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目的研究比较男女糖尿病患病危险因素的异同,为制定有针对性的干预措施提供依据。方法采用多阶段分层整群随机抽样方法,抽取浙江省15个县(区)17437名居民进行血糖检测和糖尿病危险因素调查,对不同性别糖尿病患者的危险因素进行比较分析。结果调查发现糖尿病患者1529例,粗患病率为8.77%,其中男性683例、女性846例,男女粗患病率分别为8.36%和9.13%,两者差异无统计学意义(P>0.05)。男性患者中高密度脂蛋白胆固醇<1.04 mmol/L的比例、职业强度为中重度的比例、静息活动时间长的比例和主食摄入量大的比例均大于女性(P<0.05);而中心性肥胖的比例女性大于男性(P<0.05)。结论不同性别糖尿病患者危险因素存在差异,应针对不同性别人群制定糖尿病防控策略。
Objective To compare the similarities and differences of risk factors of diabetes in men and women and to provide basis for making targeted interventions. Methods A total of 17,437 residents in 15 counties (districts) of Zhejiang Province were sampled for blood glucose testing and risk factors of diabetes by multi-stage stratified cluster random sampling method. Risk factors of different sexes were compared and analyzed. Results A total of 1529 diabetic patients with a crude prevalence rate of 8.77% were found. There were 683 males and 846 females, with crude prevalence rates of 8.36% and 9.13%, respectively. There was no significant difference between the two groups (P> 0.05) . The proportion of high-density lipoprotein cholesterol <1.04 mmol / L in male patients was higher than that of female patients (P <0.05), occupational intensity was moderate to severe, resting activity time was longer and staple food intake was larger than female (P <0.05) The proportion of obese women than men (P <0.05). Conclusion There are differences in risk factors among different genders of diabetes, and strategies of prevention and control of diabetes should be developed for different gender groups.