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农村居民2型糖尿病致病危险因素研究

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目的 了解山西省阳曲县农村居民2型糖尿病(type 2 diabetes mellitus,T2DM)分布特征及致病危险因素.方法 2020年10月采用多阶段分层整群随机抽样法,选取山西省阳曲县农村地区5028例18岁及以上居民为研究对象,采用问卷调查与体格检查相结合的方式进行研究,采用非条件Logistic回归分析评价T2DM致病危险因素.结果 山西省阳曲县农村地区18岁及以上居民T2DM患病率为11.8%(95%CI:10.9%~12.6%).其中,男性患病率为8.6%(95%CI:7.4%~9.8%),女性患病率为 14.1%(95%CI:12.9%~15.4%).非条件 Logistic 回归分析结果显示,女性(OR=1.619,95%CI:1.324~1.981)、高龄(OR=5.909,95%CI:2.893~12.072;OR=9.575,95%CI:4.802~19.095;OR=11.779,95%CI:5.896~23.535;OR=8.793,95%CI:4.238~18.244);高血压(OR=2.468,95%CI:2.013~3.027)、高血脂(OR=2.968,95%CI:2.232~3.947)及糖尿病家族史(OR=7.253,95%CI:5.434~9.682)与T2DM存在显著关联性.结论 女性、高龄、高血压、高血脂、糖尿病家族史是山西省阳曲县农村地区T2DM的危险因素.
Risk Factors of Type 2 Diabetes Mellitus in Rural Residents
Objective To investigate the distribution characteristics and risk factors of type 2 diabetes mellitus(T2DM)in rural residents of Yangqu county,Shanxi province.Methods In October 2020,a total of 5028 residents aged 18 years and above in rural are-as of Yangqu county,Shanxi province were selected as the research subjects by multi-stage stratified cluster random sampling.Question-naire survey and physical examination were used to conduct the study.Unconditional Logistic regression was used to analyze the risk factors for T2DM.Results In rural areas of Yangqu county,Shanxi province,11.8%(95%CI:10.9%-12.6%)of residents who were aged 18 years and above had T2DM.The prevalence of females was 14.1%(95%Cl:12.9%-15.4%)and males was 8.6%(95%CI:7.4%-9.8%).The results of unconditional Logistic regression showed that female(OR=1.619,95%CI:1.324-1.981),advanced age(OR=5.909,95%CI:2.893-12.072;OR=9.575,95%CI:4.802-19.095;OR=11.779,95%CI:5.896-23.535;OR=8.793,95%CI:4.238-18.244),hypertension(OR=2.468,95%CI:2.013-3.027),hyperlipidemia(OR=2.968,95%CI:2.232-3.947),and family history of diabetes mellitus(OR=7.253,95%CI:5.434-9.682)were significantly associated with T2DM.Conclusion Female,advanced age,hypertension,hyperlipidemia,and family history of diabetes mellitus were the risk factors of T2DM in rural residents of Yangqu county,Shanxi province.

Type 2 diabetes mellitusRisk factorsRural resident

柴荟琳、王梦琴、郭宇燕、程晓雨、赵书红、梁瑞峰

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030001 太原,山西医科大学公共卫生学院

030013 太原,山西省卫生健康委员会医疗服务与管理评价中心

2型糖尿病 危险因素 农村居民

山西省研究生教育创新项目中国-盖茨基金会农村基本卫生保健项目中国-盖茨基金会农村基本卫生保健山西省子项目

2022Y408CSSX202103PHC-I04

2024

医学研究杂志
中国医学科学院

医学研究杂志

CSTPCD
影响因子:0.702
ISSN:1673-548X
年,卷(期):2024.53(5)