锡林浩特市居民糖尿病患病情况及影响因素分析

Prevalence status and influence factor analysis of diabetes among residents in Xilinhot City

目的了解锡林浩特市18岁以上居民糖尿病的患病情况及影响因素,为防治糖尿病提供科学依据。方法采用按比例多阶段随机抽样的方法抽取锡林浩特市住满5年的18岁以上居民2 411人进行面对面的问卷调查和体格检查。结果 2 411人中,糖尿病患者117人,患病率为4.85%,其中男性患病率为4.81%,女性患病率为4.87%,男女患病差异有统计学意义(P<0.05)。糖尿病患病率随年龄的增加逐渐上升,随着BMI的增加呈升高趋势。经多因素分析显示,本研究人群糖尿病患病与年龄、家族史、腰围、BMI、吸烟饮酒、食盐摄入、文化程度有关。结论锡林浩特市糖尿病流行形势不容忽视,应继续加强社区糖尿病防治工作,对有家族史、超重肥胖的人群进行重点干预。

Objective To survey the prevalence status of diabetes and its influence factors among residents over 18 years old in Xilinhot City so as to provide scientific basis for the prevention and treatment of diabetes.Methods Random samplingin proportion and at multistage was adopted to extract 2411 residents over 18 years old with 5 years of residence in Xilinhot City to conduct a face-to-face questionnaire survey and physical exam ination .Results There were 117 patients with diabetes in 2411 people,and the prevalence rate was 4 .85 % , among which 4 .81 % were males and 4 .87 % were females.The differences of prevalence rates in males and females were of statistical significance（ P 〈0 .05 ）.The prevalence rate of diabetes rose with gradual age increase,and tended to rise with increasing BMI（body mass index ）. Multiple-factor analysis showed that the diabetes prevalence in the studied population was related to age,family history,waistline,BMI, smoking and alcohol consum ption,salt intake,and educational level.Conclusion The epidem ic situation of diabetes in Xilinhot City can not be ignored,and the prevention and control of diabetes in community work should be continued to strengthen,meanwhile key intervention should be focused on people with family history and overweight and obesity.