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目的探讨黑龙江省哈尔滨市社区居民糖尿病(DM)患病情况与吸烟指数关系。方法采用多级随机抽样方法,抽取哈尔滨市20～74岁社区常住居民2 300人,应用单因素及多因素非条件Logistic逐步回归方法,分析DM与吸烟关系及可能的DM危险因素。结果哈尔滨市社区居民DM患病率为7.29%,吸烟率为31.00%,吸烟指数与DM患病率呈线性趋势关系(χ2CMH=17.433 7,P<0.000 1,rs=0.164 2);多因素非条件Logistic回归分析显示,高脂血症、DM家族史、收缩压、腰臀比(WHR)、吸烟指数及年龄可能是DM危险因素,其中,吸烟指数OR=1.776(95%CI=1.191～2.649),人群归因危险度百分比(PAR%)为19.39%(95%CI=3.86～33.83)。结论哈尔滨市社区居民吸烟率较高,吸烟累积量越高,发生DM危险性越大。
Objective To investigate the relationship between diabetes prevalence and smoking prevalence in community residents in Harbin, Heilongjiang Province. Methods A multistage random sampling method was used to extract 2 300 permanent residents aged 20-74 years old in community in Harbin. The univariate and multivariate Logistic regression methods were used to analyze the relationship between DM and smoking and possible DM risk factors. Results The prevalence rate of DM was 7.29% and the smoking rate was 31.00% in Harbin residents. There was a linear trend between the smoking index and the prevalence of DM (χ2CMH = 17.433 7, P <0.000 1, rs = 0.164 2) Logistic regression analysis showed that hyperlipidemia, family history of DM, systolic blood pressure, WHR, smoking index and age may be risk factors for DM. Among them, smoking index OR = 1.776 (95% CI = 1.191-2.649 ), And the percentage of attributable attribution risk (PAR%) was 19.39% (95% CI = 3.86-33.83). Conclusions The smoking rate of community residents in Harbin is high, and the higher the cumulative smoking amount, the greater the risk of DM.