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中国人群中糖尿病患病率的上升趋势:一项针对 121895 人的基于人群的家庭调查。

The rising tide of diabetes mellitus in a Chinese population: a population-based household survey on 121,895 persons.

机构信息

School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, 4/F, School of Public Health and Primary Care, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China.

出版信息

Int J Public Health. 2013 Apr;58(2):269-76. doi: 10.1007/s00038-012-0364-y. Epub 2012 May 3.

DOI:10.1007/s00038-012-0364-y
PMID:22552749
Abstract

OBJECTIVES

We studied the prevalence of self-reported diabetes mellitus in selected years from 2001 to 2008, and evaluated the factors associated with diabetes.

METHODS

From territory-wide household interviews in a Chinese population in the years 2001, 2002, 2005 and 2008, we evaluated the trend of self-reported diabetes with respect to age, sex and household income. Binary logistic regression analyses were conducted to study the independent factors associated with diabetes.

RESULTS

From 121,895 respondents in the household surveys, 103,367 were adults aged 15 years or older. Among male respondents, the age- and sex-adjusted prevalence of diabetes in 2001, 2002, 2005 and 2008 was 2.80, 2.87, 3.32 and 4.66 %, respectively; while among female respondents the respective prevalence was 3.25, 3.37, 3.77 and 4.31 %. In all the years, the prevalence escalated with age and increased sharply among the poor. From binary logistic regression analyses, advanced age and low monthly household income were significantly associated with self-report of diabetes.

CONCLUSIONS

This study showed a rising trend of diabetes mellitus in a large Chinese population and found a strong association between population demography and diabetes.

摘要

目的

我们研究了 2001 年至 2008 年期间部分年份报告的糖尿病患病率,并评估了与糖尿病相关的因素。

方法

我们对 2001 年、2002 年、2005 年和 2008 年全港范围内的家庭访谈进行了研究,评估了年龄、性别和家庭收入与自我报告糖尿病之间的趋势。我们进行了二元逻辑回归分析,以研究与糖尿病相关的独立因素。

结果

在家庭调查的 121895 名受访者中,有 103367 名成年人年龄在 15 岁及以上。在男性受访者中,2001 年、2002 年、2005 年和 2008 年年龄和性别调整后的糖尿病患病率分别为 2.80%、2.87%、3.32%和 4.66%;而女性受访者的相应患病率分别为 3.25%、3.37%、3.77%和 4.31%。在所有年份中,患病率随年龄增长而上升,在贫困人群中急剧上升。从二元逻辑回归分析中可以看出,年龄较大和月家庭收入较低与自我报告的糖尿病显著相关。

结论

本研究表明,在一个大型华人人群中,糖尿病的患病率呈上升趋势,并发现人口统计学与糖尿病之间存在很强的关联。

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