CAJ | 학술논문

目的：了解2006-2009年青岛人口2型糖尿病患病率变化趋势及其影响因素。方法方法采用多阶段分层随机整群抽样的方法，通过随机选取年龄在35-74岁居住在中国青岛的人，2006年样本4525例，2009年选取4260例。进行问卷调查和身高、体重、血压的测量,并测血糖及血脂，所有人都做标准的OGTT实验。应用多因素Logistic回归分析糖尿病患病的影响因素。结果2006年，糖尿病标准化患病率为16.26,而2009年患病率为17.41（χ2=15.296， p=0.000,p<0.05），2006年男性患病率为17.44，2009年男性患病率为18.89（χ2=5.862，p=0.015,p<0.05）。2006女性患病率为15.62，而2009年女性患病率为16.63（χ2=9.743，p=0.002,p<0.05），糖尿病患病率呈增长趋势。多因素Logistic回归分析显示年龄、体重指数、血压和甘油三酯是糖尿病的危险因素。结论在过去的三年里青岛地区的糖尿病患病率呈增长趋势，及时干预以防止进一步增加糖尿病的患病率是迫切需要的。
목적：료해2006-2009년청도인구2형당뇨병환병솔변화추세급기영향인소。방법방법채용다계단분층수궤정군추양적방법，통과수궤선취년령재35-74세거주재중국청도적인，2006년양본4525례，2009년선취4260례。진행문권조사화신고、체중、혈압적측량,병측혈당급혈지，소유인도주표준적OGTT실험。응용다인소Logistic회귀분석당뇨병환병적영향인소。결과2006년，당뇨병표준화환병솔위16.26,이2009년환병솔위17.41（χ2=15.296， p=0.000,p<0.05），2006년남성환병솔위17.44，2009년남성환병솔위18.89（χ2=5.862，p=0.015,p<0.05）。2006녀성환병솔위15.62，이2009년녀성환병솔위16.63（χ2=9.743，p=0.002,p<0.05），당뇨병환병솔정증장추세。다인소Logistic회귀분석현시년령、체중지수、혈압화감유삼지시당뇨병적위험인소。결론재과거적삼년리청도지구적당뇨병환병솔정증장추세，급시간예이방지진일보증가당뇨병적환병솔시박절수요적。
Objective to determine the secular trend of prevalence of Type 2 diabetes and its influencing factors in a Qingdao population from 2006 to 2009.Methods With a stratified multi-stage cluster random sampling method, we selected population aged 35-74 years and living in Qingdao, China in 2006 ( n= 4525) and 2009 (n = 4260).A questionnaire-based survey was performed in conjunction of the measurement of body height, body weight, blood glucose ,blood pressure and blood lipid among the inhabitants. Al participants underwent standardized 2-h 75-g oral glucose tolerance tests (OGTTs).In addition, a multivariate unconditional Logistic regression model was employed to analyze the factors of diabetes. Results the age-standardized prevalence of diabetes in 2006 was 16.26,whereas the prevalences in 2009 was 17.41(χ2=15.296,p=0.000,p<0.05). the age-standardized prevalence of diabetes in men in 2006 was 17.44, whereas the prevalences in men in 2009 was 18.89(χ2=5.862,p=0.015,p<0.05).The age-standardized prevalence of diabetes in women in 2006 was 15.62 ,whereas the prevalence in women in 2009 were 16.63(χ2=9.743,p=0.002,p<0.05).It was a increasing trend in prevalence of diabetes .ConclusionsQingdao has experienced a increase in the prevalence of diabetes and in the past 3 years. Intervention to prevent a further increase in the prevalence of diabetes is urgently required.