农村居民2型糖尿病致病危险因素研究  

Risk Factors of Type 2 Diabetes Mellitus in Rural Residents

作　　者：柴荟琳 王梦琴 郭宇燕 程晓雨 赵书红 梁瑞峰[1] CHAI Huilin;WANG Mengqin;GUO Yuyan(School of Public Health,Shanxi Medical University,Shanxi 030001,China)

机构地区：[1]山西医科大学公共卫生学院,太原030001 [2]山西省卫生健康委员会医疗服务与管理评价中心,太原030013

出　　处：《医学研究杂志》2024年第5期130-134,共5页Journal of Medical Research

基　　金：山西省研究生教育创新项目(2022Y408);中国-盖茨基金会农村基本卫生保健项目(CSSX202103);中国-盖茨基金会农村基本卫生保健项目山西省子项目(PHC-I04)。

摘　　要：目的了解山西省阳曲县农村居民2型糖尿病(type 2 diabetes mellitus,T2DM)分布特征及致病危险因素。方法2020年10月采用多阶段分层整群随机抽样法,选取山西省阳曲县农村地区5028例18岁及以上居民为研究对象,采用问卷调查与体格检查相结合的方式进行研究,采用非条件Logistic回归分析评价T2DM致病危险因素。结果山西省阳曲县农村地区18岁及以上居民T2DM患病率为11.8%(95%CI:10.9%~12.6%)。其中,男性患病率为8.6%(95%CI:7.4%~9.8%),女性患病率为14.1%(95%CI:12.9%~15.4%)。非条件Logistic回归分析结果显示,女性(OR=1.619,95%CI:1.324~1.981)、高龄(OR=5.909,95%CI:2.893~12.072;OR=9.575,95%CI:4.802~19.095;OR=11.779,95%CI:5.896~23.535;OR=8.793,95%CI:4.238~18.244);高血压(OR=2.468,95%CI:2.013~3.027)、高血脂(OR=2.968,95%CI:2.232~3.947)及糖尿病家族史(OR=7.253,95%CI:5.434~9.682)与T2DM存在显著关联性。结论女性、高龄、高血压、高血脂、糖尿病家族史是山西省阳曲县农村地区T2DM的危险因素。Objective To investigate the distribution characteristics and risk factors of type 2 diabetes mellitus(T2DM)in rural residents of Yangqu county,Shanxi province.Methods In October 2020,a total of 5028 residents aged 18 years and above in rural areas of Yangqu county,Shanxi province were selected as the research subjects by multi-stage stratified cluster random sampling.Questionnaire survey and physical examination were used to conduct the study.Unconditional Logistic regression was used to analyze the risk factors for T2DM.Results In rural areas of Yangqu county,Shanxi province,11.8%(95%CI:10.9%-12.6%)of residents who were aged 18 years and above had T2DM.The prevalence of females was 14.1%(95%CI:12.9%-15.4%)and males was 8.6%(95%CI:7.4%-9.8%).The results of unconditional Logistic regression showed that female(OR=1.619,95%CI:1.324-1.981),advanced age(OR=5.909,95%CI:2.893-12.072;OR=9.575,95%CI:4.802-19.095;OR=11.779,95%CI:5.896-23.535;OR=8.793,95%CI:4.238-18.244),hypertension(OR=2.468,95%CI:2.013-3.027),hyperlipidemia(OR=2.968,95%CI:2.232-3.947),and family history of diabetes mellitus(OR=7.253,95%CI:5.434-9.682)were significantly associated with T2DM.Conclusion Female,advanced age,hypertension,hyperlipidemia,and family history of diabetes mellitus were the risk factors of T2DM in rural residents of Yangqu county,Shanxi province.

关 键 词：2型糖尿病 危险因素 农村居民 

分 类 号：R195[医药卫生—卫生统计学]