哈尔滨市南岗区社区居民空腹血糖受损和糖尿病的横断面研究

目的 了解哈尔滨市南岗区社区居民空腹血糖受损(IFG)检出率、糖尿病(DM)患病率、影响因素以及DM的知晓率、治疗率和控制率.方法 整群抽取哈尔滨市南岗区奋斗办事处2个社区35岁以上的社区居民进行横断面调查.结果 实际调查3183人,可用于分析3017人,分析人群IFG检出率为3.75%,男性为5.38%,女性为2.44%,男女性及合计标化检出率分别为5.41%、2.18%和3.59%.男女性及总的DM患病率分别为12.40%、8.46%和10.21%,标化率分别为11.80%、8.20%和9.77%.不同性别、不同年龄空腹血糖水平差异均有统计学意义;单因素分析显示,吸烟、BMI、高血压和高TG是空腹血糖水平增高的危险因素;多因素逐步回归分析结果显示,性别、年龄、BMI、高血压和TG是空腹血糖水平增高的危险因素,OR值(95%CI)分别为1.546(1.250～1.912)、1.308(1.171～1.461)、1.038(1.010～1.066)、1.388(1.106～1.741)、1.700(1.370～2.110);DM的知晓率、治疗率、控制率、知晓者中治疗率和治疗者控制率分别为73.38%、59.42%、36.36%、80.97%和61.20%.结论 该社区居民DM患病率处于较高水平;糖尿病知晓率、治疗率及控制率仍需进一步提高.

A cross-sectional study on impaired fasting glycaemia and diabetes mellitus in residents from Nangang district,Harbin city

Objective To investigate the detection rate of impaired fasting glycaemia(IFG),the prevalence of diabetes mellitus(DM)and related risk factors,the current situation on awareness,treatment and the rate of control on diabetes mellitus in residents living in Nangang district of Harbm city.Heilongiiang province.Methods A cross-sectional cluster sampling was carried out in residents aged over 35 years.1iving in Fendou community of Harbin city.Results Data from 3017 out of 3183 residents were analyzed.In men.women and overall residents,the detection rates of IFG were 5.38%.2.44% and 3.75%,respectively.After standardization,the detection rates became 5.41%,2.18%and 3.59%,respectively.The prevalence rates of DM were 12.40%,8.46%,10.21%and 11.80%,8.20%and 9.77%,before and after standardization.Results showed statistical difference between age.sex and levels of fasting glycaemia.Dam from single factor analysis revealed that smoking,BMI,hypertension and high triglyceride were risk factors on the levels of high fasting glycaemia.Results from multivariable stepwise analysis showed that sex,age,BMI,hypertension and high triglyceride were significant factors influencing the levels of high fasting glycaemia with the OR(95%CI)is 1.546(1.250-1.912),1.308 (1.171-1.461),1.038(1.010-1.066),1.388(1.106-1.741)and 1.700(1.370-2.110),respectively.The rates on awareness.treatment and control in DM were 73.38%,59.42%and 36.36%respectively.Among those who had knowledge on DM.the rates on treatment and on centrel were 80.97%and 61.20%.Conclusion Our results showed that the prevalence of DM was high in the communities and it is essential to further iIlcrease the awareness,treatment and conUol rates on DM.