山东省糖尿病流行病学研究──Ⅰ.描述性研究

EPIDEMIOLOGICAL STUDY OF DIABETES MELLITUS IN SHANDONG PROVINCE I.DESCRIPTIVE STUDY

为了解山东省糖尿病（ＤＭ）患病情况，以分层整群随机抽样方法对２０２２８人进行了调查。结果发现：总患病率为１０．９３‰（９５％ＣＩ９．４９‰～１２．３５‰），其中胰岛素依赖型ＤＭ占４．５％，非胰岛素依赖型ＤＭ占９５．５％；ＤＭ总患病率随年龄递增，≥３０岁为２４‰，≥６０岁达５５．６‰；城市、海岛、沿海患病率高于农村（Ｐ＜０．０１，ＯＲ＝５．４３）与工矿（Ｐ＜０．０５，ＯＲ＝１．６９）；渔民、半渔民、干部患病率高于工人、农民及其他职业（Ｐ＜０．０１，ＯＲ＝４．５９）；不同受教育程度患病率差异显著，文盲组显著高于其余各组（Ｐ＜０．０１，ＯＲ＝２．３３）；男、女患病率未见统计学差异。调查中新发现病人占病人总数的３３．５％，其中农村高达５１％。

To understand the prevalence and the epidemic characteristics of diabetes mellitus(DM) in Shandong Province,20228 subjects were selected by stratified random cluster sampling and studied.Results show that the total prevalence rate is 10.95‰(95% CI:9.49‰￣12.35‰).Of the total cases,NIDDM account for 95.5%,and IDDM account for 4.5%.The prevalence is increased by age,24‰ of that ≥30 years of old,up to 55.6‰ for that ≥60 years.The prevalence rate of the people from city,island and coast area is significantly higher than that from rural(OR=5.43,P<0.01) and mine area(OR=1.69,P<0.05).The prevalence rate of fisherfolk,halffisherfolk and office workers is significantly higher than that of peasants,general workers and other professions(OR=4.59,P<0.01).There are significant differences among the DM prevalence rates of different education level.The prevalence rate of illiterates(34.3‰)is significantly higher than that of the other groups(OR=2.33,P<0.01).The prevalence difference between male and female is not significant.The new cases diagnosed by the study account for 33.5% and this proportion up to 51% in rural area.