| 职业人群的糖尿病及糖尿病前期患病现状及影响因素分析 |
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| 引用本文： | 李至韬1,李玟2,费宇2,朱可骞1,胡玉麒1,曾红莲3,杨波3,杨淑娟2,黄渠1. 职业人群的糖尿病及糖尿病前期患病现状及影响因素分析[J]. 现代预防医学, 2021, 0(12): 2161-2165 |
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| 作者姓名： | 李至韬1 李玟2 费宇2 朱可骞1 胡玉麒1 曾红莲3 杨波3 杨淑娟2 黄渠1 |
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| 作者单位： | 1.中国铁路成都局集团有限公司社会保险管理部，四川 成都 610000；2.四川大学华西公共卫生学院/华西第四医院；3.成都大学附属医院 |
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| 摘 要： | 目的 研究某铁路局机车乘务员糖尿病患病情况及影响因素分析。方法 选取2020年在该铁路局协议定点医院体检中心进行健康体检的6 985名铁路机车乘务员，采用单因素和二元logistic回归进行统计分析。结果 糖尿病患病率为5.70%，糖尿病前期患病率为21.72%。年龄、婚姻状况、工种、昼夜节律、工龄、BMI、脉搏、吸烟情况、饮酒情况等指标在糖尿病前期和非糖尿病前期，以及糖尿病和非糖尿病组间差异均有统计学意义(P＜0.05)。已戒烟(OR = 1.38,1.09～1.75)、年龄(OR = 1.05,1.04～1.05)、BMI(OR = 1.09,1.07～1.11)、脉搏(OR = 1.03,1.03～1.04)为患糖尿病前期的危险因素，正在吸烟(OR = 1.46,1.12～1.90)、已戒烟(OR = 1.56,1.02～2.38)、已戒酒(OR = 2.72,1.33～5.54)、年龄(OR = 1.11,1.10～1.13)、BMI(OR = 1.14,1.10～1.17)、脉搏(OR = 1.04,1.03～1.05)为患糖尿病的危险因素。结论 该铁路局机车乘务员糖尿病、糖尿病前期患病率较高，其危险因素主要是BMI、脉搏、年龄、吸烟，应针对这些因素，采取相应的预防措施。
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| 关 键 词： | 机车乘务员 糖尿病 糖尿病前期 患病现状 影响因素 |
Prevalence and influencing factors of diabetes and pre-diabetes in occupational population |
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| LI Zhi-tao,LI Wen,FEI Yu,ZHU Ke-qian,HU Yu-qi,ZENG Hong-lian,YANG Bo,YANG Shu-juan,HUANG Qu. Prevalence and influencing factors of diabetes and pre-diabetes in occupational population[J]. Modern Preventive Medicine, 2021, 0(12): 2161-2165 |
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| Authors: | LI Zhi-tao LI Wen FEI Yu ZHU Ke-qian HU Yu-qi ZENG Hong-lian YANG Bo YANG Shu-juan HUANG Qu |
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| Affiliation: | *Social Insurance Administration Department, China Railway Chengdu Group Co., Ltd., Chengdu, Sichuan 610000, China |
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| Abstract: | Objective To investigate the prevalence and influencing factors of diabetes in locomotive attendants of a railway bureau. Methods A total of 6 985 railway locomotive attendants who underwent health examinations at the physical examination center of the designated hospital in 2020 were selected. Single factor and binary logistic regression were used for statistical analysis. Results The prevalence of diabetes was 5.70%, and the prevalence of pre-diabetes was 21.72%. Age,marital status, type of work, circadian rhythm, length of service, BMI, pulse, smoking status, and alcohol consumption were significantly different between prediabetes and non-prediabetes subjects as well as between diabetic and non-diabetic groups(P<0.05). Quitting smoking(OR=1.38, 1.09-1.75), age(OR=1.05, 1.04-1.05), BMI(OR=1.09, 1.07-1.11), pulse(OR=1.03,1.03-1.04) were risk factors for prediabetes, Smoking(OR=1.46,1.12-1.90), quitting smoking(OR=1.56, 1.02-2.38),quitting drinking(OR=2.72, 1.33-5.54), age(OR=1.11, 1.10-1.13), BMI(OR=1.14, 1.10-1.17), pulse(OR=1.04,1.03-1.05)were risk factors for diabetes. Conclusion The prevalence of diabetes and prediabetes in locomotive attendants of this railway bureau is relatively high. The main risk factors are BMI, pulse, age, and smoking, and appropriate corresponding preventive measures should be taken. |
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| Keywords: | Railway locomotive crew Diabetes Prediabetes Prevalence Influencing factors |
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