摘要
目的了解中国5省(自治区、直辖市)≥40岁体检人群血糖异常检出情况及其影响因素,为糖尿病防控政策的制定提供参考依据。方法于2021年7—12月在天津、山东、重庆、贵州、新疆5个省(自治区、直辖市)选取24家卫生院和社区卫生服务中心招募3749名≥40岁体检人群进行问卷调查和血糖检测。结果中国5省(自治区、直辖市)最终纳入分析的3743名≥40岁体检人群中,检出血糖异常者820人,血糖异常检出率为21.91%;男性和女性血糖异常检出率分别为22.19%和21.67%,差异无统计学意义(χ^(2)=0.148,P=0.701)。多因素非条件logistic回归分析结果显示,年龄≥60岁、在婚、有糖尿病家族史、高血压、超重和肥胖为中国5省(自治区、直辖市)体检人群检出血糖异常的危险因素,文化程度大专以上和南方区域为中国5省(自治区、直辖市)体检人群检出血糖异常的保护因素;有糖尿病家族史、高血压、超重和肥胖为中国5省(自治区、直辖市)男性体检人群检出血糖异常的危险因素,文化程度大专及以上和南方区域为中国5省(自治区、直辖市)男性体检人群检出血糖异常的保护因素;年龄≥60岁、在婚、吸烟、有糖尿病家族史、高血压、超重和肥胖为中国5省(自治区、直辖市)女性体检人群检出血糖异常的危险因素,文化程度大专及以上和南方区域为中国5省(自治区、直辖市)女性体检人群检出血糖异常的保护因素。结论中国5省(自治区、直辖市)≥40岁体检人群血糖异常检出率较高,年龄、文化程度、婚姻状况、区域、有无糖尿病家族史、是否高血压和体质指数(BMI)是体检人群血糖异常检出的主要影响因素。
Objective To investigate the prevalence and influencing factors of abnormal blood glucose among physical examinees aged≥40 years in China for providing evidence to diabetes prevention and control.Methods Questionnaire interview and fasting blood glucose(FBG)detection were conducted among 3739 physical examinees aged≥40 years at 24 township hospitals/community health centers in five provincial-level administrative divisions(Tianjin and Chongqing municipality,Shandong and Guizhou province and Xinjiang Uygur Autonomous Region)during July–December,2021.Results Abnormal FBG was detected in 820(21.91%)of the participants and there was no significant difference in the detection rate of abnormal FBG between male and female participants(22.19%vs.21.67%,χ^(2)=0.148;P=0.701).The results of logistic regression analysis showed that for all the participants,aged≥60 years(except for the males),married(except for the males),with family diabetes history,hypertension,overweight and obesity were risk factors but with the education level of junior college and above and residing in southern regions were protective factors of abnormal FBG;smoking was a risk factor of abnormal FBG only for female participants.Conclusion The detection rate of abnormal FBG is relatively high and mainly influenced by age,education,marital status,residential region,family history of diabetes,hypertension and body mass index in physical examinees aged≥40 years in five municipalities/provinces of China.
作者
张一方
张纹菱
田凯宁
张海鑫
江宇
李晋磊
ZHANG Yifang;ZHANG Wenling;TIAN Kaining(School of Population Medicine and Public Health,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing100730,China;不详)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2023年第5期612-616,共5页
Chinese Journal of Public Health
关键词
血糖异常
检出情况
影响因素
体检人群
abnormal blood glucose
detection rate
risk factor
physical examinees
