浙江社区居民2型糖尿病患病状况及危险因素分析

目的了解浙江社区居民2型糖尿病患病情况及危险因素。方法采用多阶段随机整群抽样的方法，对浙江省5个社区35周岁以上居民共6902人作问卷调查、体格检查及实验室检测。结果2型糖尿病患病率为5．8％，标化患病率等为5．0％，农村社区3．4％，城乡结合社区6．9％，城市社区5．2％，城乡结合社区糖尿病患病率高于农村和城市社区（P〈0．05）。糖尿病知晓率为50．4％，治疗率为49．4％，控制率为24．3％，城市社区〉城乡结合社区〉农村社区（X^2知晓=1760，X^2治疗=19．94，X^2控制=6．39，P〈0．01）。2型糖尿病的主要危险因素有年龄、糖尿病家族史、高血压、中心肥胖、经常食用奶类制品和高血脂。结论社区居民2型糖尿患病率较高，尤其是城市和城乡结合社区，知晓率、治疗率和控制率较低，应采取综合措施，预防和控制糖尿病的发生。

Prevalence and Risk Factors of Type ⅡDiabetes Mellitus in Residents of Zhejiang Province

Objective To investigate the prevalence and risk factors of type Ⅱ diabetes mellitus among community residents in Zhejiang province Methods Multi-Stage randomized cluster-sampling was used. Totally 6902 residents aged 35 and over from 5 communities were selected and investigated with questionnaire survey, physical examination and laboratory detection. Results The crude prevalence rate of type Ⅱ diabetes mellitus was 5.8% and standardized prevalence rate was 5.0%. The prevalence in urban-rural conjunction communities （6.9%） was significantly higher than that either in rural （3.4%） or urban （5.2%） communities （p 〈 0.05）. The rates of awareness, treatment and control of type Ⅱ diabetes mellitus were 50.4%, 49. 4% and 24.3%, respectively, which were various in different coramunities： urban 〉 urban-rural conjunction 〉 rural communities （p 〈 0.01 ）. The main risk factors of type Ⅱ diabetes were age, family history of diabetes, hypertension, abdlominal obesity,, milk products consumption and hyperlipidemia. Conclusion There are high prevalence rate in community residents especially in urban and urban-rural conjunction districts. The awareness, treatment and control rates are low and comprehensive measures should be carried out to prevent and control diabetes mellitus.