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目的 探讨深圳市糖尿病 (DM)、糖耐量减低 (IGT)患病率与性别、年龄及文化程度的关系。方法 对 2 0岁以上的 82 0 0例行糖尿病流行病学调查。结果 1DM患病率为 4.2 3% ,其中男性 3.5 6 % ,女性 4.6 5 % ;IGT为 11.94% ,其中男性 10 .19% ,女性 13.0 1%。 2 DM在 5 9岁以前和 IGT在 49岁以前 ,其患病率随年龄增加呈倍数增长。 3低文化程度 (初中以下 )者 DM、IGT患病率明显高于高文化程度 (高中以上 )者。 4绝经后 DM、IGT患病率明显高于绝经前。 5有生育巨大儿史的女性 DM、IGT患病率较无生育巨大儿史的女性高。结论 深圳市女性 DM、IGT患病率高于男性 ,且随年龄增大而增高。DM治疗的重点在 5 0岁以后 ;而 IGT的干预重点在 49岁以前。应重视女性和低文化程度人群的糖尿病教育。更年期前后的内分泌改变可能促进了 DM、IGT的发生。有生育巨大儿的女性是 DM、IGT的高危人群
Objective To investigate the relationship between diabetes mellitus (DM), impaired glucose tolerance (IGT) prevalence and gender, age and education level in Shenzhen. Methods Epidemiological investigation of diabetes was performed on 820 adults over 20 years of age. Results The prevalence of 1DM was 4.2 3%, including 3.56% of males and 4.65% of females; IGT was 11.94%, including 10.19% of males and 13.1% of females. 2 The prevalence of DM before the age of 59 and IGT before the age of 49 has increased exponentially with age. 3 The prevalence of DM and IGT was significantly higher in those with low education level (below junior high school) than those with high education level (high school or above). 4 The prevalence of DM and IGT after menopause was significantly higher than before menopause. 5 Women with a childbearing history of childbirth The prevalence of DM and IGT is higher than that of women with no significant childbirth history. Conclusion The prevalence of DM and IGT in women in Shenzhen is higher than that in men, and it increases with age. The focus of DM treatment is after the age of 50; while the focus of IGT intervention is before the age of 49. Attention should be given to diabetes education for women and low-education populations. Endocrine changes before and after menopause may promote the occurrence of DM and IGT. Women with large children are high-risk groups of DM and IGT