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目的:了解农村年轻居民的糖尿病患病率及其危险因素,为评价农村居民糖尿病的流行现状和采取相应的预防措施提供依据。方法:在义乌市城郊结合区选择6个村,随机抽取18岁至40岁的居民进行问卷调查和血糖检测,描述糖尿病的患病率分布,并应用Logistic回归模型分析其危险因素。结果:共调查1 017人,糖尿病(DM)患病率为8.75%,其中男性为8.40%,女性为9.37%。调整性别、年龄后,糖尿病的独立危险因素是糖尿病家族史(OR=7.234;OR95%CI:3.729-14.033)和肥胖(OR=4.399,OR95%CI:2.701-7.164)、精神紧张(OR=2.753;OR95%CI:1.682-4.505)和肥甘饮食(OR=1.786;OR95%CI:1.043-3.058)。结论:农村年轻居民糖尿病患病率已经达到较高的水平,成为农村地区重要的公共卫生问题,了解原因及预防控制工作亟待加强。
Objective: To understand the prevalence and risk factors of diabetes among young rural residents in order to provide a basis for evaluating the prevalence of diabetes among rural residents and taking corresponding preventive measures. Methods: Six villages were selected in the outskirts of Yiwu city. Randomly select residents between the ages of 18 and 40 to conduct questionnaire survey and blood sugar test to describe the prevalence of diabetes. Logistic regression analysis was used to analyze the risk factors. Results: A total of 1 017 people were surveyed. The prevalence of diabetes mellitus (DM) was 8.75%, of whom 8.40% were male and 9.37% were female. After adjusting for gender and age, independent risk factors for diabetes were family history of diabetes (OR = 7.234; OR 95% CI: 3.729-14.033) and obesity (OR = 4.399, OR 95% CI: 2.701-7.164) ; OR 95% CI: 1.682-4.505) and fat diet (OR = 1.786; OR 95% CI: 1.043-3.058). Conclusion: The prevalence of diabetes in young rural residents has reached a high level, becoming an important public health problem in rural areas. Understanding the causes and prevention and control needs to be strengthened urgently.