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目的了解珠海市斗门区农村居民糖尿病患病情况及有关影响因素,为预防控制糖尿病提供参考。方法采用分层、整群、随机相结合的方法,抽取珠海市斗门区2个镇的4个自然村,对村中所有20～74岁的家庭成员进行面对面询问调查获得人口学特征、家族史、饮食习惯、生活习惯、糖尿病认知等情况,体检获取血压、身高、体重、腰围、臀围等数据,血糖测定采用葡萄糖氧化酶法(加氟化钠)。结果共调查1134人,调查人群糖尿病患病率为7.7%,标化患病率5.9%,随着年龄的增长而上升,40岁开始增长幅度加大,60岁达到最高水平,Logistic回归分析表明糖尿病知识认知程度、中心性肥胖、糖尿病家族史、过去5年常吃橙色蔬菜、年龄是糖尿病的主要危险因素,其OR值分别为4.470、3.457、2.716、1.175、1.065。结论珠海市斗门区农村居民糖尿病患病率处于广东省较高水平,是多种因素综合作用结果,应采取有针对性的措施,重点加强控制中心性肥胖和养成良好的饮食习惯等综合防治措施。
Objective To understand the prevalence of diabetes and its influencing factors among rural residents in Doumen District of Zhuhai City and provide a reference for the prevention and control of diabetes mellitus. Methods A total of 4 natural villages in 2 towns in Doumen District of Zhuhai City were sampled by stratified, cluster-based and random methods. All family members aged 20-74 in the village were interviewed for face-to-face interviews to obtain demographic characteristics, family history, Eating habits, habits, diabetes awareness, physical examination for blood pressure, height, weight, waist circumference, hip circumference and other data, glucose determination by glucose oxidase method (plus sodium fluoride). Results A total of 1134 people were surveyed. The prevalence of diabetes in the surveyed population was 7.7% and the standardized prevalence rate was 5.9%. The prevalence increased with age, increased at the age of 40 and reached its highest level at the age of 60. Logistic regression analysis Diabetes cognitive knowledge, central obesity, family history of diabetes, eat orange vegetables in the past 5 years, age is the main risk factor for diabetes, the OR values were 4.470,3.457,2.716,1.175,1.065. Conclusion The prevalence of diabetes in rural residents in Doumen District of Zhuhai Municipality is at a high level in Guangdong Province. It is a result of the combination of various factors. Targeted measures should be taken to focus on the prevention and treatment of central obesity and good eating habits Measures.