糖尿病患者危险因素性别差异简

目的研究比较男女糖尿病患病危险因素的异同，为制定有针对性的干预措施提供依据。方法采用多阶段分层整群随机抽样方法，抽取浙江省15个县（区）17437名居民进行血糖检测和糖尿病危险因素调查，对不同性别糖尿病患者的危险因素进行比较分析。结果调查发现糖尿病患者1529例，粗患病率为8．77％，其中男性683例、女性846例，男女粗患病率分别为8．36％和9．13％，两者差异无统计学意义（P〉0．05）。男性患者中高密度脂蛋白胆固醇〈1．04mmol／L的比例、职业强度为中重度的比例、静息活动时间长的比例和主食摄人量大的比例均大于女性（P〈0．05）；而中心性肥胖的比例女性大于男性（P〈0．05）。结论不同性别糖尿病患者危险因素存在差异，应针对不同性别人群制定糖尿病防控策略。

Gender Differences in Risk Factors for Diabetes Mellitus

Objective To examine whether the risk factors for diabetes mellitus differ between genders in Zhejiang. Methods A stratified, multistage, cluster sampling design was used. A total of 17437 local residents were selected from 15 counties. Face - to - face interviews were conducted by trained interviewers, who administered a structured questionnaire relating to demographic characteristics and risk factors. Data were analyzed using Pearsonx2 - test. Results Of the 17437 residents, 1529 of them were diabetes melfitus patients. The prevalence rate for all subjects was 8. 77%, 683 males with diabetes mellitus with a prevalence rate of 8.36% and 846 females with a prevalence rate of 9. 13 % （ P 〉 0. 05 ）. The male patients had a higher proportion of having lower level of high density lipoprotein cholesterol （ HDL - C ）, higher occupational strength, more amount of time in resting activities and more food intake compared with the females （ P 〈 0. 05 ） ; while the female patients had a higher proportion of central obesity than that in the males （ P 〈 0.05 ）. Conclusion Risk factors for diabetes mellitus differ by gender. Gender - specific measures of controlling and preventing diabetes mellitus should be taken in Zhejiang province.