2019年滨州市成年居民糖尿病患病现状及影响因素分析

Analysis on prevalence and influencing factors of diabetes in adult residents,Binzhou city,2019

目的了解滨州市成年居民糖尿病患病现状及影响因素,为糖尿病防控提出有针对性的预防策略和措施。方法2019年4-9月采用多阶段分层整群随机抽样的方法,抽取滨州市2个县(区)18周岁及以上的常住人口,进行问卷调查、体格检查和实验室检测。采用复杂加权计算调查对象不同特征的率,率的比较采用χ^(2)检验,糖尿病患病的影响因素采用多因素非条件Logistic回归分析。结果糖尿病患者748例,其中,44.65%为新诊断患者。根据性别和年龄进行加权调整后,糖尿病患病率为9.30%(标化率为6.86%)。多因素非条件Logistic回归分析结果显示,45~55岁(OR=1.48,P<0.05)、55~65岁(OR=2.34,P<0.01)、65岁及以上(OR=2.55,P<0.01)、饮酒(OR=1.40,P<0.01)、高血压(OR=1.49,P<0.01)、糖尿病家族史(OR=2.70,P<0.01)、中心性肥胖(OR=1.47,P<0.01)、血脂异常(OR=1.56,P<0.01)是糖尿病患病的危险因素。结论滨州市糖尿病患病仍处于较高流行水平,且存在多种患病危险因素。

Objective To understand the prevalence and influencing factors of diabetes in Binzhou city,so os to provide targeted prevention strategies and measures for preventing and controlling diabetes.Methods From April to September 2019,the stratified cluster random sampling method was used to select permanent residents aged above 18 years old in 2 counties(districts)as the subjects.The investigation was performed with questionnaire survey,physical examination and laboratory detection.The rates of different characteristics of the subjects were calculated by complex weighting,the rates were compared by χ^(2) test,and the influencing factors of diabetes were analyzed by multivariate logistic regression analysis.Results There were 748 diabetic patients,and 44.65%were newly diagnosed.After weighted adjustment according to sex and age,the prevalence of diabetes was 9.30%(the standardized rate was 6.86%).The multivariate logistic regression analysis showed that 45-55 years old residents(OR=1.48,P<0.05),55-65 years old residents(OR=2.34,P<0.01),≥65 years old residents(OR=2.55,P<0.05),drinking(OR=1.40,P<0.01),hypertension(OR=1.49,P<0.01),family history of diabetes(OR=2.70,P<0.01),central obesity(OR=1.47,P<0.01),dyslipidemia(OR=1.56,P<0.01)were the risk factors of diabetes.Conclusion The prevalence of diabetes in Binzhou city is high,and there are a variety of risk factors.