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目的了解佛山市顺德区不同人群糖尿病流行现况及其危险因素,为制定糖尿病预防控制策略和措施提供科学依据。方法采用多阶段分层整群抽样的方法抽取社区18岁以上居民约600人进行现况调查,调查内容包括家庭及个人问卷、身体测量及实验室检测。结果顺德区18岁以上人群糖尿病标化患病率为6.5%,性别间患病率差异无统计学意义(χ2=1.224,P=0.265)。超重或肥胖、高血压史、糖调节受损(IGR)、血脂异常和静坐生活方式是该地区糖尿病的危险因素,其暴露率分别为49.4%、13.6%、6.8%、4.9%和4.3%,同时暴露2种以上的占48.7%。男性血脂异常(χ2=22.6,P<0.01)和静态生活方式(χ2=11.553,P=0.01)暴露率高于女性。自报糖尿病患者的血糖控制达标人数仅占45%,全部指标达标只占6.0%。结论顺德区人群糖尿病患病率处于全省较高水平,糖尿病患者改变生活行为方式的比例较低,需加强糖尿病与其他慢性非传染性疾病的预防和控制工作。
Objective To understand the prevalence and risk factors of diabetes among different populations in Shunde District of Foshan City, and to provide a scientific basis for formulating diabetes prevention and control strategies and measures. Methods A multi-stage stratified cluster sampling method was used to survey about 600 residents over the age of 18 in the community. The survey included questionnaires of family and individuals, body measurements and laboratory tests. Results The standardized prevalence of diabetes in people over 18 years of age was 6.5% in Shunde District. There was no significant difference in the prevalence among sexes (χ2 = 1.224, P = 0.265). Overweight or obesity, a history of hypertension, impaired glucose regulation (IGR), dyslipidemia and meditation lifestyle are risk factors for diabetes mellitus in the region with exposure rates of 49.4%, 13.6%, 6.8%, 4.9% and 4.3%, respectively, At the same time more than two kinds of exposure accounted for 48.7%. The prevalence of dyslipidemia (χ2 = 22.6, P <0.01) and static lifestyle (χ2 = 11.553, P = 0.01) were higher in males than in females. Self reported that patients with glycemic control of glycemic control accounted for only 45% of the population, all indicators of compliance only 6.0%. Conclusion The prevalence of diabetes in Shunde district is at a high level in the province. The proportion of people living with diabetes who have changed their lifestyle is relatively low. Prevention and control of diabetes and other chronic non-communicable diseases should be strengthened.