云南元江县城乡少数民族糖代谢异常患病率调查

Investigation of Yuanjiang Urban and Rural Multi-ethnic Population Prevalence of Abnormal Glucose Metabolism

目的探讨元江县城、乡多民族居民糖代谢异常的患病情况及其危险因素。方法从元江县少数民族较为集中的县城抽取3个社区,农村随机抽取3个自然村,对所抽地区内15岁以上常驻人口进行问卷调查、体检和血糖、血脂检测,采用多因素Logistic回归法分析糖代谢异常的影响因素。结果元江县城、乡镇人群中DM、IGT患病率较高;城市、农村居民IGT的患病率各民族之间存在差异;城市IGT患病率随着年龄的增长有上升趋势;农村不同年龄组之间IGT患病率无差异;DM、IGT患病率在不同文化程度、民族、家庭人均年收入、糖尿病家族史、体质量指数、吸烟及饮酒人群间存在差异;年龄等多因素与糖代谢异常有关。结论元江县哈尼族、彝族、傣族、汉族糖代谢异常患病率较高,农村DM、IGT患病率彝族均高于汉族,城镇IGT患病率彝族高于汉族;应采取措施降低糖代谢异常的患病率,提高当地城乡居民的健康水平。

Objective To investigate the prevalence and risk factors of minority people with abnormal glucose metabolism.Methods Cluster random sampling was used to select samples.3 communities and 3 villages in Yuanjiang County were investigated.The questionnaire survey,physical examination,blood glucose and blood lipid was conducted among the participants.Multivariate logistic regression was used to evaluate the risk factors of abnormal glucose metabolism.Results The prevalence of diabetes mellitus（DM）and impaired glucose tolerance（IGT）was high in Yuanjiang.The incidence of IGT was different in urban and village among ethnics.The incidence of IGT increased with ages in urban areas.There was no significant difference in the prevalence of IGT among different age groups in villages.There were differences of diabetes,IGT incidences in people with different education degrees,ethnics,income,family history of diabetes,BMI,smoking and drinking habits.Many factors such as age were related with abnormal glucose metabolism.Conclusion The incidence of abnormal glucose metabolism is high in the Minority people and Han Family.The incidence of DM and IGT in the countryside and the incidence of IGT in the city of Yi Family are higher than that in Han Family.It is necessary to take measures to reduce the prevalence of abnormal glucose metabolism to improve the health level of local urban and rural residents.