青田县居民2型糖尿病患病率及危险因素调查

An Investigation on Prevalence and Risk Factors of Type 2 Diabetes Mellitus among Residents of Qingtian County

目的 了解青田县18周岁及以上居民糖尿病患病率及危险因素,为评估居民糖尿病流行情况及采取相应的预防措施提供依据.方法 通过多阶段分层整群随机抽样方法,抽取丽水市青田县4个乡镇18周岁及以上居民1248人,通过问卷调查、体格检查及空腹血糖、血脂等生化指标检测,描述糖尿病的患病率分布,并应用Logistic回归模型分析危险因素.结果 采用2010年全国人口普查数据进行年龄标化后,青田县居民糖尿病患病率为8.84%,男性为8.04%,女性为9.91%;随着年龄组增大,患病率逐渐增加（P〈0.01）.多因素分析显示中心性肥胖（OR=4.63,95%CI：1.19～2.88）、糖尿病家族史（OR=4.63,95%CI：2.58～8.32）、高甘油三酯（OR=2.63,95%CI：1.76～3.93）、高血压（OR=2.27,95%CI：1.48～3.48）是糖尿病的危险因素.结论 高甘油三酯、高血压和中心性肥胖等因素是青田县居民糖尿病患病的危险因素,应对当地居民,尤其是有糖尿病家族史者加强不良的饮食习惯和生活方式干预,以有效控制糖尿病.

Objective To examine the prevalence of diabetes mellitus（DM） and its risk factors among residents over 18 years old of Qingtian County, in order to evaluate the prevalence state and provide the basis of appropriate preventive measures. Methods Using multi - stage stratified cluster random sampling method, a total number of 1248 residents over 18 years old from 4 towns participated in this questionnaire survey and other physical examination, including fasting blood glucose, blood lipids and other biochemical indexes tests. The prevalence rate of DM was described, and the Logistic regression model was used to analyze its risk factors. Results The age standardized prevalence rate of DM was 8.84% with male 8.04% and female 9.9l%, respectively. The prevalence rate of DM between men and women was of no statistical significance; with the growth of age, the prevalence rate of DM increased gradually （ P 〈 0. 01 ）. Logistic regression analysis showed that the risk factors of DM were central obesity（OR =4. 63,95% CI：I. 19 ~2. g8）, family history of dlabetes（OR =4. 63,95% CI：2. 58 ~8.32） ,high triglycerides（OR=2.63,95%Cl：l.76 -3.93）and hypertension（OR=2.27,95%Cl：l.48 -3.48）. Conclusion The central obesity, hypertension and high triglycerides may be the risk factors. It＇s necessary to strengthen the prevention of poor dietary habit and lifestyle in the local people especially the people who have family history of diabetes,in order to effective control of diabetes.