【摘要】 目的了解兰州市七里河区20岁以上常住人口的2型糖尿病的患病情况并分析其危险因素,为制定2型糖尿病的控制规划提供依据。方法采用多阶段分层和整群抽样方法对该区9 070名常住居民进行问卷调查、体格检查及血液生化等指标检测,运用χ2检验、多因素非条件Logistic回归分析法分析危险因素。结果2型糖尿病患病率为16.41%,其中男性16.63%,女性16.22%,性别间差异无统计学意义(χ2=0.283,P=0.307);随年龄增长患病率呈上升趋势,不同年龄组之间差异有统计学意义(χ2=162.903,P=0.000)。多因素非条件Logistic回归分析结果显示:年龄、超重、高血压是糖尿病的危险因素,积极乐观的情绪是保护因素。结论该地居民2型糖尿病患病率较高,需要通过加强健教育,倡导良好的生活方式等手段控制疾病流行。更多还原

【Abstract】 Objective To investigate the prevalence and risk factors of type 2 diabetes mellitus among there sidents older than 20 years in a community in Qiliher District, Lanzhou. Methods Using multiple stage stratified cluster sampling method, 9 070 permanent residents whoseages were over 20 years were surveyed by questionnaire and given physical examinationand laboratory blood test. Chi-square analysis was used to test the difference of prevalence among different groups. Multivariate Logistic regression was performed to estimate the odd ratios of all risk factors. Results The prevalence of the type 2 diabetes among the 9 070 residents was 16.41%. The prevalence was 16.63% among males and16. 22%among females. The prevalence of the type 2 diabetes increased monotonically with theincrease of age.The risk factors of diabetes included age, overweight and hypertension, while optimistic attitude is the protective factor. Conclusions The prevalence of the type 2 diabetes in this community was among the highest in China.Strengthen health education and advocating a healthy lifestyle were necessary to properly control type 2 diabetes mellitus.更多还原