石林县农村居民糖尿病患病影响因素分析

Prevelence of diabetes and influencing factors in rural area of Shilin county

目的分析云南省昆明市石林县农村居民糖尿病患病现状及影响因素。方法在昆明市石林县采用按比例概率抽样方法（PPS）,对6 006名45岁-农村居民进行问卷调查和空腹血糖检测,并应用二分类Logistic模型分析影响糖尿病患病的因素。结果该地村民糖尿病的患病率为7.0%,其中男性患病率为7.8%,女性为6.3%。糖尿病知晓率、控制率和治疗率分别为4.87%,9.76%和7.32%。年龄越大、吸烟、超重、高血压和有家族糖尿病史者患糖尿病的可能性越大（OR值分别为1.44,1.57,4.73,1.64和2.02;95%CI分别=1.06-1.91,1.12-2.20,2.29-9.83,1.17-2.38和1.19-3.44）。结论石林县农村居民的糖尿病知识知晓率、糖尿病控制率和治疗率较低,应采取措施降低糖尿病的患病率。

Objective To examine the prevalence of diabetes and its influencing factors in rural area of Shilin county.Methods Probability proportional to size（PPS） sampling method was used to select 6006 residents aged 45 years and elder from Shilin county.Information was obtained from a questionnaire survey and fasting blood sugar test.The data was analyzed with binary logistic regression.Results The overall prevalence of diabetes was 7.0% in the study population;the prevalence of diabetes among males was 7.8% and was 6.3% among females.The awareness,control and treatment rate of diabetes was 4.87%,9.76% and 7.32%,respectively.The elderly,current smokers,individuals with overweight,individuals with hypertension and individuals with family history of diabetes had higher probability of having diabetes with the odds ratios（OR） of 1.44（95%CI：1.06-1.91）,1.57（95%CI：1.12-2.20）,4.73（95%CI：1.19-9.83）,1.64（95%CI：1.17-2.38）,and 2.02（95%CI：1.19-3.44）,respectively.Conclusion The awareness,control and treatment rates of diabetes are low in the study population.Strategies should be enhanced to reduce the prevalence of diabetes.