连云港市常住居民糖尿病患病情况及其影响因素分析

Prevalence of diabetes and its influencing factors in inhabitant of Lianyungang city

目的探讨连云港市常住居民糖尿病患病情况及其影响因素。方法 2013—2014年对该市18岁及以上常住居民采用分层多阶段整群抽样方法进行抽样问卷调查,采用Epi Info 3.5.1复杂样本分析模块作统计分析。结果共调查72个行政村和72个城市居委会的3361名常住居民,总应答率为97.4%。糖尿病患病率为2.4%;城市和农村糖尿病患病率分别为2.2%和2.5%;男性和女性糖尿病患病率分别为2.5%和2.3%。糖尿病患者在调查前2周,口服降糖药者占84.6%,胰岛素治疗者占15.1%,按制定的食谱用餐者占51.8%,实施减轻体重措施者占57.6%。4.5%糖尿病患者自述其父亲患病,10.4%为其母亲患病(P<0.05)。单因素非条件Logistic回归分析显示,超重、肥胖是糖尿病发生的危险因素(P<0.01)。多因素非条件Logistic回归分析显示,糖尿病发生的危险因素为男性、适量饮酒、危害饮酒、牙齿脱落、每周摄入低于和高于推荐标准的鱼虾、中水平劳动、低水平和高水平锻炼(P<0.01),保护因素是每天吃水果和蔬菜、每周摄入推荐标准的鱼虾、高于推荐标准的畜肉和鸡蛋以及坚持中水平锻炼(P<0.01)。结论该地区居民糖尿病患病处于低发水平;应倡导居民增加水果、蔬菜、畜肉及鱼虾的摄入量,适当增加锻炼及体力活动,减少糖尿病的发生。

Objective To investigate the prevalence of diabetes and its influencing factors in inhabitant of Lianyungang city.Methods A sample questionnaire survey was conducted using the stratified multi-stage cluster sampling method for the residents aged ≥18 years old in Lianyungang city in 2013—2014.Epi Info 3.5.1 complex sample analysis module was used for statistical analysis.Results A total of 3361 constant residents in 72 villages and 72 communities in Lianyungang was participated in the investigation with the total respond rate of 97.4%.The prevalence of diabetes was2.4%,which was 2.2% and 2.5%for those living in the urban and rural areas and 2.5% and 2.3%for male and female,respectively.The percentage of diabetic residents in two weeks before survey taking oral medicine was 84.6%,using insulin treatment was 15.1%,eating prescribed meal rate was51.8%,and insisting weight loss was 57.6%.There was a family history of father with diabetes in4.5% diabetic residents and that of mother with diabetes in 10.4% diabetic residents（P〈0.05）.Univariate non-conditional Logistic regression analysis showed that overweight and obesity were the risk factors for diabetes（P〈0.01）.Multivariate non-conditional Logistic regression analysis showed that the risk factors for diabetes were men,drinking alcohol moderately,drinking alcohol harmfully,tooth loss,eating less and more fishes and shrimps,insisting proper labour,less and more physical exercise（P〈0.01）.The protective factors for diabetes were eating more fruits and vegetables daily,eating fishes,shrimps,meats and eggs recommended weekly and insisting proper physical exercise weekly（P〈0.01）.Conclusion The prevalence of diabetes in Lianyungang city is at a low level.It is suggested to eat more vegetable,fruits,fishes,meats,fishes and shrimps,increase proper physical exercise and labour in order to prevent the occurrence of diabetes.