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目的了解福建省成人糖尿病流行特征及其影响因素,为制定预防措施提供依据。方法采用多阶段整群随机抽样方法,在福建省10个疾病监测点抽取成年居民6 001人进行问卷调查、体格测量和血清学检测。采用t检验、χ~2检验和logistic回归进行统计分析。结果经复杂加权计算,糖尿病患病率为8.44%,男性患病率为9.29%,女性为7.56%,男性高于女性(χ~2=5.28,P<0.05);城市患病率为7.97%,农村为8.68%,差异无统计学意义(P>0.05);患病率随年龄增长呈明显上升趋势(趋势χ~2=233.90,P<0.05)。性别、年龄、文化程度、婚姻、职业、现在吸烟、食用禽肉、食用新鲜水果、职业性身体活动、体质量指数(BMI)、中心性肥胖、高血压、血脂异常是糖尿病的主要影响因素(均P<0.05)。结论近年来福建省糖尿病患病率呈上升趋势,男性、≥50岁、农村、BMI≥24.0 kg/m~2、中心性肥胖、高血压和血脂异常的人群应是预防的重点对象,开展健康教育、改变行为危险因素是预防糖尿病的重要措施。
Objective To understand the prevalence of diabetes and its influencing factors in adults in Fujian Province and to provide evidence for the development of preventive measures. Methods A multistage cluster random sampling method was used to survey 6 001 adult residents in 10 disease surveillance sites in Fujian Province for questionnaire survey, physical measurement and serological test. T test, χ ~ 2 test and logistic regression were used for statistical analysis. Results The prevalence of diabetes was 8.44%, the prevalence of male was 9.29%, that of female was 7.56%, and that of male was higher than that of female (χ ~ 2 = 5.28, P <0.05). The prevalence of urban was 7.97% , And 8.68% in rural areas. The difference was not statistically significant (P> 0.05). The prevalence increased with age (trend χ ~ 2 = 233.90, P <0.05). Sex, Age, Education, Marriage, Occupation, Smoking Now, Poultry Eating, Fresh Fruits, Occupation Physical Activity, Body Mass Index (BMI), Central Obesity, Hypertension, Dyslipidemia are Main Influencing Factors of Diabetes Mellitus All P <0.05). Conclusion The prevalence of diabetes in Fujian Province has been on the rise in recent years. The incidence of diabetes in men, ≥50 years, rural areas, BMI≥24.0 kg / m ~ 2, central obesity, hypertension and dyslipidemia should be the focus of prevention Education, change behavior risk factors is an important measure to prevent diabetes.