丹东市成年居民糖尿病患病情况及影响因素分析

目的 了解辽宁省丹东市成人糖尿病患病情况及其影响因素,为有关部门防治糖尿病和实施区域卫生规划提供参考依据.方法 使用多阶段分层整群随机抽样方法,抽取丹东市10 267人年龄18岁以上的常住居民进行调查,运用多因素非条件Logistic回归分析方法分析其影响因素.结果 丹东市成人糖尿病患病率为6.9％,标化率4.0％,其中男5.5％,标化率3.1％,女8.2％,标化率4.9％,女性高于男性,差异有统计学意义(P＜0.05).Logistic回归分析结果表明,男性(OR=1.381)比女性有更高的患病风险;35～＜45岁、45～＜55岁、55～＜65岁、≥65岁年龄段患病风险分别是18～＜35岁的4.040、11.446、19.488、25.302倍;饮酒人群(OR=1.413)比不饮酒人群的患病风险高;偏爱甜咸油炸过热食品人群(OR=1.274)的患病风险高于不偏爱人群;患有高血压人群(OR=1.773)比不患有高血压人群的患病风险高;锻炼和睡眠质量在一般以上是保护因素(P＜0.05).结论 丹东市糖尿病患病率高,性别、年龄、饮酒、锻炼、睡眠质量、偏爱甜咸油炸过热食品、患有高血压是糖尿病患病的重要影响因素.

Analysis on prevalence and influence factors of diabetes among adult residents in Dandong City

Objective To understand the prevalence situation and influence factors of diabetes mellitus(DM) among adults in Dandong City to provide a reference basis for the prevention and treatment of DM and relevant department implementing the regional health plan.Methods A total of 10 267 permanent residents aged ≥18 years old in Dandong City were extracted to conduct the survey by using the multi-stage stratified cluster sampling method.The non-conditional multivariate Logistic regression analysis method was used to analyze its influencing factors.Results The prevalence rates of DM was 6.9％ among the adults in Dandong City,the standardization rates was 4.0 ％,in which 5.5 ％ for male standardization rate was 3.1％,8.2 ％ for female,standardization rate was 4.9 ％,female was higher than male,the difference was statistically significant (P＜0.05) The Logistic analysis results showed that male(OR=1.381)had higher prevalence risk than female;the prevalence risks in the age groups of 35-＜45 years old,45-＜55 years old,55-＜65 years old and ≥65 years old were 4.040,11.446,19.488 and 25.302 times of 18-＜35 years old group;the prevalence risk in the drinking group (OR=1.413) was higher than that in the non-drinking group;the prevalence risk in the group with preference for sweet,salty,fried and hot food (OR=1.274) was higher than that in the group without this preference;the prevalence risk in the hypertensive group(OR=1.773) was higher than that in the non-hypertensive group;physical exercises and sleep quality were the protective factor of DM(P＜0.05).Conclusion The prevalence rate of DM in Dandong is higher,and sex,age,alcohol consumption,exercise,sleep quality,preference for sweet salty fried overheating foods and hypertension are the main influencing factors of DM.