哈尔滨社区居民2型糖尿病患病危险因素分析

Risk factors for type 2 diabetes mellitus among community residents in Harbin city

目的了解黑龙江省哈尔滨市城市社区居民2型糖尿病(T2DM)发病的危险因素,为制定适宜的预防和干预措施提供科学依据。方法于2008年11月—2009年5月采用随机整群抽样方法对在哈尔滨市抽取的4个社区1 491名居民进行问卷调查、体格检查和实验室检测。结果调查的1 491名社区居民中,T2DM患者456例,T2DM患病率为30.58%;不同特征社区居民T2DM患病率比较,不同年龄、文化程度、糖尿病家族史、高血压、超重或肥胖、腹型肥胖、高血脂、体育锻炼和饮酒居民T2DM患病率间差异均有统计学意义(P<0.05),不同性别、人均年收入和吸烟居民T2DM患病率间差异均无统计学意义(P>0.05);多因素非条件logistic回归分析结果表明,年龄、糖尿病家族史、高血脂、腹型肥胖、高血压、超重或肥胖是哈尔滨市社区居民T2DM患病的危险因素。结论年龄、糖尿病家族史、高血脂、高血压和肥胖是哈尔滨市社区居民T2DM患病的主要危险因素。

Objective To evaluate the risk factors of type 2 diabetes mellitus（T2DM） in community residents of Harbin city and to provide scientific basis for making appropriate prevention and intervention measures.Methods With cluster random sampling method,1 491 residents from 4 communities in Harbin municipality were investigated with a questionnaire survey,physical examination and laboratory detection.Results A total of 1 491 people including 456 people with T2DM were surveyed and the prevalence of T2DM was 30.58%.The prevalence rates of T2DM were significantly different among the residents of different age,education level,different status of family history of diabetes,hypertension,overweight or obesity,abdominal obesity,high blood lipids,exercise and alcohol drinking（P0.05 for all）.The results of unconditional multivariate logistic regression indicated that age,family history of diabetes,high blood lipids,abdominal obesity,hypertension and overweight or obesity were risk factors for T2DM among the residents.Conclusion Age,family history of diabetes,high blood lipids,hypertension and obesity are major risk factors for T2DM among community residents in Harbin city.