摘要
目的了解湖北省武汉市成年居民的糖尿病患病现状及其危险因素，为开展糖尿病防控工作提供参考依据。方法2013年10—11月采用分层整群随机抽样方法对在武汉市抽取的2836名≥18周岁成年居民进行问卷调查。结果武汉市2836名成年居民中，报告患糖尿病者202例，糖尿病报告患病率为7．12％；202例糖尿病患者中，有91．09％的患者正在使用降糖药物，有57．92％的患者报告目前血糖值在正常范围内；184例正在使用降糖药物患者中，有71．74％的患者使用口服降糖药物，有15．22％的患者使用胰岛素，有13．04％的患者联合使用口服降糖药物和胰岛素；多因素非条件logistic回归分析结果显示，年龄45～59岁和t〉60岁居民糖尿病患病风险是18～44岁居民的9．43倍（OR=9．43，95％CI=3．38～26．31）和19．87倍（OR=19．87，95％CI=6．66～59．34）；超重和肥胖居民糖尿病患病风险是偏瘦居民的2．86倍（OR=2．86，95％CI=1．12～7．32）和3．17倍（OR=3．17，95％CI=1．13—8．93）。结论武汉市成年居民的糖尿病患病率较高，应加强对≥45岁、超重及肥胖居民的糖尿病筛查工作和相关行为干预。
Objective To explore the prevalence and risk factors of diabetes mellitus （DM） among adult residents in Wuhan city and to provide evidences for prevention and control of DM. Methods Totally 2 836 adult residents aged 18 years or older were selected using stratified cluster sampling in Wuhan city and a questionnaire survey was conducted among the participants during October to November 2013. Results Of 2 836 adult residents,202 reported suffering from DM and the self-reported prevalence was 7. 12 %. Of the DM patients,91.09 % were under hypoglycemic drug treatment, while only 57.92% reported normal blood sugar level at the survey. Among 184 patients taking hypoglycemic drug, 71.74% had oral antidiabetic drugs, 15.22% had insulin, and 13.04% had both of the drugs. Multivariate logistic regression analysis showed that compared to the residents aged 18 to 44 years ,the risk of developing DM among the residents aged 45 to 59 years and 60 years or older were 9.43 times（ odds ratio [ OR] =9.43,95% confidence intervai[ 95% CI] = 3.38 -26.31 ）and 19.87 times higher（ OR = 19.87,95 % CI = 6. 66 -59.34 ）, respectively. The residents with overweight were 2. 86 times （OR = 2. 86,95 % CI = 1.12 -7.32 ）and those with obesity was 3.17 times （OR = 3. 17,95 % CI = 1.13 - 8.93 ） likely to have DM compared with the residents with relative low weight. Conclusion The prevalence of DM among adult residents in Wuhan city was relatively high. The screening and interventions on DM need to be improved among the residents with overweight and obesity and those aged 45 years or older.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2015年第12期1594-1596,共3页
Chinese Journal of Public Health
关键词
糖尿病
患病率
危险因素
成年居民
diabetes mellitus
prevalence
risk factor
adult resident
