论文部分内容阅读
目的了解云南省昆明市官渡区农村居民归因于肥胖和中心性肥胖的糖尿病经济负担。方法采用按比例概率抽样方法(PPS)从昆明市官渡区居民中随机抽取4 595名≥18岁的农村居民进行现场问卷调查和体格检查。结果昆明市官渡区农村居民糖尿病患病率为6.2%(男性为5.6%,女性为6.8%),肥胖率为11.2%(男性为8.9%,女性为13.3%),中心性肥胖率为52.8%(男性为46.6%,女性为57.9%);男性的肥胖率和中心性肥胖率均低于女性(P<0.05);糖尿病的总直接疾病经济负担为100.49百万元,其中5.60%归因于肥胖(5.62百万元),15.71%归因于中心性肥胖(15.79百万元);肥胖(OR=1.435)、中心性肥胖(OR=1.342)、年龄(OR=1.019)、吃甜食(OR=0.275)为患糖尿病的危险因素。结论糖尿病给当地造成了沉重的经济负担;减少肥胖和中心性肥胖的发生,有助于减少糖尿病的发生,从而降低其经济负担。
Objective To understand the economic burden of diabetes attributable to rural residents in Guandu District of Kunming City, Yunnan Province, on obesity and central obesity. Methods A total of 4 595 rural residents aged 18 years or older were selected randomly from residents in Guandu district of Kunming to carry out on-the-spot questionnaires and physical examinations using the method of proportional probability sampling (PPS). Results The prevalence of diabetes in Guandu District of Kunming City was 6.2% (5.6% for males and 6.8% for females), the obesity rate was 11.2% (8.9% for males and 13.3% for females), and the central obesity rate was 52.8% (46.6% for males and 57.9% for females). The rates of obesity and central obesity were lower in males than in females (P <0.05). The overall direct economic burden of diabetes was 100.49 million yuan, of which 5.60% was due to Obesity (OR = 1.435), central obesity (OR = 1.342), age (OR = 1.019), eating sweets = 0.275) is a risk factor for diabetes. Conclusion Diabetes caused a heavy financial burden on the local area. Reducing the incidence of obesity and central obesity helped to reduce the incidence of diabetes and thus reduce its financial burden.