佛山市顺德区人群糖尿病流行现况及其危险因素

Prevalence and risk factors of diabetes in Shunde District of Foshan City

目的了解佛山市顺德区不同人群糖尿病流行现况及其危险因素,为制定糖尿病预防控制策略和措施提供科学依据。方法采用多阶段分层整群抽样的方法抽取社区18岁以上居民约600人进行现况调查,调查内容包括家庭及个人问卷、身体测量及实验室检测。结果顺德区18岁以上人群糖尿病标化患病率为6.5%,性别间患病率差异无统计学意义(χ2=1.224,P=0.265)。超重或肥胖、高血压史、糖调节受损(IGR)、血脂异常和静坐生活方式是该地区糖尿病的危险因素,其暴露率分别为49.4%、13.6%、6.8%、4.9%和4.3%,同时暴露2种以上的占48.7%。男性血脂异常(χ2=22.6,P<0.01)和静态生活方式(χ2=11.553,P=0.01)暴露率高于女性。自报糖尿病患者的血糖控制达标人数仅占45%,全部指标达标只占6.0%。结论顺德区人群糖尿病患病率处于全省较高水平,糖尿病患者改变生活行为方式的比例较低,需加强糖尿病与其他慢性非传染性疾病的预防和控制工作。

[Objective]To investigate the epidemic status of diabetes and its risk factors in different populations in Shunde District of Foshan City,and provide scientific evidence for diabetes prevention and control.[Methods]By using a stratified cluster sampling method,600 residents aged 18 and above were selected in community for investigation. The contents of investigation included family and personal questionnaire,physical measurements and laboratory detection.[Results]The standardized prevalence rate was6.5% of people over 18 years old in Shunde District. The prevalence rate was significantly different between genders（χ2=1.224,P=0.265）. Overweight or obesity,hypertension,IGR,dyslipidemia and a sedentary lifestyle were risk factors for diabetes in the region. The exposure rates were 49.4%,13.6%,6.8%,4.9% and 4.3%,exposure to more than 2 accounted for 48.7%.Dyslipidemia（χ2=22.6,P〈0.01） and sedentary lifestyle（χ2=11. 553,P=0.01） exposure rate of male was higher than the female.Blood glucose self-controlled number accounted for 45%,and the number of all indicators reaching standards only accounted for6.0%. [Conclusion]The prevalence rate of diabetes are at a higher level in Guangdong Province. A low proportion of patients with diabetes have changed the way of life. It is necessary to strengthen prevention and control of diabetes and other chronic noncommunicable diseases.