CAJ | 학술논문

目的：掌握河南省居民糖尿病的患病现况及其分布特征，为制定河南省糖尿病防控策略提供基础数据。方法：采用多阶段抽样方法，对河南省15～74岁城乡居民进行调查。结果：河南省15～74岁居民糖尿病患病率为9．21％（标化后为9．96％）。城乡之间患病率比较差异无统计学意义（χ2＝0．024，P＝0．877），分别为9．25％和9．18％。男女之间比较差异亦无统计学意义（χ2＝2．075，P＝0．150），分别为9．54％和8．94％。随着年龄的增长糖尿病的患病率逐渐上升（χ2趋势＝1521．916，P＜0．001）。不同职业居民糖尿病患病率比较，差异有统计学意义（χ2＝435．482，P＜0．001），较高的为离退休人员和农民，分别为23．89％和11．07％。不同文化程度居民糖尿病患病率比较，差异有统计学意义（χ2＝506．371， P＜0．001）。低体重、正常体重、超重、肥胖居民糖尿病患病率逐渐升高（χ2趋势＝583．366，P＜0．001），且超重和肥胖居民糖尿病患病率高于正常体重者（P＜0．001）。中心性肥胖居民糖尿病患病率高于腰围正常居民（χ2＝609．229，P＜0．001）。结论：河南省糖尿病患病率处于较高的水平。采取针对性的预防控制措施是目前河南省糖尿病防治工作的重要内容。
목적：장악하남성거민당뇨병적환병현황급기분포특정，위제정하남성당뇨병방공책략제공기출수거。방법：채용다계단추양방법，대하남성15～74세성향거민진행조사。결과：하남성15～74세거민당뇨병환병솔위9．21％（표화후위9．96％）。성향지간환병솔비교차이무통계학의의（χ2＝0．024，P＝0．877），분별위9．25％화9．18％。남녀지간비교차이역무통계학의의（χ2＝2．075，P＝0．150），분별위9．54％화8．94％。수착년령적증장당뇨병적환병솔축점상승（χ2추세＝1521．916，P＜0．001）。불동직업거민당뇨병환병솔비교，차이유통계학의의（χ2＝435．482，P＜0．001），교고적위리퇴휴인원화농민，분별위23．89％화11．07％。불동문화정도거민당뇨병환병솔비교，차이유통계학의의（χ2＝506．371， P＜0．001）。저체중、정상체중、초중、비반거민당뇨병환병솔축점승고（χ2추세＝583．366，P＜0．001），차초중화비반거민당뇨병환병솔고우정상체중자（P＜0．001）。중심성비반거민당뇨병환병솔고우요위정상거민（χ2＝609．229，P＜0．001）。결론：하남성당뇨병환병솔처우교고적수평。채취침대성적예방공제조시시목전하남성당뇨병방치공작적중요내용。
Aim: To master the prevalence and distribution characteristics of diabetes ( DM ) among residents in Henan, and to provide basic data for developing intervention strategy .Methods: Through multistage sampling method , residents aged between 15 and 74 years in Henan was studied .Results: The prevalence rate of DM was 9.21% in the population aged 15 and 74 years (standardized rate was 9.96%).The prevalence rates of DM in urban and rural areas were 9.25% and 9.18% respectively(χ2 =0.024,P=0.877).The prevalence rates of DM in men and women were 9.54% and 8.94%respectively(χ2 =2.075,P=0.150).The prevalence rate of DM increased with increasing age (χ2trend =1 521.916,P<0.001).There was significant difference in DM prevalence rate among people of different occupations (χ2 =435.482,P<0.001).Compared with other occupations , the prevalence rates of DM in retirees and peasants were higher , being 23.89%and 11.07%respectively.The prevalence rates of DM showed significant differences among population with different education attainment (χ2 =506.371,P<0.001).The prevalence rates of DM showed significant differences among population with different BMI (χ2trend =583.366,P<0.001), and the prevalence rates of DM in population with overweight and obesity were significantly higher than that of those with normal weight (P<0.001).The prevalence rate of DM in pop-ulation with central obesity was significantly higher than that of those with normal waistline (χ2 =609.229,P<0.001). Conclusion:The prevalence rate of DM was in a higher level in Henan .It should be important to take targeted measures to prevent and control DM .