONG Huali;SHU Qiang;QIU Jianping;TANG Dayi(Rongchang District Center for Disease Control and Prevention,Chongqing 462460,China;Mudanjiang Medical College,Mudanjiang,Heilongjiang 157011,China)

机构地区：[1]重庆市荣昌区疾病预防控制中心,重庆462460 [2]牡丹江医学院,黑龙江牡丹江157011

出　　处：《实用预防医学》2024年第2期133-137,共5页Practical Preventive Medicine

基　　金：重庆市荣昌区卫生健康委卫生计划项目(荣卫发[2022]第43号)。

摘　　要：目的了解重庆市荣昌区糖尿病前期流行现状及相关影响因素。方法采用多阶段随机抽样的方法,在全区21个街道或镇开展调查,每个调查点随机抽取3~5个村或社区,每个村或社区随机抽取20~50名符合条件的调查对象,调查包括问卷调查,体格检查和血生化检测。采用非条件二分类逐步后退法的多因素logistic回归分析不同影响因素与糖尿病前期患病的相关性。结果3017例调查对象中,男女比例为0.94∶1,平均年龄为(62.14±11.13)岁,农村地区居民占60.19%,小学及以下受教育程度占60.79%,农林牧渔劳动者占53.73%,已婚/再婚/同居占89.13%。糖尿病前期患者合计1176例,患病率为38.98%。多因素logistic回归分析发现,年龄增长(50岁~:OR=1.477,95%CI:1.147~1.903;60岁~:OR=1.542,95%CI:1.184~2.008;70~79岁:OR=1.680,95%CI:1.285~2.196),吸烟(OR=1.315,95%CI:1.090~1.587),偏咸的饮食口味(OR=1.484,95%CI:1.192~1.847),每周每天食用≥200 g水果的频次(3~4 d/周:OR=1.223,95%CI:1.016~1.473;≥5 d/周:OR=1.666,95%CI:1.364~2.035),身体活动不足(OR=1.488,95%CI:1.284~1.724),超重(OR=1.337,95%CI:1.129~1.582),肥胖(OR=1.399,95%CI:1.104~1.773),中心性肥胖(OR=1.233,95%CI:1.043~1.458)与糖尿病前期患病的高风险相关。结论荣昌区糖尿病前期患病率相对较高,高龄、吸烟、饮食口味偏咸、超重、肥胖、中心性肥胖、身体活动不足的人群需进行重点干预。Objective To investigate the prevalence of pre-diabetes mellitus(PDM)and its related influencing factors in Rongchang District of Chongqing Municipality.Methods A multi-stage random sampling method was used to conduct a survey in 21 streets or towns in Rongchang District.3-5 villages or communities were randomly selected from each surveyed site,and then 20-50 eligible surveyed subjects were randomly selected from each village or community.The investigation contents included questionnaire survey,physical examination and blood biochemical test.Multivariate logistic regression based on non-conditional binary classification step-back method was used to analyze the correlations of different influencing factors with the prevalence of PDM.Results Among 3,017 surveyed subjects,the male to female ratio was 0.94:1,and the average age was(62.14±11.13)years old.Rural residents,subjects with primary school education or below,workers in agriculture,forestry,animal husbandry and fishing,and the married/remarried/cohabitants accounted for 60.19%,60.79%,53.73%and 89.13%respectively.A total of 1,176 patients with PDM were detected,and the prevalence rate of PDM was 38.98%.Multivariate logistic regression analysis displayed that the increase of age(50-years:OR=1.477,95%CI:1.147-1.903;60-years:OR=1.542,95%CI:1.184-2.008;70-79 years:OR=1.680,95%CI:1.285-2.196),smoking(OR=1.315,95%CI:1.090-1.587),salty diet pattern(OR=1.484,95%CI:1.192-1.847),frequency of having fruits≥200 g per day per week(3-4 days/per week:OR=1.223,95%CI:1.016-1.473;≥5 days/per week:OR=1.666,95%CI:1.364-2.035),insufficient physical activity(OR=1.488,95%CI:1.284-1.724),overweight(OR=1.337,95%CI:1.129-1.582),obesity(OR=1.399,95%CI:1.104-1.773)and central obesity(OR=1.233,95%CI:1.043-1.458)were associated with a high risk of suffering from PDM.Conclusion The prevalence rate of PDM in Rongchang District is relatively high.Priority interventions should be conducted among populations with advanced age,smoking,salty diet pattern,overweight,obesity,central obesity and

关 键 词：糖尿病前期 患病情况 影响因素 横断面调查 

分 类 号：R181.3[医药卫生—流行病学]