【作者】 苏美芳； 田娜； 李松涛； 应旭华； 何纳； 付朝伟； 姜庆五；

【Author】 SU Meifang;TIAN Na;LI Songtao;YING Xuhua;HE Na;FU Chaowei;JIANG Qingwu;Yuhuan County Center of Disease Control and Prevention;

【机构】 浙江省玉环县疾病预防控制中心； 复旦大学公共卫生学院流行病学教研室,公共卫生安全教育部重点实验室；

【摘要】 目的了解玉环农村社区35周岁及以上居民高血糖现状及其可能影响因素。方法采用流行病学现况研究设计,于2009年至2010年开展玉环农村人群健康队列基线调查,面对面调查所有农村社区中35周岁及以上的社区户籍居民(125 479人),同时体检,测量空腹血糖等指标。应用非条件Logistic回归模型在SPSS 16.0中进行相关因素分析。按照2000年全国人口进行年龄标化。结果118 274名实际完成调查的对象平均空腹血糖为(5.4±1.8)mmol/L,性别差异无统计学意义。糖尿病、空腹血糖受损及高空腹血糖的粗患病率分别为10.1%、19.4%和29.5%(标化患病率分别为9.3%、19.8%和29.1%)。不同性别人群的血糖异常情况略有不同,男性居民略高于女性,性别差异有统计学意义(χ2=113.58,P<0.001)。从年龄分布看,高血糖患病率35~44岁最低为19.9%,55~64岁最高为36.4%,不同年龄组之间的分布均有统计学差异。在非条件Logistic回归模型中,调整了其他协变量之后,年龄、性别、是否务农、规律体育锻炼、吸烟、饮酒和BMI与高血糖风险有关。结论玉环县农村社区35周岁及以上居民高血糖水平较高。更多还原

【Abstract】 Objective To describe the prevalence of hyperglycemia among rural adults aged 35 years old and above in Yuhuan,China.Method A cross-sectional study was carried out as a baseline study of Rural Yuhuan Health Population Cohort in all communities in Yuhuan County,Zhejiang Province,China.A total of 125 479 subjects aged 35 years old or above participated in this study to collect the general demographics and measure hypertension,fast glucose and etc.In SPSS 16.0,non-conditional Logistic regression model was used for related factors analysis.Result Among 118 274 eligible subjects,the average fasting glucose was( 5.4 ± 1.8) mmol / L and the average for men was higher than that for women.The crude prevalences of diabetes,impaired fasting glucose and hyperglycemia were 10.1 %,19.4 % and 29.5 %( the age and sexstandardized one was 9.3 %,19.8 % and 29.1 %),respectively.There were significant gender differences in both the average level of fasting glucose and the prevalence of hyperglycemia( P < 0.001).The prevalences of hyperglycemia varied statistically over different age groups from 19.9 % in the lowest group of 35-39 years old to 36.4 % in the highest group of 60-64 years old.In the non-conditional logistic regression model,age,sex,farmer,regular exercise,smoking,alcohol drinking and body mass index were related to hyperglycemia after the adjustment of other covariates.Conclusion Hyperglycemia was common in adults aged 35 years old and above living in rural China.更多还原