江西省成人糖尿病流行病学调查及危险因素分析

发布时间：2018-02-03 15:01

本文关键词： 糖尿病糖尿病前期患病率危险因素　出处：《南昌大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:随着经济的发展、生活方式的改变及人口老龄化,中国糖尿病患病率不断增加,但江西地省糖尿病流行病学资料较少,距最近一次流行病学调查已有5年,因此有必要全面了解江西地区糖尿病患病情况。此次研究调查2015年江西省成人糖尿病患病现状并进行危险因素分析,获得江西省成人糖尿病患病率、知晓率及危险因素资料,为江西省糖尿病的防治及慢病防治提供决策依据。方法:采用多阶段分层整群随机抽样法于2015年4月至8月在江西省南昌社区及上饶城乡进行抽样2665名18至79岁常驻居民进行横断面调查。所有受试者均接受有关人口学信息及糖尿病相关病史的问卷调查,空腹测血糖、血脂、尿酸、糖化血红蛋白,并接受身高、体重、血压等测量。既往无糖尿病个人史者均进行口服葡萄糖耐量试验(OGTT),测餐后2小时血糖。采用Epidata3.1软件对数据进行双人录入建立数据库。SPSS17.0软件进行统计分析,率的比较用卡方检验,危险因素采用多因素Logistic回归分析。结果:1、按照WHO诊断标准,江西省成人糖尿病患病率为9.5%,糖尿病前期患病率为17.4%;城市糖尿病患病率为10.3%,农村为8.6%;男性糖尿病患病率为10.6%,女性为8.3%,男性高于女性;按照ADA诊断标准,江西糖尿病患病率为12.3%,糖尿病前期患病率48.6%;城市糖尿病患病率为14.4%,农村为9.9%,城市高于农村;男性糖尿病患病率为13.7%,女性为10.8%,男性高于女性;随着年龄的增长,江西省糖尿病患病率呈上升趋势。2、江西省糖尿病知晓率不高,WHO诊断标准下知晓率为48.6%,ADA诊断标准下知晓率为37.5%。3、江西省糖尿病血糖控制达标率低,以治疗后糖化血红蛋白㩳7.0%为达标标准,达标率为28.6%,以治疗后糖化血红蛋白㩳6.5%为达标标准,达标率为15.1%。4、经Logistic回归分析,结合两种诊断标准,城市居民、男性、高胆固醇、高血压、超重肥胖、腰围增大、中老年、糖尿病家族史阳性、初中以下文化程度是江西省糖尿病发生的独立危险因素。结论:1、按照WHO诊断标准,江西省糖尿病患病率为9.5%,糖尿病前期患病率为17.4%;2、按照ADA诊断标准,江西省糖尿病患病率为12.3%,糖尿病前期患病率为48.6%;3、按照WHO诊断标准,江西省糖尿病知晓率为48.6%,按照ADA诊断标准,江西省糖尿病知晓率为37.5%;4、以糖化血红蛋白㩳7.0%为达标标准,达标率为28.6%,以糖化血行蛋白㩳6.5%为达标标准,达标率为15.1%。5、结合两种诊断标准,江西省糖尿病的危险因素有城市居民、男性、总胆固醇增高、高血压、超重肥胖、中老年、腰围增大、糖尿病家族史阳性、初中以下文化程度;6、江西省糖尿病患病率呈上升趋势,应加强高危人群的筛查。
[Abstract]:Objective: with the development of economy, the change of life style and the aging of the population, the prevalence rate of diabetes in China is increasing, but the epidemiological data of diabetes in Jiangxi Province are less, and it has been five years since the last epidemiological survey. Therefore, it is necessary to comprehensively understand the prevalence of diabetes in Jiangxi. In 2015, the study investigated the prevalence of adult diabetes in Jiangxi Province and analyzed the risk factors, so as to obtain the prevalence, awareness rate and risk factors of diabetes among adults in Jiangxi Province. Methods: the multistage stratified cluster random sampling method was used to sample 2665 patients aged 18 to 79 years in Nanchang community and Shangrao city from April 2015 to August in Jiangxi province. A cross-sectional survey was conducted by resident residents. All subjects received questionnaires on demographic information and diabetes related medical history. Fasting blood glucose, blood lipids, uric acid, glycosylated hemoglobin, and receive height, weight, Blood pressure and blood pressure were measured. OGTT test and 2 hours postprandial blood glucose test were performed in all patients with no personal history of diabetes mellitus. The data were recorded in two pairs with Epidata3.1 software. SPSS 17.0 software was used to carry out statistical analysis, and the rate was compared with chi-square test. Multivariate Logistic regression analysis was used to analyze the risk factors. Results: 1. According to WHO diagnostic criteria, The prevalence rate of adult diabetes in Jiangxi Province was 9.5, the prevalence rate of prediabetes was 17.4; the prevalence rate of diabetes in urban areas was 10.3 and that in rural areas was 8.6; the prevalence rate of diabetes in men was 10.6, and that in women was 8.3 percent, higher in men than in women; according to the diagnostic criteria of ADA, The prevalence rate of diabetes in Jiangxi was 12.3 and the prevalence rate of prediabetes was 48.6; the prevalence rate of diabetes in urban areas was 14.4, and that in rural areas was 9.9.It was higher in urban areas than in rural areas; the prevalence rate of diabetes in men was 13.7 and 10.8 in women, higher in men than in women; with the increase of age, The prevalence rate of diabetes mellitus in Jiangxi Province was on the rise. The awareness rate of diabetes mellitus was not high in Jiangxi Province. The awareness rate under WHO diagnostic criteria was 48.6%. The awareness rate under ADA diagnostic standard was 37.50.3.The rate of diabetes blood sugar control in Jiangxi Province was low, and the glycosylated hemoglobin (HbA1c) was lower after treatment. 7.0% is the standard, the rate of reaching the standard is 28.6%, the glycosylated hemoglobin (HbA1c) after treatment? By Logistic regression analysis, combined with two diagnostic criteria, urban residents, male, high cholesterol, hypertension, overweight and obesity, increasing waist circumference, middle and old age, and diabetes family history were positive. Conclusion: according to the diagnostic criteria of WHO, the prevalence rate of diabetes in Jiangxi Province is 9.5, and the prevalence of prediabetes is 17.40.Conclusion according to the diagnostic criteria of ADA, the prevalence rate of diabetes in Jiangxi Province is 17.40.Conclusion: according to the diagnostic criteria of WHO, the prevalence rate of diabetes in Jiangxi Province is 9.5%. The prevalence rate of diabetes in Jiangxi Province was 12.3, and the prevalence of prediabetes was 48.6. According to the diagnostic criteria of WHO, the awareness rate of diabetes in Jiangxi Province was 48.6. According to the diagnostic criteria of ADA, the awareness rate of diabetes in Jiangxi was 37.545%, with glycosylated hemoglobin (HbA1c). 7.0% as the standard, reaching the standard rate of 28.6%, glycosylated blood line protein? The risk factors of diabetes in Jiangxi Province included urban residents, males, increased total cholesterol, hypertension, overweight and obesity, middle and old age, increased waist circumference, and positive family history of diabetes. The prevalence of diabetes in Jiangxi Province is on the rise, and the screening of high risk population should be strengthened.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R587.1

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