海南省成年居民糖尿病患病及其前期流行特征、影响因素调查研究  

Epidemiological characteristics and influencing factors of diabetes and pre-diabetes among adult residents in Hainan Province

作　　者：江娟 熊昌富[2] 孙定炜[1] 刘莹[1] 吴红英[1] 王兴任[1] 王小焕[1] 欧婷婷[1] 周雪 蒙仕珠 陈赛苦 王康麟 钟璐 何滨[2] Jiang Juan;Xiong Changfu;Sun Dingwei;Liu Ying;Wu Hongying;Wang Xingren;Wang Xiaohuan;Ou Tingting;Zhou Xue;Meng Shizhu;Chen Saiku;Wang Kanglin;Zhong Lu;He Bin(Institute for Prevention and Control of Tropical Diseases and Chronic Non-infectious Diseases,Hainan Provincial Center for Disease Control and Prevention(Hainan Academy of Preventive Medicine),Haikou 571129,China;Hainan Provincial Center for Disease Control and Prevention(Hainan Academy of Preventive Medicine),Haikou 571129,China)

机构地区：[1]海南省疾病预防控制中心(海南省预防医学科学院)热带病与慢性非传染性疾病预防控制所,海口571129 [2]海南省疾病预防控制中心(海南省预防医学科学院),海口571129

出　　处：《中华流行病学杂志》2025年第4期700-708,共9页Chinese Journal of Epidemiology

基　　金：海南省卫生健康科技创新联合项目(WSJK2024QN038)。

摘　　要：目的研究海南省成年居民糖尿病患病及其前期流行特征、影响因素,为更好地防控糖尿病提供依据。方法于2023年1-6月采用二阶段不等比例整群抽样方法,抽取海南省24个市(县、区)≥18岁常住居民32857人进行问卷调查、身体测量和实验室检测。采用SPSS 23.0软件进行χ^(2)检验、趋势χ^(2)检验,影响因素采用多因素logistic回归分析。结果海南省≥18岁常住居民糖尿病患病粗率为18.1%(加权率为13.7%),糖尿病前期患病粗率为22.8%(加权率为20.7%)。多因素logistic回归分析结果显示,年龄增长(30~岁:OR=2.65,95%CI:2.06~3.41;40~岁:OR=5.64,95%CI:4.40~7.24;50~岁:OR=9.88,95%CI:7.71~12.67;60~岁:OR=18.34,95%CI:14.28~23.55;70~岁:OR=21.30,95%CI:16.41~27.65;≥80岁:OR=24.13,95%CI:17.94~32.46)、民族(黎族:OR=1.50,95%CI:1.38~1.63;其他民族:OR=1.53,95%CI:1.20~1.94)、城镇(OR=1.12,95%CI:1.04~1.21)、中心性肥胖(OR=2.14,95%CI:2.01~2.29)、高饮酒频率(5~7 d/周:OR=1.24,95%CI:1.11~1.38)、身体活动不足(OR=1.09,95%CI:1.02~1.17)是糖尿病的危险因素。年龄增长(30~岁:OR=1.53,95%CI:1.31~1.79;40~岁:OR=2.36,95%CI:2.01~2.76;50~岁:OR=3.03,95%CI:2.58~3.55;60~岁:OR=4.22,95%CI:3.58~4.97;70~岁:OR=5.05,95%CI:4.23~6.04;≥80岁:OR=6.08,95%CI:4.86~7.61)、民族(黎族:OR=1.18,95%CI:1.10~1.28;其他民族:OR=1.40,95%CI:1.14~1.71)、城镇(OR=1.12,95%CI:1.04~1.19)、中心性肥胖(OR=1.72,95%CI:1.62~1.83)、高饮酒频率(1~4 d/周:OR=1.12,95%CI:1.01~1.23;5~7 d/周:OR=1.35,95%CI:1.22~1.49)是糖尿病前期的危险因素。结论海南省成年居民糖尿病及其前期流行现状不容乐观,应加强血糖异常人群的筛查、治疗和管理,并在不同人群中开展有针对性的健康教育,从而控制血糖异常的发生发展。Objective To describe epidemiological characteristics and their influencing factors of diabetes and pre-diabetes among adult residents in Hainan Province and provide a theoretical basis to develop epidemic prevention and control strategies for diabetes.Methods This study used a two-stage unequal proportion cluster sampling method,and 32857 subjects(≥18 years old)were collected from 24 cities/counties/districts in Hainan Province.All the subjects were investigated with questionnaires,physical examination,and laboratory tests from January to June 2023.The χ^(2) and Mantel-Haenszel trend χ^(2) tests were used to analyze the data.Multivariate logistic regression was used to analyze the factors influencing diabetes and pre-diabetes.SPSS 23.0 software was used to analyze the data.Results The crude prevalence of diabetes and pre-diabetes in adult residents of Hainan Province were 18.1%and 22.8%,while the weighted rates were 13.7%and 20.7%,respectively.The results of multivariate logistic regression analysis showed that:aging(30-39 years old:OR=2.65,95%CI:2.06-3.41;40-49 years old:OR=5.64,95%CI:4.40-7.24;50-59 years old:OR=9.88,95%CI:7.71-12.67;60-69 years old:OR=18.34,95%CI:14.28-23.55;70-79 years old:OR=21.30,95%CI:16.41-27.65;80 years old and above:OR=24.13,95%CI:17.94-32.46),nationality(Li minority group:OR=1.50,95%CI:1.38-1.63;other ethnic groups:OR=1.53,95%CI:1.20-1.94),urban(OR=1.12,95%CI:1.04-1.21),central obesity(OR=2.14,95%CI:2.01-2.29),higher frequency of alcohol consumption(5-7 day/week:OR=1.24,95%CI:1.11-1.38),physical inactivity(OR=1.09,95%CI:1.02-1.17)were risk factors for diabetes,while aging(30-39 years old:OR=1.53,95%CI:1.31-1.79;40-49 years old:OR=2.36,95%CI:2.01-2.76;50-59 years old:OR=3.03,95%CI:2.58-3.55;60-69 years old:OR=4.22,95%CI:3.58-4.97;70-79 years old:OR=5.05,95%CI:4.23-6.04;80 years old and above:OR=6.08,95%CI:4.86-7.61),nationality:(Li minority group:OR=1.18,95%CI:1.10-1.28;other ethnic groups:OR=1.40,95%CI:1.14-1.71),urban(OR=1.12,95%CI:1.04-1.19),central obesity(OR=1.72,95%CI:1.62-1.

关 键 词：糖尿病 糖尿病前期 流行特征 影响因素 

分 类 号：R587.1[医药卫生—内分泌]