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目的调查分析绍兴市社区糖尿病流行现状并分析其危险因素。方法随机抽取绍兴市5个社区年龄在18周岁以上的常住居民2 185例作为研究对象,调查分析患者一般资料、身体情况以及各实验室检测指标,分析各因素对糖尿病患病率的影响,首先采取单因素分析,对单因素分析具有统计学意义的各因素进一步采取多因素Logistic回归分析。结果 2 185例调查对象中,2型糖尿病的患者有273例,患病率为12.49%;经单因素分析,调查样本2型糖尿病患病率与年龄、文化程度、BMI(体重指数)、TC(总胆固醇)、HDL-C(高密度质蛋白胆固醇)、LDL-C(低密度脂蛋白胆固醇)以及TG(甘油三酯)水平有关(χ2/Z值分别为:-4.823、-3.374、-3.003、4.934、5.083、4.144、9.215,P<0.05);对上述单因素分析具有统计学意义的各因素进行多因素Logistic回归分析,结果显示,年龄、TG、BMI、TC以及文化程度五个因素进入回归模型(χ2值分别为:89.72、36.48、41.34、13.52、12.46,P<0.05)。结论绍兴市社区2型糖尿病患病率处于较高的水平,年龄、文化程度、肥胖以及血脂是影响2型糖尿病的独立危险因素。
Objective To investigate and analyze the prevalence of diabetes in Shaoxing community and analyze its risk factors. Methods A total of 2 185 permanent residents aged above 18 years from 5 communities in Shaoxing City were randomly selected as the research object. The general data, physical condition and laboratory tests of the patients were investigated and analyzed to analyze the influence of various factors on the prevalence of diabetes. Take univariate analysis, the univariate analysis of the factors that have statistical significance to further multivariate Logistic regression analysis. Results Among 2 185 cases, there were 273 cases of type 2 diabetes mellitus with a prevalence of 12.49%. The prevalence of type 2 diabetes mellitus and age, education level, BMI (body mass index), TC (Total cholesterol, HDL-C, LDL-C and TG) (χ2 / Z values were -4.823, -3.374, - Multivariate logistic regression analysis showed that there were significant differences in age, TG, BMI, TC, and education level among the five factors with statistically significant single factor analysis (P> 0.05) Into the regression model (χ2 values were: 89.72,36.48,41.34,13.52,12.46, P <0.05). Conclusion The prevalence of type 2 diabetes in Shaoxing community is at a high level. Age, education level, obesity and blood lipids are independent risk factors for type 2 diabetes.