Vaz N C, Ferreira A M, Kulkarni M S, Vaz F S
Department of Preventive and Social Medicine, Goa Medical College, Bambolim, Goa 403202, India.
Natl Med J India. 2011 Jan-Feb;24(1):16-8.
We aimed to estimate the prevalence of diabetes mellitus and study the associated factors in a rural population in Goa, India.
A cross-sectional study was done in the rural area of Mandur, Goa. Participants>20 years of age were selected by systematic random sampling. They were interviewed with the help of a structured, pretested questionnaire. This was followed by clinical examination, anthropometry and relevant laboratory investigations. Diabetes mellitus was defined as per the American Diabetes Association (ADA) criteria. Statistical analysis was done using the SPSS software package (version 14.0).
The prevalence of diabetes mellitus in the study population was 10.3% (130/1266) with a prevalence of 8.4% among men and 12% among women. On bivariate analysis, the prevalence of diabetes mellitus was found to be significantly associated with age, occupation, family income, family history of diabetes, smoking, obesity, hypertension, and high serum cholesterol and triglycerides levels. Multiple logistic regression analysis identified age, family history, hypertension, smoking, total cholesterol and triglyceride as the Independently associated variables for diabetes mellitus.
Innovative community outreach programmes are required to create awareness, and for screening and treatment of diabetes mellitus to curb the growing epidemic of diabetes in the population.
我们旨在评估印度果阿邦农村人口中糖尿病的患病率，并研究相关因素。
在果阿邦曼杜尔农村地区开展了一项横断面研究。通过系统随机抽样选取年龄大于20岁的参与者。借助一份经过预测试的结构化问卷对他们进行访谈。随后进行临床检查、人体测量和相关实验室检查。糖尿病按照美国糖尿病协会（ADA）标准定义。使用SPSS软件包（版本14.0）进行统计分析。
研究人群中糖尿病患病率为10.3%（130/1266），男性患病率为8.4%，女性患病率为12%。在双变量分析中，发现糖尿病患病率与年龄、职业、家庭收入、糖尿病家族史、吸烟、肥胖、高血压以及高血清胆固醇和甘油三酯水平显著相关。多因素逻辑回归分析确定年龄、家族史、高血压、吸烟、总胆固醇和甘油三酯为糖尿病的独立相关变量。
需要开展创新性社区推广项目，以提高认识，并进行糖尿病筛查和治疗，从而遏制人群中糖尿病流行趋势的不断加剧。
