大理白族自然人群糖尿病患病情况及相关分析

Analysis of the prevalence and influencing factors of diabetes in the natural population of Bai nationality in Dali

目的:描述大理鹤庆白族居民糖尿病的患病现况并分析糖尿病的影响因素。方法:采取多阶段分层整群随机抽样方法,对大理白族鹤庆县辛屯镇和草海镇全体30~79岁居民进行初步筛查,最终共纳入研究6167人。对研究对象进行问卷调查并进行体格检查和实验室检查,描述不同年龄性别间的糖尿病患病率和相关影响因素。结果:①云南大理白族自然人群糖尿病总的患病率为8.9%,男性为12.9%,女性为7.2%。男性糖尿病患病率高于女性(P<0.001)。男女随年龄升高患病率也升高。②云南大理白族自然人群糖尿病知晓率为40.4%,治疗率为35.3%,控制率为44.6%。③多因素logistic回归分析显示,高龄、家庭高年收入、高体质指数、中心性肥胖、血脂异常是糖尿病患病的独立危险因素,女性和食用乳扇是保护因素。结论:大理白族自然人群的糖尿病患病率为8.9%,男性高于女性。研究人群糖尿病知晓率仅为40.4%,仍然较低,应着重加强糖尿病知识普及。肥胖、中心性肥胖、高血压、高脂血症等都是糖尿病的相关影响因素,应注意饮食和体质量控制。

Objective:To describe the prevalence of diabetes in the Bai nationality of Heqing,Dali,and to analyze the influencing factors of diabetes.Methods:A multistage and stratified cluster sampling method was used to obtain samples from all residents of aged 30-79 in Xintun Town and Caohai Town of Heqing County,Dali Bai Autonomous prefecture,and a total of 6167 people were eventually included in the study.Questionnaire surveys,physical examinations and laboratory examinations were carried out on the study subjects.The prevalence of diabetes between different ages and genders was described and related influencing factors were analyzed.Results:①The overall prevalence of diabetes in the natural population of Bai nationality in Dali,Yunnan,was 8.9%,12.9%for men and 7.2%for women.The prevalence of diabetes in men was higher than that in women(P<0.001).The prevalence of men and women increased with age.②The awareness rate of diabetes in the natural population of Bai nationality in Dali,Yunnan was 40.4%,the treatment rate was 35.3%,and the control rate was 44.6%.③Multivariate logistic regression analysis showed that venerable age,high annual family income,high BMI,central obesity,and dyslipidemia were independent risk factors for diabetes,and women and diary fan consumption were protective factors.Conclusion:The prevalence of diabetes in the natural population of Bai nationality in Dali is 8.9%,and the prevalence of diabetes in men is higher than that in women.In the study,the diabetes awareness rate of the population is only 40.4%,which is still low.It is still necessary to strengthen the popularization of diabetes knowledge.Obesity,central obesity,hypertension,hyperlipidemia,etc.are re lated influencing factors of diabetes,and attention to diet and weight control should be paid to.