海南省流动人口糖尿病患病现状及其危险因素分析

目的了解海南省流动人口糖尿病患病现状及其危险因素,为制订全省糖尿病防治策略及措施提供科学依据。方法采取按行业分层多阶段整群抽样方法,在海口市美兰区和定安县抽取制造、批发零售、住宿餐饮、社会服务、建筑和其他六大类行业共600名流动从业人口为研究对象,通过问卷调查、体格检查和实验室检测了解其糖尿病患病及危险因素情况,采用SPSS17.0对调查数据进行统计分析。结果海南省流动人口糖尿病患病率为9.8%,血脂异常率为56.5%,超重和肥胖率分别为18.7%和6.0%,现在吸烟率30.0%,过去12月饮酒率51.2%,畜肉摄入过量率为72.3%,新鲜蔬菜摄入不足率为21.0%,新鲜水果摄入不足率为27.2%,每日平均静态行为时间为4.8h;不同行业、性别和文化程度流动从业人口的糖尿病患病率差异无统计学意义;流动人口糖尿病患病与年龄、流动方式有关,患病率有随年龄增长和每天静态时间增加而呈上升的趋势。静态工作方式、畜肉摄入过量、新鲜蔬菜摄入不足和超重肥胖是流动从业人口糖尿病的高危因素。结论海南省流动人口糖尿病患病率及其部分危险因素的暴露水平已经明显高于常住居民的水平,应重视与加强流动人口糖尿病防控工作。

Analysis of epidemiological status and risk factors of diabetes mellitus among floating population in Hainan Province

Objective To know the prevalence of diabetes and its risk factors in floating population in Hainan Province. Methods Multistage stratified cluster sampling method was adopted to investigate the incidence of diabetes mellitus among floating population working in manufacturing, wholesale and retail, accommodation and catering, social services, construction and others six major occupations in Meilan and Ding＇ an countries. 600 participants were surveyed by the questionnaire, physical examination and laboratory testing and the investigated data. The data was analyzed by SPSS17.0. Results The incidence of diabetes among floating population in Hainan Province was 9.8%. The rates of abnormal blood lipid, overweight and obesity were 56.5%, 18.7% and 6.0%. The rates of current smoking, drinking ,excessive intake of meat, deficiency intake of fresh vegetable and fresh fruit in recent one years were 30.0%, 51.2%, 72.3%, 21.0% and 27.2%, The average daily static-behavior time was 4.8 hours. There was no significant difference in the incidence among floating population in different professional, and different educational level. The prevalence rate of diabetes increased with age, and the incidence among floating population from other provinces was higher than those from Hainan Province. Static work, excessive intake of meat, deficiency intake of fresh vegetable, overweight and obesity might be the risk factors fro diabetes among floating population. Conclusion The incidence and exposure levels of risk factors of diabetes among floating population had been significantly higher than that of permanent residens in Hainan Province, so much attention be paid to prevention and control of the diabetes work among floating population.