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目的分析重庆市成年人糖尿病患病率及其影响因素,为制定糖尿病综合防控措施提供科学依据。方法于2013年11月至2014年5月采取分层多阶段随机抽样的原则在9个区县抽样调查5 400名18岁及以上的常住居民,现场调查采取问卷调查、身体测量和实验室检测,采集血样检测空腹血糖、餐后2 h血糖、血脂,数据统一录入中国慢性病及危险因素监测数据管理系统,经统一清洗后采用SPSS 19.0进行统计分析。糖尿病影响因素采用χ2检验与多因素logistic回归分析进行统计学分析。结果共计调查5 394人,有效应答率为99.89%,平均年龄(57.8±13.2)岁,糖尿病粗患病率为15.74%,标化患病率为10.73%。单因素分析结果显示,年龄、职业、民族、居住地、有害饮酒史、职业性身体活动、总身体活动量、血脂、血压、体重和是否向心性肥胖是糖尿病的影响因素。多因素logistic回归分析结果显示,年龄(OR=1.23,95%CI:1.09~1.39)、过去12个月有害饮酒史(OR=1.36,95%CI:1.01~1.84)、血脂异常(OR=2.01,95%CI:1.46~2.75)、向心性肥胖(OR=2.70,95%CI:1.83~3.99)和血压(OR=1.55,95%CI:1.26~1.90)是糖尿病的独立影响因素。结论重庆市居民糖尿病患病率高,应针对糖尿病的影响因素进行综合防治。
Objective To analyze the prevalence of diabetes and its influencing factors in adults in Chongqing and to provide a scientific basis for the development of comprehensive diabetes prevention and control measures. Methods From November 2013 to May 2014, stratified multi-stage random sampling was used to sample 5 400 permanent residents aged 18 and over in 9 districts and counties. The survey was conducted on the spot by questionnaire survey, body measurement and laboratory tests , Blood samples were collected to detect fasting blood glucose, blood glucose and blood lipid at 2h after meal, and the data were collected into the Chinese chronic disease and risk factor monitoring data management system. After unified cleaning, SPSS 19.0 was used for statistical analysis. The influencing factors of diabetes were analyzed byχ2 test and multivariate logistic regression analysis. Results A total of 5 394 people were surveyed. The effective response rate was 99.89%. The average age was 57.8 ± 13.2 years old. The crude prevalence of diabetes was 15.74% and the standardized prevalence was 10.73%. Univariate analysis showed that age, occupation, ethnicity, residence, history of harmful drinking, occupational physical activity, total physical activity, blood lipid, blood pressure, body weight and whether central obesity were the influencing factors of diabetes. Multivariate logistic regression analysis showed that age (OR = 1.23, 95% CI: 1.09-1.39), history of harmful alcohol consumption in the past 12 months (OR = 1.36, 95% CI: 1.01-1.84), dyslipidemia (OR = 2.70, 95% CI: 1.83-3.99) and blood pressure (OR = 1.55, 95% CI: 1.26-1.90) were independent risk factors for diabetes. Conclusion The prevalence of diabetes in Chongqing residents should be comprehensive prevention and treatment for the factors affecting diabetes.