【摘要】 目的:了解广州东山、越秀区居民糖尿病(DM)现患状况及危险因素。方法:采用多阶段随机整群抽样方法,对被抽中家庭中所有2 0岁及以上常住户口居民,用入户询问、医学体检及实验室检测相结合的方法进行调查,Iogistic回归分析方法筛选糖尿病危险因素。结果:调查775人,患病率为6 .6 %,标化患病率为4 . 4 %,男女患病率分别为4 .2 %和8 .4 %,女性高于男性(χ2 =5 . 4 5 ,P <0 . 0 5 ) ;总患病率和女性患病率随年龄增加而上升(趋势分析χ2 总=34 .4 5 ,P <0 . 0 1 ,χ2 女=4 0 .6 8,P <0 . 0 1 ) ,6 0岁以上年龄组患病率明显升高,以≥70岁组最高;男性无明显年龄变化趋势(趋势分析χ2 男=2 . 2 8,P >0 .0 5 )。logistic回归分析结果显示,与糖尿病密切相关的因素有年龄、性别、文化程度、糖尿病家族史和腰围,OR值分别为1 . 835 ,2 . 348,0 . 6 98,3 4 .84和1 . 792。结论:在糖尿病主要危险因素中,文化程度和肥胖是可干预因素。预防和控制糖尿病需从早期开始,从加强健康教育、预防控制肥胖开始。更多还原

【Abstract】 Objective:To study the prevalence and risk factors of diatetes mellitus in residents of Dongshan and Yuexiu District of Guangzhou.Methods:Multi-stage random cluster sampling was employed to recruit subjects who were 20 years of age or over and were permanent residents of Guangzhou.Data were collected through a door-to-door survey,physical examination and laboratory testing.Risk factors of diabetes mellitus were analyzed by logistic regression.Results:A total of 775 persons were investigated.The prevalence of diabetes mellitus was 66% and the standardized rate was 41%.The gender-specific rate was 42% for males and 84% for females.Females had a higher prevalence rate than males(χ2=545,P<005).The total prevalence rate and female prevalence rate were increased by age(trend test χ2 total=3445,P<001,χ2 female=4068,P>001).The prevalence in the age group above 60 years old increased significantly and the peak was seen in the age group above 70 years old.There were no significant age-related changes in males(trend test χ2 male=228,P>0.05).Logistic regression indicated that age,sex,education level,family history of diabetes mellitus and waistline were associated with diabetes mellitus(OR=1835,2348,0698,3484,1792 respectively).Conclusion:Among the main risk factors of diabetes mellitus,education level and overweight are factors that can be intervened.Prevention and control of diabetes mellitus should be initiated as early as possible and should be started with health education and prevention and control of overweight.更多还原