基于GIS的中国中老年人糖尿病空间分布及其影响因素分析

发布时间：2018-04-01 21:08

本文选题：糖尿病　切入点：患病率　出处：《中华疾病控制杂志》2017年11期

【摘要】：目的基于地理信息系统(geographic information system,GIS)技术了解中国45岁及以上中老年人糖尿病患病的空间分布状况,以及主要影响因素的空间分布异质性,为完善区域化糖尿病防控措施提供科学依据。方法采用2011年中国健康与养老追踪调查的基线数据,共纳入11 538名受访者。采用Geoda和Arc GIS 10.2软件进行糖尿病患病及其主要影响因素的空间分析。结果 2011年,我国(除香港、澳门、台湾、海南、宁夏和西藏外)45岁及以上中老年人糖尿病及糖尿病前期患病率分别为15.1%(患病率范围为7.9%~33.5%)和40.0%(前期患病率范围为17.6%~61.3%)。局部空间分析显示糖尿病患病率的聚集区域主要集中在我国北部(天津市和河北省)。地理加权回归显示高学历人群比重、超重率、高C反应蛋白率为糖尿病患病主要影响因素且存在空间分布异质性。结论中国有半数以上(55.1%)中老年人受到糖尿病威胁。糖尿病患病率及其主要影响因素具有空间分布异质性,重点防控区域主要集中在东北和北部地区,不同地区防治措施侧重应该有所不同。
[Abstract]:Objective to understand the spatial distribution of diabetes mellitus and the spatial heterogeneity of the main influencing factors in Chinese aged 45 years and over, based on the geographic information system (GIS) technique.To improve the regional diabetes prevention and control measures to provide scientific basis.Methods 11 538 respondents were included in the baseline data of the 2011 China Health and Old-Age Survey.Geoda and Arc GIS 10.2 software were used to analyze the prevalence of diabetes mellitus and its main influencing factors.Results in 2011, the prevalence rates of diabetes and diabetes were 15.1in China (excluding Hong Kong, Macao, Taiwan, Hainan, Ningxia and Tibet) and over 45 years old.Local spatial analysis showed that the prevalence of diabetes was mainly concentrated in the northern part of China (Tianjin and Hebei Province).Geographic weighted regression analysis showed that the proportion of high educated population, overweight rate and high C-reactive protein rate were the main influencing factors and spatial heterogeneity of diabetes mellitus.Conclusion more than half of the elderly in China are threatened by diabetes mellitus.The prevalence rate of diabetes mellitus and its main influencing factors are heterogeneity in spatial distribution. The main prevention and control areas are mainly in the northeast and northern regions, and the prevention and control measures should be different in different regions.
【作者单位】：中南大学湘雅公共卫生学院流行病与卫生统计学系;湖南省职业病防治院防治科;
【基金】：北京海淀区疾病预防控制中心横向科研项目(2015)
【分类号】：R587.1

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