Abstract：Objective To investigate the prevalence of diabetes mellitus (DM) and its related risk factors among residents aged 18 years and above in Xiaoshan District, Hangzhou City, 2014. Methods Residents aged 18 years and above in 6 towns (streets) in Xiaoshan District were randomly selected with stratified multi-stage cluster sampling method in 2014. A cross-sectional study was carried out, and the data were collected in a questionnaire survey, physical examination and laboratory test. Single factor and multifactor logistic regression analyses were performed to determine the factors influencing DM. Results A total of 4,473 residents were surveyed. The crude prevalence rate of DM was 10.64% (with the standardized prevalence rate of 8.30%). No statistically significant differences were found in the crude prevalence rate and the standardized prevalence rate between the males and females (10.29% vs. 10.94%, 8.26% vs. 8.36%, χ2=0.497, P=0.481). The prevalence rates showed an increasing trend with aging (in total χ2 trend=141.430, P=0.000; in males χ2trend=46.096, P=0.000; in females χ2trend=100.546, P=0.000). The rate of impaired fasting glucose (IFG) was 9.23% (with the standardized rate of 7.99%). No statistically significant differences were found in the IFG rate and the standardized rate between the males and the females (9.25% vs. 9.22%, 8.24% vs. 7.97%, χ2=0.002, P=1.000), but the above-mentioned rates showed an increasing trend with age increase (in total χ2trend=50.022, P=0.000; in males χ2trend=13.414, P=0.000; in females χ2trend=40.026, P=0.000). Single factor analysis showed that different age, educational background, family history of diabetes, physical exercise, BMI, abdominal obesity, hypertension, TC, TG, HDL-C and LDL-C affected the prevalence of DM (P<0.05). Multifactor logistic regression analysis showed that advanced作者简介:林君英(1972-),女,浙江嵊州人,学士,副主任医师,主要从事慢性病防控工作,E-mail:Lin575@163.com。age (OR=1.597, 95%CI: 1.460-1.747, P=0.000), family history of diabetes (OR=4.094, 95%CI: 3.038-5.517, P=0.000), high BMI (OR=1.334, 95%CI:1.133-1.571, P=0.001), central obesity (OR=1.338, 95%CI:1.030-1.736, P=0.029), high TG (OR=1.666, 95%CI: 1.316-2.109, P=0.000) and hypertension (OR=1.537, 95%CI: 1.247-1.894, P=0.000 ) were the risk factors of DM. Conclusions The prevalence of diabetes in residents aged 18 years and above in Xiaoshan District in 2014 is considerably high, and the major risk factors are family history of DM, advanced age, overweight, central obesity, high TG and hypertension.
林君英, 蒋园园, 葛阳, 汪芬娟, 王冬飞. 2014年杭州市萧山区18周岁及以上居民糖尿病患病情况及相关危险因素分析[J]. 实用预防医学, 2017, 24(2): 141-144.
LIN Jun-ying, JIANG Yuan-yuan, GE Yang, WANG Fen-juan, WANG Dong-fei. Prevalence of diabetes mellitus and its risk factors in residents aged 18 years andabove in Xiaoshan District, Hangzhou City, 2014. , 2017, 24(2): 141-144.
2017, Vol. 24 
