【摘要】 目的 了解合肥市城市和农村居民糖尿病影响因素的差异，为开展糖尿病防制及研究提供依据。方法 于2021年8—12月，采用多阶段分层整群抽样方法抽取合肥市5个区（县）≥18岁的常住居民为调查对象，通过问卷调查收集人口学信息、吸烟、自评健康状况和睡眠时长等资料，测量身高、体重和空腹血糖；计算糖尿病粗患病率，并根据《中国统计年鉴（2022）》的年龄别人口构成进行标化；采用多因素logistic回归模型分析糖尿病患病的影响因素。结果 调查10 443人，其中城市6 386人，占61.15%；农村4 057人，占38.85%。男性4 690人，占44.91%；女性5 753人，占55.09%。检出糖尿病1 492例，标化患病率为9.57%；城市和农村居民糖尿病标化患病率分别为9.21%和12.58%，差异有统计学意义（P<0.05）。多因素logistic回归分析结果显示，地区、年龄、文化程度、职业、体质指数和自评健康状况是全人群糖尿病患病的影响因素；城市和农村分层分析结果显示，除上述影响因素外，性别、吸烟是城市居民糖尿病患病的影响因素；睡眠时长是农村居民糖尿病患病的影响因素（均P<0.05）。结论 合肥市居民糖尿病患病率存在城乡差异，糖尿病患病主要与年龄、文化程度、职业、体质指数和自评健康状况等有关。更多还原

【Abstract】 ObjectiveTo investigate the difference in influencing factors for diabetes between urban and rural residents in Hefei City, so as to provide the basis for control and research of diabetes.MethodsThe residents aged 18 years and older were selected using the stratified multistage random sampling method from 5 districts(counties) in Hefei City from August to December 2021. Demographic information, smoking, self-rated health status and sleep duration were collected through questionnaire surveys. Height, body weight and fasting blood glucose were measured. The crude prevalence of diabetes was calculated and standardized by age using China Statistical Yearbook 2022. Factors affecting diabetes were identified using a multivariable logistic regression model.ResultsTotally 10 443 residents were investigated,including 6 386 urban residents(61.15%) and 4 057 rural residents(38.85%). There were 4 690 males(44.91%) and 5 753 females(55.09%). Diabetes were detected in 1 492 cases, with a standardized prevalence of 9.57%. The standardized prevalence of diabetes among urban and rural residents were 9.21% and 12.58%, respectively, and the difference was statistically significant(P<0.05). Multivariable logistic regression analysis showed that region, age, educational level,occupation, body mass index and self-rated health status were influencing factors for diabetes. Further analysis stratified by urban and rural area showed that, in addition to the above factors, gender and smoking were influencing factors for diabetes among urban residents, while sleep duration was the influencing factor for diabetes among rural residents(all P<0.05).Conclusion and the prevalence of diabetes is associated with age, educational level, occupation, body mass index and self-ratedhealth status.更多还原