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目的了解城乡结合部老年2型糖尿病的患病状况,为社区糖尿病干预提供基线数据。方法2007年7—11月,采用随机整群抽样方法,抽取福州市城乡结合部鼓山镇14个行政单位60岁及以上常住居民4653人进行2型糖尿病筛查。结果鼓山镇老年2型糖尿病患病率为11.21%,经多因素非条件Logistic回归分析显示,年龄、职业、月收入(OR=1.42,95%CI:1.13～1.77)、糖尿病家族史(OR=6.49,95%CI:4.62～9.10)、向心性肥胖(OR=1.47,95%CI:1.15～1.88)是糖尿病患病的独立危险因素。结论鼓山镇老年2型糖尿病患病率较高,今后应加强对有糖尿病家族史、向心性肥胖人群的健康教育及不良行为的干预,大力开展社区干预工作。
Objective To understand the prevalence of type 2 diabetes in urban and rural areas and provide baseline data for community diabetes intervention. Methods From July to November 2007, a random cluster sampling method was used to screen type 2 diabetes among 4653 permanent residents aged 14 and over in 14 administrative units in Gushan Town, Fuzhou City. Results The prevalence of type 2 diabetes in old people in Gushan town was 11.21%. Logistic regression analysis showed that age, occupation, monthly income (OR = 1.42, 95% CI: 1.13-1.77), family history of diabetes (OR = 6.49,95% CI: 4.62-9.10). Concentric obesity (OR = 1.47, 95% CI: 1.15-1.88) was an independent risk factor for diabetes. Conclusion The prevalence of type 2 diabetes in old people is high in Gushan Town. In the future, intervention in health education and adverse behaviors with family history of diabetes mellitus and central obesity should be strengthened and community intervention should be vigorously carried out.