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目的探讨河南省某城乡居民2型糖尿病患病率及其影响因素的差异。方法随机整群抽取河南省某城市和农村常住成年居民为调查对象,采用多因素Logistic回归分析其2型糖尿病相关危险因素。结果城市居民2型糖尿病粗患病率为11.83%,标化患病率为9.69%。农村居民2型糖尿病粗患病率为8.71%,标化患病率为7.22%,城乡间差异有统计学意义(χ268.39,P0.01)。城市居民中,高血压(OR1.575 0)、血脂异常(OR2.149 2)、全身性肥胖(OR1.887 4)、中心性肥胖(OR1.514 9)、糖尿病家族史(OR2.987 9)是2型糖尿病的独立危险因素;农村居民中,高血压(OR1.382 8)、血脂异常(OR2.073 2)、全身性肥胖(OR2.177 1)、中心性肥胖(OR2.563 3)、糖尿病家族史(OR2.435 8)是2型糖尿病的独立危险因素。结论河南省城市居民2型糖尿病患病率高于农村居民,但城乡居民患病率差异在逐渐缩小;应控制全身性肥胖、中心性肥胖、高血压和血脂异常,从而防治2型糖尿病。
Objective To investigate the prevalence of type 2 diabetes among urban and rural residents in Henan Province and its influencing factors. Methods A random cluster was collected from a city in Henan Province and rural resident residents for investigation. Multivariate logistic regression was used to analyze the risk factors associated with type 2 diabetes. Results The prevalence of type 2 diabetes in urban residents was 11.83%, and the standardized prevalence was 9.69%. Rough prevalence rate of type 2 diabetes was 8.71% in rural residents, and the standardized prevalence rate was 7.22%. The difference between urban and rural areas was statistically significant (χ268.39, P <0.01). Among urban residents, hypertension (OR1.575 0), dyslipidemia (OR2.149 2), systemic obesity (OR1.887 4), central obesity (OR1.514 9), family history of diabetes (OR2.987 9 ) Was an independent risk factor for type 2 diabetes. Among rural residents, hypertension (OR1.382 8), dyslipidemia (OR2.073 2), systemic obesity (OR2.177 1), central obesity ), Family history of diabetes (OR2.435 8) is an independent risk factor for type 2 diabetes. Conclusions The prevalence of type 2 diabetes mellitus in urban residents in Henan Province is higher than that in rural residents, but the prevalence of urban and rural residents is gradually decreasing. The incidence of type 2 diabetes should be controlled by systemic obesity, central obesity, hypertension and dyslipidemia.