作　　者： (胡安艳）; (张腾）; (王黎明）; (赵丽娟）; (赵明）; (郑维斌）;

机构地区： 保山市疾病预防控制中心,云南保山678000

出　　处： 《预防医学论坛》 2017年第6期409-413,共5页

摘　　要： 目的了解云南保山市糖尿病患病现状及其影响因素,为保山市等边远山区糖尿病预防控制提供科学依据。方法采用分层随机抽样方法,于2012年8~9月在保山市抽取8 323名≥18岁常住居民进行问卷调查、体格检查和实验室检测。结果保山市糖尿病患病率为3.12%(标化患病率2.89%),男性患病率为3.14%(标化率2.91%),女性患病率为3.11%(标化率2.86%)。糖尿病患病率男性高于女性(P<0.01)。糖尿病患病率以城镇、坝区、汉族、小学及以下、离异和丧偶、60岁及以上最高,且随着年龄的增长、文化程度的降低患病率逐步升高(P<0.05)。多因素非条件Logistic回归分析结果显示,年龄≥45岁、高胆固醇血症、高甘油三酯血症、糖尿病遗传史、高血压、中心性肥胖和超重或肥胖是保山市糖尿病患病的危险因素;居住地区为农村、高等水平的身体活动、睡眠时间9小时及以上是保护因素。结论保山市等边远山区糖尿病患病率低于其他市,但存在多种患病危险因素。 Objective To understand the prevalence and influencing factors of Diabetes in Baoshan city,so as to provide scientific basis for Diabetes mellitus（DM）control and prevention remote mountainous areas of Baoshan city. MethodsQuestionnaire survey,physical examination and laboratory detection were conducted to select 8 323 local residents aged above 18 years old,who were recruited with stratified random sampling method. Results Among the residents,the prevalence rate of DM was 3.12%（SMR2.89%）.For men and women,the prevalence rate of DM respectively was 3.14%（SMR2.91%）and 3.11%（SMR2.86%）.There were significant gender differences in the prevalence rate of DM（P〈 0.01）.The highest prevalence rate was in those living in urban,flatland,the Han ethnics,primary school and below,divorce or widower,and above 60 years old.And with the increasing of age and reducing of education level,the prevalence rate of DM increased gradually（P〈 0.05）.Logistic regression analysis showed that age above 45 years old,high cholesterol,high blood triglycerides,family DM history,hypertension,central obesity,overweight and obesity were risk factors for Diabetes,and living in rural area,higher level of physical activity and nine hours and above of sleep were the protective factors. Conclusion The prevalence of DM in remote mountainous areas of Baoshan city is lower than that of other cities,but with many risk factors.

关 键 词： 糖尿病 影响因素