某社区女性居民糖尿病与空腹血糖损害现状及影响因素研究

目的]探讨上海某社区女性居民糖尿病与空腹血糖损害现状及影响因素。方法]采用现况研究方法,由经培训的调查员用统一的调查表进行面对面调查,于1999年12月~2000年2月在该社区20岁以上女性居民中开展研究。同时对所有研究对象进行体格检查(身高、体重、血压、脉搏、腰围、臀围、空腹血糖)。对数据进行多元无序多分类Logistic回归分析。结果]1 989名女性社区居民糖尿病和空腹血糖损害(IFG)标化患病率分别为4.1%和3.0%。进一步分析表明,年龄(OR=1.034,95%可信限:1.016~1.052)、腰臀比(OR=14.984,95%可信限:1.175~191.028)、高血压(OR=2.448,95%可信限:1.550~3.865)、饮酒史(OR=4.646,95%可信限:1.670~12.982)、体质指数(OR=1.123,95%可信限:1.061~1.188)和糖尿病家族史(OR=5.312,95%可信限:2.664~10.589)是女性社区居民糖尿病可能的独立危险因素;体质指数(OR=1.096,95%可信限:1.026~1.172)和糖尿病家族史(OR=3.292,95%可信限:1.399~7.745)也是IFG可能的独立危险因素。结论]该社区女性居民的糖尿病和IFG患病率水平较高,应该加强对较胖(特别是中心性肥胖)、有糖尿病家族史、年龄较大(50岁以上)、有高血压及有饮酒史的女性高危人群的监测与干预。

A cross - sectional study on the prevalence and risk factors of diabetes and impaired fasting glucose in women of the community

Objective] To describe the prevalence of diabetes and impaired fasting glucose(IFG) and explore the possible risk factors in women of the urban community. Methods] A population based cross-sectional study was conducted in Shanghai,China in 1999-2000.Face to face interview was used in data collection together with physical examinations including testing fasting glucose. Multinomial Logistic Regression was adopted in data analysis. Results] Among 1989 women in the urban community,the prevalence of diabetes and IFG were 4.1% and 3.0% respectively.Age(OR=1.034,95%CI:1.016～(1.052)),ratio of waist circles and hip circles(OR=14.984,95% CI:1.175～192.048),hypertension(OR=2.448,95% CI:(1.550)～(3.865)),history of drinking alcohol(OR=4.646,95% CI:1.670～12.982),Body Mass Index(BMI)(OR=(1.123),95% CI:1.061～1.188)and family history of diabetes(OR=5.312,95% CI:2.664～10.589)were independent risk factors of diabetes.BMI(OR=1.096,95% CI:1.026～1.172)and the family history of diabetes(OR=3.292,95% CI:1.399～7.745) were independent risk factors of IFG. Conclusion] It was noticeable to health care providers that the prevalence of both diabetes and IFG were comparatively high in women of the urban community in China and those with possible independent risk factors for diabetes and/or IFG should be under further surveillance and intervention.