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目的了解四川省西昌市城市居民2型糖尿病的患病现况并探讨其危险因素。方法采用横断面研究方法 ,于2008年通过分层整群抽样,对2 037名西昌城市居民进行问卷调查,同时测量血压,血糖和血脂等生理生化指标。结果 2 037名居民2型糖尿病患病149例,患病率为7.31%,标化率为9.22%;男性和女性分别患病74例和75例,患病率分别为7.12%,7.51%,标化率分别为8.74%,9.63%;2型糖尿病的患病率随年龄增长呈上升趋势;不同性别间患病率无明显差异;非条件Logistic回归显示,年龄、糖尿病家族史、高血压、甘油三酯升高和高密度脂蛋白降低是居民2型糖尿病的危险因素,OR值分别为2.112,2.268,2.114,1.487,1.801。结论西昌市城市居民2型糖尿病患病率低于2007-2008年全国水平。
Objective To investigate the prevalence and risk factors of type 2 diabetes in urban residents in Xichang, Sichuan Province. Methods By cross-sectional study, stratified cluster sampling was conducted in 2008 to survey 2 037 urban residents in Xichang and measure physiological and biochemical indexes such as blood pressure, blood glucose and blood lipids. Results There were 149 cases of type 2 diabetes in 2 037 residents, the prevalence was 7.31% and the standardization rate was 9.22%. There were 74 cases and 75 cases of males and females respectively, the prevalence rates were 7.12% and 7.51% The standardized rates were 8.74% and 9.63% respectively. The prevalence of type 2 diabetes increased with the increasing of age. There was no significant difference in the prevalence among different sexes. Non-conditional logistic regression showed that age, family history of diabetes, hypertension, Elevated triglycerides and high density lipoprotein were risk factors for type 2 diabetes in urban residents with ORs of 2.112, 2.228, 2.114, 1.487 and 1.801, respectively. Conclusion The prevalence of type 2 diabetes in urban residents in Xichang City is lower than the national level in 2007-2008.