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保定市中青年糖尿病和糖尿病前期流行现状及影响因素分析(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年22期
页码:
4057-4063
栏目:
流行病与统计方法
出版日期:
2022-11-30

文章信息/Info

Title:
Prevalence and influencing factors of diabetes mellitus and prediabetes in young and middle-aged people in Baoding
作者:
张重阳12秦新红2王志强2张雁3
1. 中国医学科学院/北京协和医学院医学信息研究所,北京 100020;
2. 河北大学公共卫生学院,河北 保定 050013;
3. 保定市疾病预防控制中心
Author(s):
ZHANG Chong-yang* QIN Xin-hong WANG Zhi-qiang ZHANG Yan
*Institute of Medical Information, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100020, China
关键词:
糖尿病糖尿病前期中青年流行现状影响因素
Keywords:
Diabetes mellitus Prediabetes Young and middle-aged people Epidemic status influence factor
分类号:
R587.1
DOI:
10.20043/j.cnki.MPM.202204082
文献标识码:
A
摘要:
目的 了解保定市中青年糖尿病和糖尿病前期流行现状,分析其影响因素,为降低中青年糖尿病患病风险提供科学依据。方法 采取多阶段分层整群抽样方法,抽取保定市3个县(市、区)18~59岁居民共6 878人进行调查和血糖检测,使用χ2检验、Kruskal - Wallis H检验和多因素logistic回归进行分析。结果 共获得有效数据6 426份,糖尿病患病率为9.82%,年龄标化患病率为10.14%;糖尿病前期患病率为24.07%,年龄标化患病率为24.91%。多因素分析结果显示,30~59岁、未婚、离婚/丧偶等其他婚姻状况(OR = 5.879,95%CI: 2.719~12.713)、吸烟、经常大量饮酒、口味油(OR = 5.833,95%CI:4.476~7.601)、喜甜食、多食肉类、肥胖(OR = 3.241,95%CI:2.361~4.449)、高血压、静息心率过快(OR = 8.796,95%CI:6.300~12.280)与糖尿病患病风险呈正相关。40~59岁、离婚/丧偶等其他婚姻状况(OR = 4.936,95%CI:3.033~8.032)、接触二手烟、12个月内饮酒、口味油、肥胖、中心性肥胖、静息心率过快(OR = 3.542,95%CI:2.656~4.725)与糖尿病前期患病风险呈正相关。喝牛奶/酸奶、充足运动与糖尿病和糖尿病前期患病风险呈负相关。结论 保定市中青年糖尿病流行水平较高,应积极采取防控措施尽早干预,降低糖尿病的发病率。
Abstract:
Objective To understand the epidemic situation of diabetes and pre-diabetes in middle-aged and young people in Baoding, and to analyze its influencing factors, so as to provide scientific basis for reducing the risk of diabetes in middle-aged and young people. Methods A total of 6 878 residents aged 18 to 59 years in three counties (cities and districts) of Baoding were investigated by multi-stage stratified cluster random sampling, and their blood glucose levels were detected. The χ2 test, Kruskal-Wallis H test, and multivariate logistic regression were used for data analysis. Results Valid data of 6 426 participants were obtained. The prevalence of diabetes was 9.82% and its age standardized rate was 10.14%. The prevalence of prediabetes was 24.07% and its age standardized rate was 24.91%. Multivariate analysis showed that 30 to 59 years old, unmarried, other marital status (OR=5.879, 95%CI: 2.719-12.713), smoking, regular heavy drinking, favoring grease food (OR=5.833, 95%CI: 4.476-7.601), favoring sweet food and meat, obesity (OR=3.241, 95%CI: 2.361-4.449), hypertension and resting tachycardia (OR=8.796, 95%CI: 6.300-12.280) were positively correlated with the risk of diabetes. Age of 40 to 59 years, other marital status (OR=4.936, 95%CI: 3.033-8.032), exposure to second-hand smoke, drinking within 12 months, favoring grease food, obesity, central obesity, and resting tachycardia (OR=3.542, 95%CI: 2.656-4.725) were positively correlated with the risk of prediabetes. Milk/yogurt and adequate exercise were inversely correlated with the risk of diabetes and prediabetes. Conclusion The prevalence of diabetes among young and middle-aged people in Baoding is relatively high. We should take active preventive measures to intervene as soon as possible to reduce the occurrence of diabetes.

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备注/Memo

备注/Memo:
基金项目:河北省自然科学基金青年科学基金项目(H2019201186)
作者简介:张重阳(1999—),女,硕士在读,研究方向:公共卫生
通信作者:秦新红,E - mail: qxh20000923@sina.com.cn
更新日期/Last Update: 2022-11-30