无锡市社区居民糖尿病流行病学调查与影响因素分析

Epidemiologic survey on the diabetes mellitus (DM) among the residents in Wuxi

目的调查无锡市居民的糖尿病患病率及其危险因素,为制定防治措施提供科学依据。方法采用随机整群抽样的方法,抽取无锡市四个社区,40周岁以上居民2101例。其中男性807例,女性1294例。结果无锡市社区居民糖尿病患病率为14.3%,其中男性患病率为14.7%,女性为14.0%,无显著性差异(χ2=0.23,P>0.05)。糖尿病危险因素分析发现,糖尿病发病率随年龄的增长、BMI的增高而增高的趋势。而收缩压的增长、TC和LDL-C增高,其发生的危险性均升高,而血中HDL-C增高或者加强体育锻炼对居民患糖尿病的有保护作用。结论糖尿病是无锡市社区居民常见的慢性病,随着血压、BMI、血脂的增加而升高,因此,控制体重、血压和血脂水平,对预防该疾病的发生具有重要意义。

Objective To study the prevalence and the risk factors of diabetes mellitus （DM） in Wuxi,Jiangsu, and to provide scientific data for strategy development. Methods With the cluster random sampling, 2101 residents of four community in Wuxi were selected to carry on the cross-sectional investigation. Results The prevalence of the diabetes mellitus （DM） among the residents in Wuxi is 14.3%, the male’s prevalence is 14.7%,and the female’s is 14.0%. There was no significance difference among the sex （χ^2=0.23,P〉0.05） ,with the age groupand the BMI group increasing, the incidence of diabetes mel｜itus （DM） showed upward tendency.Among the culture and the personal income group,it has significance difference. Among the risk factor of diabetes mellitus （DM）, the risk of diabetes mellitus （DM） showed upward tendency with age , BMI, SBP ,TC ,TG, LDL-C increase. Conclusion Diabetes is one common and frequently occurring disease in the community of our city. The hypertension,hypegravity/adipositas,blood fat abnormality can heighten the prevalence.To prevent diabetes from contorling BMI,BP,blood, fat have importance meaning.