目的 了解安徽省糖尿病流行现状,探讨糖尿病患病及其相关影响因素,为糖尿病预防提供参考依据。方法 通过横断面调查,多阶段分层整群随机抽样安徽省皖南地区、皖中地区、皖北地区18岁及以上人群8 400人,调查抽样对象糖尿病患病情况及相关影响因素。利用多因素非条件二元logistic回归分析糖尿病患病的影响因素。结果 安徽省18~98岁人群糖尿病患病率为6.67%。单因素分析显示,不同性别、年龄、婚姻状况、文化程度、职业、家庭年纯收入、新鲜水果摄入、糖尿病家族史、高血压、BMI地区之间糖尿病患病率差异均有统计学意义(P值均小于0.05)。多因素分析显示,高龄(OR=3.720,95%CI:2.431~5.694)、有糖尿病家族史(OR=4.692,95%CI:3.447~6.387)、高血压(OR=3.943,95%CI:3.237~4.804)、皖中地区(OR=1.402,95%CI:1.119~1.756)、皖北地区(OR=1.364,95%CI:1.068~1.743),是糖尿病的危险因素。高学历(OR=0.324,95%CI:0.149~0.704)、新鲜水果(OR=0.748,95%CI:0.584~0.957)是糖尿病患病的保护因素。结论 安徽省成人糖尿病患病率为6.67%,多种因素影响糖尿病患病情况。
Abstract
Objective To investigate the prevalence of diabetes in Anhui Province,and to explore the prevalence of diabetes and its related factors,so as to provide reference for prevention of diabetes. Methods Through a cross-sectional survey,a multi-stage stratified cluster random sampling of 8 400 people aged 18 and above in southern,central and northern Anhui province was conducted to investigate the prevalence of diabetes mellitus and related influencing factors.Multivariate unconditional binary logistic regression was used to analyze the influencing factors of diabetes. Results The prevalence rate of diabetes mellitus was 6.67% among people aged 18 to 98 in Anhui Province.Univariate analysis showed that there were statistically significant differences in the prevalence of diabetes among different genders,ages,marital status,education level,occupation,net annual household income,fresh fruit intake,family history of diabetes,hypertension and BMI (all P＜0.05).Multivariate analysis showed that older age (OR=3.720,95%CI:2.431~5.694),family history of diabetes (OR=4.692,95%CI:3.447~6.387),hypertension (OR=3.943,95%CI:3.237~4.804),central (OR=1.402,95%CI:1.119~1.756),northern (OR=1.364,95%CI:1.068~1.743) were positively correlated with the prevalence of diabetes,higher education (OR=0.324,95%CI:0.149~0.704),fresh fruit (OR=0.748,95%CI:0.584~0.957) were negatively correlated with the prevalence of diabetes. Conclusion The prevalence of adult diabetes in Anhui province was 6.67%,and the factors affecting diabetes were diverse.
关键词
糖尿病 /
患病率 /
影响因素 /
横断面研究 /
logistic回归分析
Key words
Diabetes mellitus /
Prevalence rate /
Influence factors /
Cross-sectional study /
Logistic regression analysis
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Saeedi P,Petersohn I,Salpea P,et al.IDF Diabetes Atlas Committee.Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045:Results from the International Diabetes Federation Diabetes Atlas,9th edition[J].Diabetes Res Clin Pract,2019,157.[2] 郭立燕,崔平,秦楠,等.济宁市任城区成人糖尿病患病状况及影响因素[J].济宁医学院学报,2020,43(6):411-414.
[3] 陈润格,姚启航,李烨,等.安徽省中部慢病示范地区血压和血糖分布情况[J].慢性病学杂志,2018,19(10):1322-1325.
[4] World Health Organisation.Guidelines for control lingand monitoring the tobacco epidemic.Geneva:Tobaccoor Heahh Programme,WHO,1997.
[5] World Health Organization.Global physical activity questionnaire(GPAQ) analysis guide[EB/OL].[2013-03-28].
[6] 中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006:2-4.
[7] 安徽省疾病预防防控中心.安徽省慢性病及其危险因素监测报告-2013[M].合肥:安徽科学技术出版社,2017.
[8] 胡学云.天长市铜城镇社区居民高血压糖尿病患病情况调查[J].安徽预防医学杂志,2013,19(5):389-390.
[9] 李立明,饶克勤,孔灵芝,等.中国居民2002年营养与健康状况调查[J].中华流行病学杂志,2005,26(7):478-483.
[10] 王增武,赵天明,陈祚,等.东北农村糖尿病患病率、知晓率、治疗率和控制率调查及影响因素分析[J].心脑血管病防治,2014,14(6):450-455.
[11] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华糖尿病杂志,2014,7(7):447-498.
[12] 黄华,夏俊瑞,刘灿,等.合肥市包河区成人慢性病流行状况及影响因素分析[J].安徽预防医学杂志,2018,24(3):166-171+183.
[13] Lindström J,Tuomilehto J.The diabetes risk score:a practical tool to predict type 2 diabetes risk[J].Diabetes Care,2003,26(3):725-731.
[14] Natarajan S,Nietert PJ.Hypertension,diabetes,hypercholesterolemia,and their combinations increased health care utilization and decreased health status[J].J Clin Epidemiol,2004,57(9):954-961.
[15] 孙强,陈小芳,吴先萍,等.四川省彭州市糖尿病患病率及相关因素分析[J].中华流行病学杂志,2016,37(8):1091-1094.
基金
基于大型前瞻性队列的恶性肿瘤相关危险因素监控系统验证和评估(2016YFC1302605);肝癌高危人群社区队列研究(2017YFC0908103)
PDF(852 KB)
