| 甘肃省糖尿病、糖尿病前期患病率及影响因素分析 |
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| 引用本文： | 席天舒,潘利,任晓岚,张佳,赵红军,王晓阳,常利军,妥娅,席金恩,刘斌,王也,任会茹,余程东,单广良,江宇.甘肃省糖尿病、糖尿病前期患病率及影响因素分析[J].中华疾病控制杂志,2018,22(10):987-991. |
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| 作者姓名： | 席天舒 潘利 任晓岚 张佳 赵红军 王晓阳 常利军 妥娅 席金恩 刘斌 王也 任会茹 余程东 单广良 江宇 |
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| 作者单位： | 1. 中国医学科学院北京协和医学院公共卫生学院流行病与卫生统计学系, 北京 100730; |
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| 基金项目： | 科技部基础性工作专项重点项目（2013FY114100） |
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| 摘 要： | 目的 了解甘肃省20~80岁汉族人群糖尿病和糖尿病前期的患病率及影响因素。方法 本研究于2016年对甘肃省常住居民开展横断面调查。采用多阶段分层整群抽样的方法，对受试者进行面对面问卷调查、体格检查。使用直接标化法计算标化患病率。采用非条件Logistic回归模型进行影响因素分析。结果 甘肃省汉族人群糖尿病患病率为7.33%（男性:10.59%，女性:4.98%），糖尿病前期患病率为18.75%（男性:20.50%，女性17.50%）。经年龄性别标化后，糖尿病标化患病率为5.77%（男性:7.63%，女性:3.86%），糖尿病前期标化患病率为16.22%（男性:18.49%，女性:13.88%）；城镇人群糖尿病患病率高于农村，城镇中男性糖尿病患病率高于女性。多因素Logistic回归分析得出糖尿病和糖尿病前期共同的危险因素有男性、中老年、超重、患高血压、有糖尿病家族史以及甘油三酯、总胆固醇异常；农村地区、饮酒是糖尿病的保护因素。结论 甘肃省糖尿病和糖尿病前期患病率均低于全国平均水平，城镇患病率高于农村，男性、中老年超重、具有高血压、糖尿病家族史或血脂异常是糖尿病和糖尿病前期的危险因素，需对高危人群加强干预。
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| 关 键 词： | 甘肃省 糖尿病 糖尿病前期 患病率 影响因素 |
| 收稿时间： | 2018-02-08 |
The prevalence and associated factors of diabetes and pre-diabetes in Gansu Province |
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| Abstract: | Objective To investigate the prevalence and associated factors of diabetes and pre-diabetes in adults aged 20-80 in Gansu province. Methods A cross-sectional study was conducted in Gansu province in 2016. The study sites were selected by using a multi-stage stratified cluster sampling method. Face-to-face questionnaire interview and physical examinations were conducted in all participants. The standardized prevalence was calculated with the direct standardization method. Logistic regression models were used to analyze the associated factors. Results The prevalence of diabetes in Gansu province was 7.33% (male:10.59%, female:4.98%), and 18.75% for prediabetes (male:20.50%, female:17.50%). The age-and gender-standardized prevalence of diabetes was 5.77% (male:7.63%, female:3.86%), and 16.22% for prediabetes (male:18.49%, female:13.88%). The prevalence of diabetes was higher in urban than in rural participants. In urban residents, the prevalence of diabetes was higher in men than in women. Logistic regression analysis indicated that male, older age, overweight, hypertension, family history of diabetes, and dyslipidemia were risk factors for both diabetes and pre-diabetes. Living in rural areas and alcohol consumption were protective factors for diabetes. Conclusions The prevalence of diabetes and pre-diabetes was lower in Gansu province than in the general population. The prevalence of diabetes was higher in urban areas than in rural. The population who were male, older age, overweight, had hypertension, family history of diabetes and dyslipidemia were in high risk of diabetes and pre-diabetes, which need strengthened intervention. |
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