煤矿矿区人群糖尿病危险因素的病例对照研究

A CASE-CONTROL STUDY ON THE RISK FACTORS OF DIABETES AMONG THE POPULATION IN COAL MINE AREA

[目的]了解煤矿矿区人群糖尿病发病的危险因素。[方法]选择了169名糖尿病人作为病例组,3156名煤矿矿区生活人群作为对照组,采用病例对照研究和Logistic回归分析方法,研究糖尿病发病危险因素。[结果]煤矿矿区人群糖尿病发病危险因素为:年龄(OR值为2.06,95%CI为1.72～2.45)、母亲糖尿病史(OR值为6.74,95%CI为3.01～12.31)、同胞糖尿病史(OR值为2.66,95%CI为1.03～5.54)、体质指数(OR值为1.87,95%CI为1.19～2.89)、腰臀比(OR值为2.60,95%CI为1.67～4.01)、舒张压(OR值为1.51,95%CI为1.01～2.26);保护性因素有:职业体力劳动(OR值为0.89,95%CI为0.78～1.02)、绿色蔬菜(OR值为0.49,95%CI为0.35～0.75)。[结论]控制危险因素、增加保护性因素,是降低煤矿矿区人群糖尿病发病率的重要预防措施。

[Objective] To observes the risk factors of diabetes among the population in the coal mine area. [Methods] A case-control study was conducted among 169 patients with diabetes and 3156 healthy individuals living in the coal mine area, Logistic regression analysis was adopted to analyze the risk factors of diabetes. [ Results] The risk factors of diabetes among the population in coal mine area were age （OR： 2.06, 95%CI： 1.72-2.45）, the diabetes history of mothers （OR： 6.74. 95%CI： 3.01-12.31）, the diabetes history of compatriots （OR： 2.66, 95%CI： 1.03-5.54）, BMI （OR： 1.87, 95%CI： 1.19-2.89）, WHR （OR： 2.60, 95%CI： 1.67-4.01）, and the diastolic pressure （OR： 1.51, 95%CI： 1.01-2.26） . The protective factors were occupational physical labor （OR： 0.89, 95%CI： 0.78-1.02） and green vegetable （OR： 0.49. 95%CI： 0.35-0.75）. [Conclusions] The key preventive measures for reducing incidence of diabetes in coal mine area are controlling risk factors and increasing preventive factors.