2023年德阳市旌阳区糖尿病患病现状及其危险因素分析  

Current situation of prevalence and risk factors of diabetes in Jingyang District of Deyang City in 2023

作　　者：何盛嘉 赵海 郑伟 刘雯 HE Shengjia;ZHAO Hai;ZHENG Wei;LIU Wen(Jingyang Center for Disease Control and Prevention,Deyang 618000,Sichuan Provinve,China;Jingyang District Medical Security Bureau of Deyang City,Dedyang 618000,Sichuan Provinve,China)

机构地区：[1]德阳市旌阳区疾病预防控制中心,四川德阳618000 [2]德阳市旌阳区医疗保障局,四川德阳618000

出　　处：《职业卫生与病伤》2024年第6期370-378,共9页Occupational Health and Damage

摘　　要：目的分析德阳市旌阳区居民2型糖尿病相关影响因素,为该地区科学防控2型糖尿病提供理论依据。方法采用多阶段分层随机抽样方法,于2023年抽取德阳市旌阳区18岁及以上常住居民进行体格测量、问卷调查(人口学基本情况、行为习惯和患病情况等)及实验室检测(空腹静脉血糖值、胆固醇、甘油三酸酯、高密度脂蛋白、低密度脂蛋白),收集年龄、性别、文化程度、婚姻状况、家庭总收入、参保情况、职业、吸烟、饮酒、体格指标和生化指标等,应用SPSS 21.0软件进行统计分析,成人糖尿病患病率采用χ^(2)检验或Fisher确切概率法,影响因素采用Logistic回归分析,检验水准α=0.05。结果2023年德阳市旌阳区糖尿病患病率为13.16%,其中男性糖尿病患病率为14.32%,女性为12.08%,男女患病率差异具有统计学意义(χ^(2)=19.504,P<0.001)。Logistic回归分析结果显示,45岁及以上(45~59岁:OR=2.684,95%CI:1.764~4.085,P<0.001;60~74岁:OR=4.996,95%CI:3.207~7.785,P<0.001;75岁及以上:OR=5.777,95%CI:3.382~9.867,P<0.001)、男性(OR=1.587,95%CI:1.291~1.951,P<0.001)、小学及以下文化程度(初中:OR=0.741,95%CI:0.585~0.938,P=0.013;高中/中专/技校:OR=0.459,95%CI:0.331~0.635,P<0.001;大专:OR=0.192,95%CI:0.120~0.307,P<0.001;大学本科及以上:OR=0.211,95%CI:0.124~0.357,P<0.001)、职业为农林牧渔水利业生产人员(办事人员和有关人员:OR=0.511,95%CI:0.303~0.861,P=0.012;专业技术人员:OR=0.294,95%CI:0.168~0.516,P<0.001;在校学生:OR=0.010,95%CI:0.065~0.689,P=0.010)、参保情况为城乡居民基本医疗保险(OR=1.451,95%CI:1.173~1.796,P<0.001)、患高血压(OR=1.913,95%CI:1.537~2.382,P<0.001)、吸烟(每天吸烟:OR=1.674,95%CI:1.296~2.163,P<0.001,偶尔吸烟:OR=1.502,95%CI:1.110~2.032,P=0.008)、超重(OR=1.298,95%CI:1.031~1.635,P=0.027)、肥胖(OR=1.879,95%CI:1.411~2.504,P<0.001)、中心性肥胖(OR=1.550,95%CI:1.154~2.082,P=0.004)和血脂异常(OR=1.788,95%CI:1.429~2.238,P<0.001)是糖尿�Objective To analyze the related influencing factors of type 2 diabetes in Jingyang District of Deyang Dity,and to provide theoretical basis for the prevention and control of type 2 diabetes scientific in this area.Methods The method of multi-stage stratified random sampling was used to select permanent residents aged 18 years and above in Jingyang District for physical measurement,questionnaire survey(demographic basic information,behavior habits,morbidity,etc.)and laboratory testing(fasting venous blood glucose,cholesterol,triglycerides,high-density lipoprotein,low-density lipoprotein).Information of age,gender,education level,marital status,total family income,insurance participation,occupation,smoking,drinking,physical indicators,biochemical indicators,etc.were collected.SPSS 21.0 software was used for statistical analysis.The prevalence of diabetes for adult was analyzed byχ^(2) test or Fisher's exact probability method,and the influencing factors were analyzed by logistic regression method,the testing levelα=0.05.Results In 2023,the prevalence rate of diabetes in Jingyang District of Deyang City was 13.16%,of which the prevalence rate of diabetes in men was 14.32%,and that in women was 12.08%.The difference in the prevalence rate between men and women was considered statistically significant(χ^(2)=19.504,P<0.001).The results of Logistic regression analysis showed that ages over 45 years old(45-59 years old:OR=2.684,95%CI:1.764-4.085,P<0.001;60-74 years old:OR=4.996,95%CI:3.207-7.785,P<0.001;75 years old and above:OR=5.777,95%CI:3.382-9.867,P<0.001),male(OR=1.587,95%CI:1.291-1.951,P<0.001),the education level of primary school and below(junior high school:OR=0.741,95%CI:0.585-0.938,P=0.013;High school/vocational school/technical school:OR=0.459,95%CI:0.331-0.635,P<0.001;Associate degree:OR=0.192,95%CI:0.120-0.307,P<0.001;Bachelor degree and above:OR=0.211,95%CI:0.124-0.357,P<0.001),employed as a production worker in the agricultural,forestry,animal husbandry,fishery and water conservancy industry(administ

关 键 词：糖尿病 患病率 危险因素分析 

分 类 号：R587.1[医药卫生—内分泌]