CAJ | 학술논문

目的：了解丰都县农村居民糖尿病流行现状及影响因素，为开展农村地区糖尿病综合防控提供建议。方法采用分层整群随机抽样的方法调查18岁及以上农村居民，采用 Epidata3．02双录入后用 SPSS16．0进行统计分析，率的比较采用χ2检验，糖尿病的影响因素采用多因素 Logistic 回归分析进行鉴别。结果共计调查农村居民623人，平均年龄（51．3±1．4）岁，现在吸烟率为20．2％，其中男性吸烟率为53．0％，被动吸烟率为38．2％；过去12个月饮酒率为22．8％，其中男性饮酒率为41．7％；农村居民身高、体质量、腰围、血压、血糖知晓率分别为9．5％、13．6％、1．9％、50．1％与12．4％。肥胖患病率为11．4％，标化肥胖患病率8．3％，高血压患病率52．5％，高血压标化患病率28．4％，糖尿病患病率12．0％，糖尿病标化患病率9．3％。多因素回归分析结果显示，父母是否患糖尿病（OR＝0．20，95％CI ：0．04～0．94）、是否患高血压（OR＝2．31，95％CI ：1．19～4．49）是糖尿病患病率的独立影响因素。结论丰都县农村居民糖尿病患病率高，吸烟、饮酒、膳食不合理等危险因素普遍存在，应重视农村地区糖尿病防控工作。
목적：료해봉도현농촌거민당뇨병류행현상급영향인소，위개전농촌지구당뇨병종합방공제공건의。방법채용분층정군수궤추양적방법조사18세급이상농촌거민，채용 Epidata3．02쌍록입후용 SPSS16．0진행통계분석，솔적비교채용χ2검험，당뇨병적영향인소채용다인소 Logistic 회귀분석진행감별。결과공계조사농촌거민623인，평균년령（51．3±1．4）세，현재흡연솔위20．2％，기중남성흡연솔위53．0％，피동흡연솔위38．2％；과거12개월음주솔위22．8％，기중남성음주솔위41．7％；농촌거민신고、체질량、요위、혈압、혈당지효솔분별위9．5％、13．6％、1．9％、50．1％여12．4％。비반환병솔위11．4％，표화비반환병솔8．3％，고혈압환병솔52．5％，고혈압표화환병솔28．4％，당뇨병환병솔12．0％，당뇨병표화환병솔9．3％。다인소회귀분석결과현시，부모시부환당뇨병（OR＝0．20，95％CI ：0．04～0．94）、시부환고혈압（OR＝2．31，95％CI ：1．19～4．49）시당뇨병환병솔적독립영향인소。결론봉도현농촌거민당뇨병환병솔고，흡연、음주、선식불합리등위험인소보편존재，응중시농촌지구당뇨병방공공작。
Objective To understand the prevalence of diabetes and its influencing factors among rural residents in Fengdu coun-ty of Chongqing and to provide the suggestion for diabetes prevention and control.Methods Rural residents aged above 18 years old were sampled by stratified clustered random sampling.The data was entered by software Epi data3.02 and analyzed by SPSS 16.0.The rate was compared by Chi-square test.The influencing factors of diabetes was identified by multivariate logistic regres-sion.Results A total of 623 rural residents was investigated.The average age was (51.3±1.4)years old.The rate of smoking at present was 20.2% and the rate of smoking at present among male rural residents was 53.0%.The rate of passive smoking was 38.2%.The rate of drinking alcohol in the past 12 months was 22.8%.And its rate of male residents was 41.7%.The awareness rate of height,body weight,waist circumference,blood pressure and blood glucose was 9.5%,13.6%,1.9%,50.1% and 12.4%respectively.The crude and adjusted prevalence of obesity,hypertension and diabetes was 11.4% and 8.3%,52.5% and 28.4%, 12.0% and 9.3%.The result of multivariate logistic regression indicated that whether parents had diabetes(OR=0.20,95%CI :0. 04-0.94)and whether participants was diagnosed to be hypertension (OR=2.31,95%CI :1.19-4.49)was the independent fac-tor of diabetes.Conclusion The prevalence of diabetes among rural residents in Fengdu county of Chongqing was high.The risk factors such as smoking,alcohol use and unbalance diet was common.It should be strengthened to conduct the comprehensive ine-trevention for diabetes in rural area.