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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2 836名≥18周岁成年居民进行问卷调查。结果武汉市2 836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≥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 understand the prevalence and risk factors of diabetes among adult residents in Wuhan City, Hubei Province, and to provide a reference for prevention and control of diabetes. Methods From October to November in 2013, stratified cluster random sampling method was used to survey 2,836 adult residents aged 18 and over in Wuhan. Results Of the 2 836 adult inhabitants in Wuhan, 202 cases were reported with diabetes and the prevalence of diabetes was 7.12%. Among the 202 diabetic patients, 91.09% were using hypoglycemic drugs and 57.92% Blood glucose values were within the normal range; of the 184 patients who were taking hypoglycemic drugs, 71.74% used oral hypoglycemic drugs, 15.22% used insulin and 13.04% used oral hypoglycemic drugs and insulin; Multivariate non-conditional logistic regression analysis showed that the prevalence of diabetes among residents aged 45-59 years and ≥60 years was 9.43 times (OR = 9.43,95% CI = 3.38-26.31) and 19.87 times (18.44% OR = 19.87, 95% CI = 6.66-59.34). The prevalence of diabetes in overweight and obese residents was 2.86 times (OR = 2.86,95% CI = 1.12-7.32) and 3.17 times % CI = 1.13 ~ 8.93). Conclusion The prevalence of diabetes in adult residents in Wuhan City is relatively high. Diabetes screening and related behavioral interventions should be strengthened for residents over 45 years old, overweight and obese.