论文部分内容阅读
目的探索农村社区早发2型糖尿病影响因素。方法 2012年6—12月,在浙江省玉环县随机整群抽取的3个农村社区居民中开展了玉环成年人糖尿病队列基线调查,选取其中的1695例新诊断2型糖尿病患者为研究对象,根据诊断年龄是否大于40岁分为早发2型糖尿病和迟发2型糖尿病,比较不同特征的诊断年龄,并用Logistic回归分析早发2型糖尿病发生的相关因素。结果在1695例新诊断2型糖尿病中,5.0%(85例)为早发2型糖尿病,47.3%为男性,平均诊断年龄为(60.39±12.49)岁。男性、初中及以上文化程度、家庭人均月收入≥2000元、从事轻体力活动职业、吸烟、饮酒、超重和有糖尿病家族史的患者诊断年龄较低,参加规律体育锻炼(62.52岁vs 59.93岁)的2型糖尿病诊断年龄较高。多因素Logistic回归分析显示,在校正其他因素后,与迟发2型糖尿病相比,初中及以上文化程度(OR=6.62,95%CI 3.87~11.32)、家庭人均月收入≥2000元(OR=6.60,95%CI 3.32~13.12)、规律体育锻炼(OR=0.37,95%CI 0.17~0.80)是早发2型糖尿病发生的独立相关因素。结论文化程度、家庭人均月收入、规律体育锻炼与玉环县农村社区居民早发2型糖尿病密切相关。
Objective To explore the influencing factors of type 2 diabetes in rural community. Methods From June to December 2012, a baseline survey of adults with diabetes mellitus in Yuhuan was carried out among 3 rural community residents randomly selected from Yuhuan County, Zhejiang Province. A total of 1695 newly diagnosed type 2 diabetic patients were selected as study subjects. The diagnosis of age is more than 40 years old is divided into premature onset type 2 diabetes and type 2 diabetes mellitus, the diagnosis of different characteristics of age, and Logistic regression analysis of early onset of type 2 diabetes related factors. Results Among 1695 newly diagnosed type 2 diabetes, 5.0% (85 cases) were premature type 2 diabetes mellitus, 47.3% were male, and the mean diagnosis age was (60.39 ± 12.49) years old. Male, junior high school and above education level, average monthly income of the family ≥2000 yuan, engaged in light physical activity occupations, smoking, drinking, overweight and family history of diabetes patients with lower diagnostic age, participate in regular physical exercise (62.52 vs 59.93 years old) Type 2 diabetes is diagnosed at a higher age. Multivariate logistic regression analysis showed that, after adjusting for other factors, the per capita monthly family income was ≥2000 yuan (OR = 6.62, 95% CI 3.87 ~ 11.32), with junior high school education and above (OR = 6.60, 95% CI 3.32-13.12). Regular physical exercise (OR = 0.37, 95% CI 0.17-0.80) was an independent independent factor for the occurrence of type 2 diabetes mellitus. Conclusion The educational level, per capita monthly household income and regular physical exercise are closely related to the early onset of type 2 diabetes in rural residents in Yuhuan County.