论文部分内容阅读
[目的 ]了解不同人群非胰岛素依赖型糖尿病 (NIDDM)的危险因素 ,为该病适宜的社区干预对策与措施的制订提供科学依据。 [方法 ]1 996～ 1 998年以同一方法对城市 (济南市、滨州市 ) 1 1 5例、农村 (东平、安丘、莘县、长清县 ) 1 0 9例、沿海 (日照、长岛、威海、莱州市 ) 1 0 1例NIDDM患者分别进行 1∶2配比病例对照研究。 [结果 ]糖尿病家族史、体重超重、高血压为三人群NIDDM共有的危险因素 ,但作用强度各异 ,合计人群病因分值 (PARP )分别为5 8 5 2 %、6 5 91 %、6 3 5 8% ;低体力活动为城市特有的危险因素 (OR =1 6 88,PARP =2 8 31 % ) ,喜荤食为农村特有的危险因素 ( OR =2 473,PARP =1 7 78% ) ,喜素食为沿海人群的保护因素 ( OR =0 445 ,PARP =-2 0 5 2 % )。 [结论 ]应针对不同人群的共有与特有的危险因素制订NIDDM的社区干预对策与措施。
[Objective] To understand the risk factors of non-insulin-dependent diabetes mellitus (NIDDM) in different populations and provide a scientific basis for the formulation of suitable community intervention strategies and measures. [Methods] From 1996 to 1998, a total of 109 cases of urban (Jinan, Binzhou) and 109 cases of rural (Dongping, Anqiu, Shenxian, Changqing) , Weihai, Laizhou) 110 cases of NIDDM patients were 1: 2 matching case-control study. [Results] The family history of diabetes mellitus, overweight and high blood pressure were common risk factors of NIDDM in all three groups but with different intensity of action. The total population etiological value (PARP) were 58 52%, 65 91% and 63 (OR = 1.68, PARP = 2.381%). The low-level physical activity was the only city-specific risk factor (OR = 1.688, PARP = 2.381% , Hi vegetarian diet for the protection of coastal populations (OR = 0 445, PARP = -2 052%). [Conclusion] The community intervention strategies and measures of NIDDM should be formulated according to the common and unique risk factors of different populations.