丰都县农村居民糖尿病患病率及影响因素分析

Study on prevalence of diabetes and the influencing factors among rural residents in Fengdu County

目的了解丰都县农村居民糖尿病流行现状及影响因素,为开展农村地区糖尿病综合防控提供建议。方法采用分层整群随机抽样的方法调查18岁及以上农村居民,采用Epidata3.02双录入后用SPSS16.0进行统计分析,率的比较采用χ2检验,糖尿病的影响因素采用多因素Logistic回归分析进行鉴别。结果共计调查农村居民623人,平均年龄（51.3±1.4）岁,现在吸烟率为20.2%,其中男性吸烟率为53.0%,被动吸烟率为38.2%;过去12个月饮酒率为22.8%,其中男性饮酒率为41.7%;农村居民身高、体质量、腰围、血压、血糖知晓率分别为9.5%、13.6%、1.9%、50.1%与12.4%。肥胖患病率为11.4%,标化肥胖患病率8.3%,高血压患病率52.5%,高血压标化患病率28.4%,糖尿病患病率12.0%,糖尿病标化患病率9.3%。多因素回归分析结果显示,父母是否患糖尿病（OR=0.20,95%CI：0.04~0.94）、是否患高血压（OR=2.31,95%CI：1.19~4.49）是糖尿病患病率的独立影响因素。结论丰都县农村居民糖尿病患病率高,吸烟、饮酒、膳食不合理等危险因素普遍存在,应重视农村地区糖尿病防控工作。

Objective To understand the prevalence of diabetes and its influencing factors among rural residents in Fengdu county of Chongqing and to provide the suggestion for diabetes prevention and control.Methods Rural residents aged above 18 years old were sampled by stratified clustered random sampling.The data was entered by software Epi data3.02 and analyzed by SPSS16.0.The rate was compared by Chi-square test.The influencing factors of diabetes was identified by multivariate logistic regression.Results A total of 623 rural residents was investigated.The average age was（51.3±1.4）years old.The rate of smoking at present was 20.2% and the rate of smoking at present among male rural residents was 53.0%.The rate of passive smoking was38.2%.The rate of drinking alcohol in the past 12 months was 22.8%.And its rate of male residents was 41.7%.The awareness rate of height,body weight,waist circumference,blood pressure and blood glucose was 9.5%,13.6%,1.9%,50.1% and 12.4%respectively.The crude and adjusted prevalence of obesity,hypertension and diabetes was 11.4% and 8.3%,52.5% and 28.4%,12.0% and 9.3%.The result of multivariate logistic regression indicated that whether parents had diabetes（OR=0.20,95%CI：0.04-0.94）and whether participants was diagnosed to be hypertension（OR=2.31,95%CI：1.19-4.49）was the independent factor of diabetes.Conclusion The prevalence of diabetes among rural residents in Fengdu county of Chongqing was high.The risk factors such as smoking,alcohol use and unbalance diet was common.It should be strengthened to conduct the comprehensive inetrevention for diabetes in rural area.