苏州市居民糖尿病流行现状及危险因素分析

目的了解苏州市居民糖尿病流行现状及影响因素,寻找早期干预措施。方法采用多阶段整群随机抽样的方法,抽取苏州市20岁以上的居民30578名,进行吸烟、饮酒等行为危险因素的问卷调查及测量血压、血糖、身高、体重等。结果苏州市居民糖尿病患病率为8.12%,糖尿病患病率有随年龄增高而上升的趋势;城市的糖尿病患病率高于农村,但50岁以下年龄则是农村高于城市,差异均有统计学意义(P﹤0.01)。糖尿病知晓率、治疗率、控制率分别为73.22%、73.91%、44.99%。Logistic回归分析显示,糖尿病患病的危险因素有高血压、超重与肥胖、饮酒、口味偏甜、睡眠质量差和生活紧张;保护因素为经常体育锻炼、饮食节制。结论苏州地区的糖尿病患病率较高,对糖尿病的防治应采取针对多种危险因素的综合干预措施。

Investigation on prevalence and risk factors of diabetes in Suzhou

OBJECTIVE To understand the epidemiological characteristic and risk factors of diabetes in Suzhou,and propose relevant measures of prevention and treatment.METHODS Multistage cluster random sampling was used and 30 578 persons over 20 years were sampled.Correlative risk factors were investigated and physical examinations including blood pressure,blood glucose,height and weight.RESULTS Morbidity of diabetes was 8.12 percent.Incidence of diabetes increased significantly with age.Prevalence of diabetes in urban was higher than in rural,while the prevalence in rural was above urban during population under 50 years,and the difference were both significant(P﹤0.01).Awareness rate,treatment rate and controlled rate of diabetes was 73.22%,73.91% and 44.99%,respectively.By logistic regression,hypertension,overweight and obesity,drinking,preference for sweet food,poor sleep quality and life stress were risk factors of diabetes,while physical exercise and diet control were protective factors of diabetes.CONCLUSION There are high prevalence rates in Suzhou district.Comprehensive measures which deal with risk factors should be carried out to prevent and control diabetes mellitus.