上海市某社区35岁及以上人群糖尿病危险因素分析

Situation analysis on diabetes risk factors in population aged 35 and over in a community of Shanghai

目的了解上海市东明社区35岁及以上人群糖尿病危险因素的流行特征,为开展社区糖尿病高危人群针对性的生活方式干预提供理论依据,进一步指导社区糖尿病防治工作。方法以社区健康档案为基础,通过随机抽样的方法对35岁以上且目前未患糖尿病的社区人群进行问卷调查。结果接受调查的1 004名对象中,排名前五位的危险因素分别是年龄40岁及以上(98.6%)、静坐生活方式(96.6%)、超重(59.3%)、高血压(36.7%)及糖尿病家族史(19.5%)。同时具有2个、3个或4个高危因素的人群较多(831人,82.8%)。超重、中心性肥胖及一级亲属中有2型糖尿病家族史是空腹血糖异常的相关因素。结论社区卫生服务中心应加强糖尿病高危人群的综合防治工作,提高目标人群健康意识,改变不良的生活方式,从而达到控制糖尿病发病率的目的。

Objective To ascertain the epidemic characteristics of the diabetes risk factors among residents aged 35 and over in Dongming Community of Shanghai City, so as to provide theological basis in promotion of specific lifestyle for diabetes high-risk residents and offer further guidance in prevention and treatment of diabetes in the communities. Methods On the basis of health archives and through random sampling were done questionnaire surveys among community residents without diabetes. Results A total of 1004 residents were included for the study, of whom the front five risk factors were ： age of 40 or over （98.6%）, sedentary lifestyle （96. 6% }, overweight {59. 3% ）, hypertension （36. 7% ）, and family history of diabetes（ 19.5% ）. More of them had the above 2, 3, or 4 high-risk factors （ 841, 82.8%）. Overweight, central obesity and family history of type2 diabetes in first-degree relatives were impact factors for abnormal fasting blood-glucose. Conclusion Community health service center should enhance the comprehensive prevention and treatment for the diabetes high-risk population and help to change undesirable ways of life, so as to achieve the purpose of controlling the morbidity of diabetes in the communities.