2016年襄阳市15岁以上常住人口糖尿病患病率及危险因素调查

Morbidity rate and risk factors of diabetes mellitus among residents aged over 15 years old in Xiangyang city in 2016

目的了解襄阳市15岁以上常住人口糖尿病发病情况,研究其危险因素。方法采用整群随机抽样的方法,全市随机抽取13个社区,抽取15~85岁以上常住居民共3 912名,使《2016年襄阳市15岁以上常住人口糖尿病患病率及危险因素》进行问卷调查并进行血压、血糖、身高、体重及腰围测量,采用SAS 9.2软件进行统计学分析。结果 2016年襄阳市15岁以上居民糖尿病患病率为8.26%,其中18岁以上成人患病率为8.67%,男性患病率8.32%,女性患病率8.19%。糖尿病危险因素的logistic回归分析结果表明,年龄增长、向心性肥胖和有糖尿病家族史均是导致糖尿病发生的危险因素（均P〈0.05）,而更高经济收入和加强锻炼则是糖尿病发生保护性因素（均P〈0.05）。结论襄阳市成人糖尿病发病率相对较高,危险因素复杂多样,应该针对其危险因素提供综合的干预措施。

Objective To investigate the prevalence of diabetes mellitus in the resident population aged over 15 years old in Xiangyang city, and to study the risk factors of the disease. Methods The cluster randmnized sampling method was used to select 13 neighborhood committees from the city, 3 912 extraction permanent residents over the age of 15. They were investigated with questionnaire of ＂Morbidity rate and risk factors of diabetes mellitus among residents aged over 15 years old in Xiangyang city in 2016＂ and their blood pressure, blood glucose, body height, body weight, and waist circumference were measured.SAS 9.2 software was used for statistical analysis. Results In 2016, the morbidity rate of diabetes mellitus among residents over 15 years old in Xiangyang was 8.26%, in which the adult morbidity rate were 8.67%. The morbidity rates of male and female were 8.32% and 8.19%,respectively.Multivariate Logistic regression analysis showed that age, central obesity, and family history of diabetes mellitus were the risk factors of diabetes mellitus（P〈0.05）, and higher economic income and exercise were protective factor for the diabetes mellitus（P〈0.05）. Conclusion The diabetes morbidity in Xiangyang is relatively high, the risk factors are complex and various.The comprehensive intervention measures according to risk factors of diabetes should be taken.