临夏地区糖尿病流行病学调查

摘要

Objective: To investigate the adult diabetes mellitus disease situation and related risk factors in Linxia Region of Gansu Province. Methods:Based on the basic principles of epidemiological sampling survey, the sampling survey on people in Linxia Region of Gansu Province was performed by using cluster stratified random sampling method. Stratified sampling was performed based on national characteristics, economic development level and living environment (urban and rural areas), after that, multistage sampling was performed by simple random sampling method (lottery). Results: DM prevalence rate of the Linxia Region was 8.7%, among which new DM prevalence rate was 3.7%. Male prevalence rate was 12%, and female prevalence rate was 7.1%. Urban inhabitants' DM prevalence rate was 8.3%, and rural inhabitants' DM prevalence rate was 9.0%. Among those polled in study, prevalence rate of diabetes mellitus increased with age. And the higher the education level, the lower of the diabetes mellitus prevalence rate. In Linxia Region, adult diabetes mellitus disease prevalence rate of the male was higher than that of the female, and there was a certain relation between the prevalence and nation, among which, the Hui nationality was higher than Han nationality. By using non-conditional logistic regression analysis, gender, age, nation, educational and cultural level had significant correlation (P<0.05) with prevalence rate of diabetes mellitus. Conclusion:DM prevalence rate of the Linxia Region is lower than the national average, male is higher than female, rural area is higher than urban area, and it shows certain relations to the nationality, educational level, age and others.%目的:调查甘肃省临夏地区成人糖尿病(DM)患病情况及相关危险因素.方法:根据流行病学抽样调查基本原则,运用整群、分层、随机抽样的方法,对甘肃省临夏地区人群进行抽样调查,按照民族特点、经济发展水平和生活环境(城市和农村)进行分层抽样;随后采用简单随机抽样方法抽签法(抓阄法)进行逐级抽样.结果:临夏地区DM患病率为8.7%,其中新发DM患病率为3.7%,男性患病率为12%,女性患病率为7.1%.城市居民DM患病率为8.3%,农村居民DM患病率为9.0%.在受调查者中随着年龄的增长糖尿病患病率也随之增高,受教育程度越高糖尿病患病率越低.临夏地区成人DM患病率男性高于女性,且患病率与民族有一定的相关性,其中回族高于汉族.使用非条件Logistic回归分析,性别、年龄、民族、教育文化程度与糖尿病的患病率增加有显著相关性(P<0.05).结论:临夏地区DM患病率低于全国平均水平,男性高于女性,农村高于城市,且与民族、受教育程度、年龄等具有一定相关性.