肇庆市农村地区40岁以上高血压人群糖尿病的流行现状及影响因素(1)
【摘要】 目的：调查肇庆市农村地区40岁以上高血压人群糖尿病的流行现状及影响因素。方法：抽取969例肇庆市农村地区40岁以上人群作为研究对象。采用自制调查问卷，收集人口学特征及糖尿病家族史;采用集中体检，记录身高、体重、血糖、血压及血脂水平。采用Logistic回归分析确定高血压人群糖尿病流行病现状及相关影响因素。结果：在纳入对象中，高血压检出率为44.21%(340/969)，糖尿病检出率为16.72%(162/969);在高血压人群中，糖尿病检出率为23.23(79/340)。对糖尿病影响因素进行多因素Logistic回归分析，结果表明，高龄、超重、肥胖、向心性肥胖、糖尿病家族史、高血糖、代谢综合征为导致高血压人群患糖尿病的重要因素，差异均有统计学意义(P<0.05)。结论：在农村地区，高血压人群糖尿病的检出率比较高，对于高龄、超重或肥胖，尤其是向心性肥胖、糖尿病家族史、高血糖及具有代谢综合征的人群，应进一步开展糖尿病Ⅰ级预防，降低疾病发病率。
【关键词】 农村地区 高血压 糖尿病 危险因素 流行病
doi：10.14033/j.cnki.cfmr.2020.12.067 文献标识码 B 文章编号 1674-6805(2020)12-0-03
Prevalence and Influencing Factors of Diabetes Mellitus in Hypertension Population over 40 Years Old in Rural Areas of Zhaoqing City/LU Suying， HUANG Guohua， XIAN Guojia. //Chinese and Foreign Medical Research， 2020， 18(12)： -160
[Abstract] Objective： To investigate the prevalence and influencing factors of diabetes mellitus in hypertension population over 40 years old in rural areas of Zhaoqing City. Method： A total of 969 people over 40 years old in rural areas of Zhaoqing city were included in the study. The self-designed questionnaire was used to collect the demographic characteristics and family history of diabetes. The height， weight， blood glucose， blood pressure and blood lipid were recorded by centralized physical examination. Logistic regression analysis was used to determine the prevalence of diabetes and related factors in hypertension population. Result： The detection rate of hypertension was 44.21% (340/969)， diabetes was 16.72% (162/969)， and diabetes was 23.23 (79/340) in hypertension population. The results showed that old age， overweight， obesity， family history of diabetes mellitus， hyperglycemia and metabolic syndrome were the important factors leading to diabetes mellitus， the differences were statistically significant (P<0.05). Conclusion： In rural areas， the prevalence rate of diabetes in hypertension is relatively high. For elderly， overweight or obese， especially those with centripetal obesity， family history of diabetes， hyperglycemia and metabolic syndrome， level Ⅰ prevention should be further carried out to reduce the incidence of disease.
[Key words] Rural areas Hypertension Diabetes Risk factors Epidemics
First-author’s address： Zhaoqing Center for Disease Control and Prevention， Zhaoqing 526000， China
隨着我国社会饮食结构、生活习惯、工作压力的不断变化，高血压及糖尿病人群逐渐增多，2016年已确诊高血压患者高达2.7亿[1-2]，而我国糖尿病患者数量高居全球第二，且其发生率仍处于上升趋势。有研究显示，高血压患者糖尿病检出率高达24.3%～70.3%，已经成为我国重要疾病负担之一[3]。尤其在我国农村地区，由于经济文化落后、医疗环境及慢性病管理状况相对落后。基于此，本研究对肇庆市农村地区40岁以上高血压人群糖尿病的流行现状及影响因素进行分析，这对于掌握我国农村地区糖尿病发病状况及其影响因素、降低合并症风险具有积极意义，具体如下。, http://www.100md.com(陆素颖 黄国华 冼国佳)
【关键词】 农村地区 高血压 糖尿病 危险因素 流行病
doi：10.14033/j.cnki.cfmr.2020.12.067 文献标识码 B 文章编号 1674-6805(2020)12-0-03
Prevalence and Influencing Factors of Diabetes Mellitus in Hypertension Population over 40 Years Old in Rural Areas of Zhaoqing City/LU Suying， HUANG Guohua， XIAN Guojia. //Chinese and Foreign Medical Research， 2020， 18(12)： -160
[Abstract] Objective： To investigate the prevalence and influencing factors of diabetes mellitus in hypertension population over 40 years old in rural areas of Zhaoqing City. Method： A total of 969 people over 40 years old in rural areas of Zhaoqing city were included in the study. The self-designed questionnaire was used to collect the demographic characteristics and family history of diabetes. The height， weight， blood glucose， blood pressure and blood lipid were recorded by centralized physical examination. Logistic regression analysis was used to determine the prevalence of diabetes and related factors in hypertension population. Result： The detection rate of hypertension was 44.21% (340/969)， diabetes was 16.72% (162/969)， and diabetes was 23.23 (79/340) in hypertension population. The results showed that old age， overweight， obesity， family history of diabetes mellitus， hyperglycemia and metabolic syndrome were the important factors leading to diabetes mellitus， the differences were statistically significant (P<0.05). Conclusion： In rural areas， the prevalence rate of diabetes in hypertension is relatively high. For elderly， overweight or obese， especially those with centripetal obesity， family history of diabetes， hyperglycemia and metabolic syndrome， level Ⅰ prevention should be further carried out to reduce the incidence of disease.
[Key words] Rural areas Hypertension Diabetes Risk factors Epidemics
First-author’s address： Zhaoqing Center for Disease Control and Prevention， Zhaoqing 526000， China
隨着我国社会饮食结构、生活习惯、工作压力的不断变化，高血压及糖尿病人群逐渐增多，2016年已确诊高血压患者高达2.7亿[1-2]，而我国糖尿病患者数量高居全球第二，且其发生率仍处于上升趋势。有研究显示，高血压患者糖尿病检出率高达24.3%～70.3%，已经成为我国重要疾病负担之一[3]。尤其在我国农村地区，由于经济文化落后、医疗环境及慢性病管理状况相对落后。基于此，本研究对肇庆市农村地区40岁以上高血压人群糖尿病的流行现状及影响因素进行分析，这对于掌握我国农村地区糖尿病发病状况及其影响因素、降低合并症风险具有积极意义，具体如下。, http://www.100md.com(陆素颖 黄国华 冼国佳)
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