山东省滨州地区不同经济收入农民糖尿病流行病学调查研究

调查研究贫困地区不同经济收入农民糖尿病（ＤＭ）、糖耐量减低（ＩＧＴ）患病情况及其主要的影响因素，为制定防治规划提供科学参数。方法把调查区域划分东、南、西、北、中５个区，然后在每个自然区随机抽取２或３个行政村进行普查。尿糖、血糖检验采用葡萄糖氧化酶法。ＤＭ分类及诊断标准按１９８０年北京会议修订经中审批的暂行标准。结果年人均收入为８００－２５００元的农民的非胰岛语水病（ＮＩＤＤＭ）和ＩＧＴ患病率分别为

Study on the epidemiology of diabetes mellitus in peasants with different income in Binzhou prefecture Shandong province.

OBJECTIVE: In order to study the morbidity of diabetes mellitus (DM), impaired glucose tolerance (IGT), and main effective factors of peasants with different income in poor area and to provide scientific data for strategy development. METHODS: The regions of investigation were divided into five parts: east, south, west, north and centre with two and three villages randomly selected for study from each region. Glucose - oxidase method was used to measure blood sugar and urine sugar. The classification and diagnosis standard were referred from the Beijing conference in 1980. RESULTS: The morbidity rates of non - insulin - dependent diabetes mellitus (NIDDM) and IGT were 1.21% and 2.35% in peasants who earned 800 and 2,500 yuan every year respectively. The standardized morbidity of NIDDM and IGT were 0.96% and 1.98%. We found that morbidity of NIDDM and IGT was very low among those younger than 20 years old but increased with age until reaching the top at the age of 70 to 80 years. DM patients were prominently seen at 30 to 40 year olds and IGT at 20 to 30 year olds. There was no difference of morbidity between male and female seen (chi(2) = 0.19 and 0.12; P > 0.05 and 0.05). The morbidity rates of DM and IGT in poverty type peasants who earned less than 1,200 yuan every year were 2.23% and 3.55% respectively, higher than those with adequate food and clothing type peasants who earned 2,000 to 2,500 yuan every year (morbidity rates were 0.39% and 1.18%; chi(2) = 18.11 and 18.10, P < 0.05 and 0.005) and those with common type of peasants who earned 1 200 to 1,900 yuan every year (morbidity rates were 0.80% and 1.92%; chi(2) = 25.85 and 18.20, P < 0.005 and 0.005). CONCLUSION: These results showed that sex did not obviously relate to morbidity of DM and IGT while age was one of the risk factors. The differences of income and unhealthy food intake played an role in the difference of morbidity to DM and IGT. It is important to increase the income of peasants and to change the unhealthy life style.