2013年湖北省≥15岁农村居民糖尿病患病状况及相关因素分析

The prevalence of diabetes among rural residents aged 15 and above in Hubei Province

目的了解湖北省≥15岁农村居民糖尿病患病状况及其相关因素,为湖北省农村地区糖尿病防控提供依据。方法于2013年10~11月,采取多阶段分层整群随机抽样方法,在全省20个样本县(市)随机抽取12 003户进行入户问卷调查,其中共调查15岁以上农村常住人口16 739人。采用SPSS 20.0软件进行统计分析。结果调查的农村居民中,患糖尿病者306例(1.83%)。高血压人群中患糖尿病者161例(8.22%),非高血压人群中患糖尿病者145例(0.98%)。多元Logistic回归分析结果显示,离退休人员糖尿病的患病风险在高血压人群和非高血压人群中分别是在业者的2.186倍(OR=2.186,95%CI:1.454~3.289)和3.019倍(OR=3.019,95%CI:1.833~4.973)。超重/肥胖(OR=1.642,95%CI:1.174~2.297;OR=2.532,95%CI:1.788~3.586)和焦虑抑郁等负性情绪(OR=1.655,95%CI:1.102~2.486;OR=3.059,95%CI:1.992~4.698)在两类人群中也均为糖尿病患病的危险因素。但年龄仅在非高血压人群中与糖尿病相关,相比35岁以下者,35岁及以上人群随着年龄的增加,糖尿病患病可能性逐渐增加,饮酒(OR=0.425,95%CI:0.246~0.734)仅在高血压人群中与糖尿病相关。结论湖北省农村地区糖尿病患病率处于较低的水平,但增幅明显;在糖尿病防治中应关注35岁及以上人群、离退休人群、超重肥胖或有负性情绪者。

Objective To investigate the prevalence and associated factors of diabetes among rural residents aged15 and above in Hubei Province,and to provide evidences for diabetes control in rural areas. Methods A total of 12 003 households in 20 counties were sampled by multistage stratified cluster random sampling,and 16 739 rural residents aged15 and above were interviewed. SPSS 20. 0 was performed to analyze data. Results A total of 16 739 participants were included in the study,306（ 1. 83%） reported diabetes. And the prevalence in hypertension group and non hypertension group were 8. 22% and 0. 98% respectively. The multivariate Logistic regression analysis showed that compared with those who were currently working,it was more likely for the retired to develop diabetes in hypertension group（ OR = 2. 186,95%CI： 1. 454-3. 289） and non hypertension group（ OR = 3. 019,95% CI： 1. 833-4. 973） respectively. Overweight or obesity（ OR = 1. 642,95% CI： 1. 174-2. 297; OR = 2. 532,95% CI： 1. 788-3. 586）,negative emotions such as anxiety or depression（ OR = 1. 655,95% CI： 1. 102-2. 486; OR = 3. 059,95% CI： 1. 992-4. 698） were both associated with diabetes in two groups. But age was an associated factor only in non hypertension group,the prevalence in those aged 35 and above was higher and it increased with age. Meanwhile,alcohol drinking（ OR = 0. 425,95% CI： 0. 246-0. 734） was an associated factor of diabetes only in hypertension group. Conclusions The prevalence of diabetes among rural residents aged 15 and above in Hubei Province was at a relatively lower level,but the prevalence increased significantly. For diabetes prevention and control,those aged 35 and above,the retired,overweight or obese persons,or those having negative emotions need to be focused on.