昆明市官渡区肥胖相关糖尿病经济负担分析

目的 了解云南省昆明市官渡区农村居民归因于肥胖和中心性肥胖的糖尿病经济负担。方法 采用按比例概率抽样方法(PPS)从昆明市官渡区居民中随机抽取4 595名≥18岁的农村居民进行现场问卷调查和体格检查。结果 昆明市官渡区农村居民糖尿病患病率为6.2%(男性为5.6%,女性为6.8%),肥胖率为11.2%(男性为8.9%,女性为13.3%),中心性肥胖率为52.8%(男性为46.6%,女性为57.9%);男性的肥胖率和中心性肥胖率均低于女性(P<0.05);糖尿病的总直接疾病经济负担为100.49百万元,其中5.60%归因于肥胖(5.62百万元),15.71%归因于中心性肥胖(15.79百万元);肥胖(OR=1.435)、中心性肥胖(OR=1.342)、年龄(OR=1.019)、吃甜食(OR=0.275)为患糖尿病的危险因素。结论 糖尿病给当地造成了沉重的经济负担;减少肥胖和中心性肥胖的发生,有助于减少糖尿病的发生,从而降低其经济负担。

Economic burden of diabetes associated with obesity in Guandu district of Kunming city

Objective To estimate direct costs of diabetes attributable to obesity and central obesity in Guandu district of Kunming city.Methods Probability proportional to size(PPS)sampling method was used to select a representative sample(4 595 rural residents aged 18 years and over)from the district in 2011.All participants received a questionnaire interview and physical examination.Results In the study population,the overall prevalence of diabetes,obesity,and central obesity was 6.2%(5.6% for males and 6.8% for females),11.2%(8.9% for males and 13.3% for females),and 52.8%(46.6% for males and 57.9% for females),respectively.Females had obviously higher prevalence of obesity and central obesity than males(P<0.05).Obesity(odds ratio[OR]=1.435),central obesity(OR=1.342),age(OR=1.019)and not eating sweet food(OR=0.275) were the risk factors of diabetes.There was a strong association between obesity and central obesity and risk for diabets(P<0.01).The total direct cost of diabetes was 100.49 million RMB Yuan,of which,5.59% was attributable to obesity(5.62 million Yuan),and 15.71% was attributable to central obesity(15.79 million Yuan).Conclusion Diabetes inflicts a considerable economic burden on society in Guandu district of Kunming.The findings suggest implementing effective strategies to control obesity and central obesity is helpful to reduce the economic burden of diabetes in the district.