昆明市居民糖尿病患病情况及危险因素分析

Prevalence and risk factors of diabetes in residents of Kunming city

目的了解云南省昆明市城乡居民糖尿病（DM）患病情况及其危险因素,探讨制订昆明市糖尿病预防控制对策和措施。方法2008年1-4月,采用多阶段分层随机抽样方法,对抽中的居民进行糖尿病流行病学调查。结果调查20岁-居民5 185人,糖尿病患病率为5.76%,标化患病率为3.99%;其中,男性患病率为5.88%,标化率为4.62%;女性患病率为5.26%,标化率为3.69%;男女性患病率比较差异无统计学意义（χ^2=0.871,P=0.351）;高血脂史、DM家族史、向心性肥胖、超重肥胖、年龄、高血压史是糖尿病的危险因素,OR值分别为2.756,2.630,1.890,1.514,1.493,1.467;常吃水果和食用植物油是糖尿病的保护因素,OR值分别为0.459和0.583。结论糖尿病已成为影响昆明市城乡居民健康的主要疾病,应针对主要危险因素开展糖尿病社区预防控制工作。

Objective To study the prevalence and risk factors of diabetes mellitus（DM） among the residents in Kunming city.Methods Multistage stratified random sampling was adopted and the residents selected were investigated by trained investigators from January to April in 2008.Results Totally 5185 residents over 20 years old were investigated.The prevalence rate of DM was 5.76%（standardized rate=3.99%）.The prevalent rate of male was 5.88%（standardized rate=4.62%） and that for female was 5.26%（standardized rate=3.69%）.The prevalent rate for male was not different from that of female（P=0.351）.Family history of DM,abdominal obesity,age,and hypertension were major risk factors of DM in the residents.Meanwhile,the fruits and vegetable oil intake were the protective factors of DM.Conclusion It is necessary to strengthen prevention and control of diabetes mellitus in Kunming.