糖尿病发病的社会心理风险因素流行病学研究进展

Advances in epidemiological studies regarding related psychosocial risk factors on the incidence of diabetes mellitus

糖尿病的患病率和疾病负担不断增加，成为全球重大公共卫生问题。随着生物一心理一社会医学模式的提出，社会心理因素对糖尿病的影响逐渐引起重视。本文对影响糖尿病发病的社会心理因素流行病学研究进行综述，国外研究显示心理因素与糖尿病的发病密切相关，关于社会因素的研究较少且结论不一致。国内相关研究相对较少且多为小样本横断面研究，仍需更多纵向研究来证实社会心理因素对糖尿病发病的作用。

Both the increasing prevalence and growing burden of diabetes mellitus have caused global public health concerns. With the development of bio-psycho-social medical model, the impact of psychosocial factors on diabetes has attracted more attentions among the researchers. This paper summarizes findings from epidemiological studies that focusing on the association between diabetes and related psychosocial risk factors. Foreign studies have shown that psychological factors are closely related to diabetes, but the conclusions on social factors are inconsistent. Domestic studies have only targeted on small-sample-sized and cross-sectional studies. More longitudinal research is needed to confirm the impact of psychosocial factors on the risk of diabetes.