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李宝新, 张云良, 马爽, 李玉坤, 刘殿武, 肖艳新, 马文彬, 王翯, 郭淑芹. 河北省城镇中老年居民2型糖尿病患病现状及其影响因素分析[J]. 中国公共卫生, 2019, 35(11): 1467-1470. DOI: 10.11847/zgggws1119622
引用本文: 李宝新, 张云良, 马爽, 李玉坤, 刘殿武, 肖艳新, 马文彬, 王翯, 郭淑芹. 河北省城镇中老年居民2型糖尿病患病现状及其影响因素分析[J]. 中国公共卫生, 2019, 35(11): 1467-1470. DOI: 10.11847/zgggws1119622
Bao-xin LI, Yun-liang ZHANG, Shuang MA, . Prevalence and influencing factors of diabetes mellitus among middle-aged and elderly urban residents in Hebei province[J]. Chinese Journal of Public Health, 2019, 35(11): 1467-1470. DOI: 10.11847/zgggws1119622
Citation: Bao-xin LI, Yun-liang ZHANG, Shuang MA, . Prevalence and influencing factors of diabetes mellitus among middle-aged and elderly urban residents in Hebei province[J]. Chinese Journal of Public Health, 2019, 35(11): 1467-1470. DOI: 10.11847/zgggws1119622

河北省城镇中老年居民2型糖尿病患病现状及其影响因素分析

Prevalence and influencing factors of diabetes mellitus among middle-aged and elderly urban residents in Hebei province

  • 摘要:
      目的  了解河北省城镇中老年居民2型糖尿病患病现状及其影响因素,为开展糖尿病防控工作提供参考依据。
      方法  采用多阶段分层整群随机抽样方法于2011年9月 — 2014年5月在河北省石家庄、保定、沧州、承德、邯郸、衡水、廊坊、唐山、邢台、张家口10个地区随机抽取13个社区共12 932名 ≥ 45岁城镇中老年居民进行问卷调查、血压测量和实验室检测。
      结果  河北省12 932名 ≥ 45岁中老年城镇居民中,患糖尿病者3 019例,糖尿病患病率为23.35 %;多因素非条件logistic回归分析结果显示,年龄 ≥ 50岁、有糖尿病家族史、吸烟、饮酒、高血压、甘油三酯异常、低密度脂蛋白胆固醇异常和高密度脂蛋白胆固醇异常是河北省城镇中老年居民2型糖尿病患病的危险因素,文化程度初中及以上和体力劳动者是河北省城镇中老年居民2型糖尿病患病的保护因素。
      结论  河北省城镇中老年居民2型糖尿病的患病率较高,年龄、文化程度、职业、有无糖尿病家族史、吸烟情况、饮酒情况及是否高血压、甘油三酯异常、低密度脂蛋白胆固醇异常和高密度脂蛋白胆固醇异常为该地区城镇中老年居民2型糖尿病患病的主要影响因素。

     

    Abstract:
      Objective  To examine the prevalence and influence factors of diabetes mellitus (DM) among middle-aged and elderly urban residents in Hebei province and to provide evidences for prevention and control of DM.
      Methods  We drew a sample of 12 932 residents aged ≥ 45 years from 13 urban communities of 10 municipalities in Hebei province using stratified multistage random cluster sampling. Then we conducted a face-to-face questionnaire survey, physical examination and laboratory tests among the residents from September 2011 to May 2014.
      Results  Among the participants, totally 3 019 DM cases were identified and the prevalence rate of DM was 23.35%. Multivariate unconditional logistic regression analysis revealed that aged ≥ 50 years, family history of DM, smoking, alcohol drinking, hypertension history, abnormality of triglyceride (TG)/low density lipoprotein cholesterol (LDL)/high density lipoprotein cholesterol (HDL) were risk factors of DM; while, education of junior high school and above and engaged in manual labor were protective factors against DM among the participants.
      Conclusion  The prevalence rate of DM is relatively high and mainly influenced by age, education, occupation, family DM history, smoking, alcohol drinking, hypertension history, and abnormalities of TB/LDL/HDL among middle-aged and elderly urban residents in Hebei province.

     

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