Current situation of prevalence and risk factors of diabetes in Jingyang District of Deyang City in 2023
Objective To analyze the related influencing factors of type 2 diabetes in Jingyang District of Deyang Dity,and to provide theoretical basis for the prevention and control of type 2 diabetes scientific in this area.Methods The method of multi-stage stratified random sampling was used to select permanent residents aged 18 years and above in Jingyang District for physical measurement,questionnaire survey(demographic basic information,behavior habits,morbidity,etc.)and laboratory testing(fasting venous blood glucose,cholesterol,triglycerides,high-density lipoprotein,low-density lipoprotein).Information of age,gender,education level,marital status,total family income,insurance participation,occupation,smoking,drinking,physical indicators,biochemical indicators,etc.were collected.SPSS 21.0 software was used for statistical analysis.The prevalence of diabetes for adult was analyzed by x2 test or Fisher's exact probability method,and the influencing factors were analyzed by logistic regression method,the testing level α=0.05.Results In 2023,the prevalence rate of diabetes in Jingyang District of Deyang City was 13.16％,of which the prevalence rate of diabetes in men was 14.32％,and that in women was 12.08％.The difference in the prevalence rate between men and women was considered statistically significant(x2=19.504,P＜0.001).The results of Logistic regression analysis showed that ages over 45 years old(45-59 years old:OR=2.684,95％CI:1.764-4.085,P＜0.001;60-74 years old:OR=4.996,95％CI:3.207-7.785,P＜0.001;75 years old and above:OR=5.777,95％CI:3.382-9.867,P＜0.001),male(OR=1.587,95％CI:1.291-1.951,P＜0.001),the education level of primary school and below(junior high school:OR=0.741,95％CI:0.585-0.938,P=0.013;High school/vocational school/technical school:OR=0.459,95％CI:0.331-0.635,P＜0.001;Associate degree:OR=0.192,95％CI:0.120-0.307,P＜0.001;Bachelor degree and above:OR=0.211,95％CI:0.124-0.357,P＜0.001),employed as a production worker in the agricultural,forestry,animal husbandry,fishery and water conservancy industry(administrative and related personnel:OR=0.511,95％CI:0.303-0.861,P=0.012;Professional and technical personnel:OR=0.294,95％CI:0.168-0.516,P＜0.001;Students:OR=0.010,95％CI:0.065-0.689,P=0.010).The coverage was basic medical insurance for urban and rural residents(OR=1.451,95％CI:1.173-1.796,P＜0.001),those were suffered from hypertension(OR=1.913,95％CI:1.537-2.382,P＜0.001),smoking(smoke everyday:OR=1.674,95％CI:1.296-2.163,P＜0.001,occasional smoking:OR=1.502,95％CI:1.110-2.032,P=0.008),overweight(OR=1.298,95％CI:1.031-1.635,P=0.027);Obesity(OR=1.879,95％CI:1.411-2.504,P＜0.001),central obesity(OR=1.550,95％CI:1.154-2.082,P=0.004),dyslipidemia(OR=1.788,95％CI:1.429-2.238,P＜0.001)were risk factors for diabetes.Conclusions The prevalence of diabetes in Jingyang District of Deyang City is at a high level.In the next step,we should focus on risk factors such as age 45 and above,male,low education level,personnel of agriculture,forestry,animal husbandry,fishing,and water conservancy production,those who participate in basic medical insurance for urban and rural residents,hypertension,smoking,large waist size and dyslipidemia.Government agencies should increase health investment,strengthen health functions,health departments of goverment should strengthen health publicity,advocate healthy lifestyles,and scientifically and effectively control the prevalence of diabetes.
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