2018年辽宁省农村40岁及以上居民糖尿病患病率及其相关危险因素分析*

目的 探讨辽宁省农村地区糖尿病患病率及其相关影响因素，为糖尿病的预防提供理论依据。方法 采用横断面调查方法对辽宁省4个农村县的10926例≥40岁的常住居民进行问卷调查、体格检查和实验室检查，分析糖尿病患病率及其危险因素。结果 辽宁省农村40岁及以上人群糖尿病粗患病率为16.18%，男性和女性分别为15.26%和16.80%，标化患病率为13.72%，男性和女性分别为14.21%和13.75%；糖尿病患病率随年龄增加而升高（〖XC小五号.EPS;P〗=123.473，P＜0.001）。年龄增加、缺乏运动（OR:1.39，95%CI:1.21~1.60）、糖尿病家族史（OR:2.97，95%CI:2.60~3.39）、高血压（OR:1.62，95%CI:1.43~1.84）、高胆固醇（OR:1.41，95%CI:1.23~1.62）、高甘油三酯（OR:1.91，95%CI:1.68~2.17）、低高密度脂蛋白胆固醇（OR:1.74，95%CI:1.42~2.12）、超重/肥胖（OR:1.80，95%CI:1.59~2.03）为糖尿病的主要危险因素。结论 辽宁省农村地区糖尿病患病率高，亟待针对主要患病危险因素开展综合防控。

Prevalence and related risk factors of diabetes in residents aged 40 and over in rural areas,Liaoning, 2018

To investigate the prevalence and related factors of diabetes in rural areas of Liaoning Province, and to provide a theoretical basis for the prevention of diabetes. Methods A cross-sectional survey was conducted in 4 rural counties in Liaoning Province. Standard questionnaire, physical and laboratory examination were investigated to a permanent resident group of 10926 residents aged 40 years and above, which aimed to explore the prevalence and related factors of diabetes. Results The prevalence of diabetes in the rural areas of Liaoning Province was 16.18%, 15.26% for males and 16.80% for females. The standardized prevalence rate was 13.72%, 14.21% for males and 13.75% for females. The prevalence of diabetes increased with the increase of age(χ2≤123.473, P<0.001). Increased age, lacking of exercise(OR: 1.39, 95%CI: 1.21-1.60), family history of diabetes(OR: 2.97, 95%CI: 2.60-3.39), hypertension(OR: 1.62, 95%CI: 1.43-1.84), high cholesterol(OR:1.41, 95%CI: 1.23-1.62), high triglyceride(OR: 1.91, 95%CI: 1.68-2.17), low-density lipoprotein cholesterol(OR: 1.74, 95%CI: 1.42-2.12), overweight/obesity(OR: 1.80, 95%CI: 1.59-2.03) were the main risk factors for diabetes. Conclusions The prevalence of diabetes in rural areas of Liaoning Province is high. It is urgently necessary to take comprehensive interventions on major risk factors for defense and control.