上海市延吉社区2型糖尿病患病率调查及危险因素分析

目的了解上海市延吉社区20～90岁居民2型糖尿病患病情况及其危险因素。方法采用按比例、整群抽样的方法，对该社区居民9660人进行2型糖尿病的横断面调查，使用多因素非条件logistic回归分析方法筛选2型糖尿病危险因素。结果该社区居民2型糖尿病的患病率为8．01％，男女患病率分别6．78％、9．17％，差异有统计学意义（P〈0．01）。患病率随年龄增加而增高（P〈0．01）。高血压、血脂异常及超重、肥胖人群中糖尿病患病率均分别高于正常人群的糖尿病患病率（均P〈0．01）。多因素非条件logistic回归分析显示，2型糖尿病的危险因素为年龄、糖尿病家族史、血脂异常史、腰围、高血压病史、收缩压、舒张压，高文化程度是其保护因素。结论上海市社区居民2型糖尿病患病率呈快速增长趋势，对有糖尿病家族史、高血压病史、血脂异常史及肥胖的中老年人群要重点预防与治疗。

Investigation of Prevalence and Related Risk Factors of Type 2 Diabetes Mellitus in Yanji Community of Shanghai

Objective To study the prevelance and related risk factors of type 2 diabetes mellitus in a population aged from 20 to 90 in Yanji communiyt of Shanghai. Method A cross-sectional study was conducted among 9660 residents by stratified random sampling. Risk factors were analyzed by multilevel logistic regression. Results The prevalence of diabetes was 8.01%. The gender-specific rate was 6.78% in male while 9.17% in female with statistical significance（P〈0.01）. The prevalence of diabetes was increased by age. （P〈0.01）. The preva-lence rates of diabetes were significantly higher in those with hypertension, lipid abnormality, overweight and obesity（P〈0.01）. Logistic regression indicated that age, family history of diabetes, lipid abnormality, waist circumference, hypertension, systolic blood pressure, diastolic blood pressure were the risk factors while the high education level had protective effect. Conclusion The prevalence rate of diabetes showed an increasing tendency in Shanghai. Preventing and treating diabetes should start in the middle-aged and older people especially those with family history of diabetes, hypertension, lipid abnormality and obesity.