文献类型：期刊文献

中文题名：银川市社区高血压人群糖尿病患病情况及影响因素分析

英文题名：Prevalence and Influence Factors of Diabetes among Hypertensive Population in Yinchuan

作者：刘希波[1];王云[1];曹静[1];王淑霞[1];李明阳[1];胡继宏[2]

第一作者：刘希波

机构：[1]甘肃中医药大学公共卫生学院,兰州730000;[2]甘肃中医药大学科研实验中心,兰州730000

第一机构：甘肃中医药大学公共卫生学院

年份：2020

卷号：42

期号：4

起止页码：377

中文期刊名：宁夏医科大学学报

外文期刊名：Journal of Ningxia Medical University

收录：CSTPCD

语种：中文

中文关键词：高血压;糖尿病;患病情况;影响因素

外文关键词：hypertensive;diabetes;prevalence;influencing factors

摘要：目的调查银川市社区高血压人群糖尿病的患病情况并分析其影响因素,为该高血压人群预防控制糖尿病提供依据。方法利用卫生部行业基金项目"心血管病危险因素监测与高血压规范化管理"宁夏分中心2994例高血压患者的基线数据进行分析,采用多因素Logistic回归分析对糖尿病相关因素进行分析。结果本次调查诊断出糖尿病患者402例(13.43%)。多因素Logistic回归分析纳入影响因素BMI后结果显示:文化程度大学及以上(OR=0.391,95%CI:0.195~0.785)是该高血压人群发生糖尿病的保护因素,性别(OR=1.428,95%CI:1.010~2.020)、60~69岁年龄组(OR=6.204,95%CI:1.104~34.864)、糖尿病家族史(OR=4661.721,95%CI:621.418~34971.038)、TC(OR=1.681,95%CI:1.087~2.599)、TG(OR=1.754,95%CI:1.295~2.374)、HDL(OR=1.569,95%CI:1.097~2.242)是该高血压人群患糖尿病的危险因素。多因素Logistic回归分析纳入影响因素腹型肥胖后结果显示:文化程度大学及以上(OR=0.395,95%CI:0.197~0.794)是该高血压人群发生糖尿病的保护因素,性别(OR=1.423,95%CI:1.006~2.013)、60~69岁年龄组(OR=5.972,95%CI:1.063~33.552)、糖尿病家族史(OR=4608.171,95%CI:613.774~34597.817)、TC (OR=1.665,95%CI:1.077~2.573)、TG (OR=1.750,95%CI:1.294~2.366)、HDL(OR=1.552,95%CI:1.086~2.218)、腹型肥胖(OR=1.350,95%CI:1.002~1.818)是该高血压人群患糖尿病的危险因素。结论银川市社区高血压人群糖尿病患病率高于一般人群,较高文化程度是该人群患糖尿病的保护因素,性别、年龄偏大、家族史、TC、TG、HDL和腹型肥胖是该人群患糖尿病的危险因素。
Objective To investigate the prevalence of diabetes in hypertensive population in Yinchuan and analyze its influence factors,so as to provide evidence for prevention and control of diabetes in hypertensive population.Methods The baseline data of 2994 hypertensive patients in Ningxia sub-center were obtained from the project"Cardiovascular risk factors monitoring and standardized management of hypertension",which was funded by the Ministry of Health.Then multivariate logistic regression analysis was used to explore the risk factors of diabetes.Results A total of 402(13.43%)cases of diabetes were diagnosed in this survey.Multiple factor logistic regression analysis of BMI entry showed that college education and above(OR=0.391,95%CI:0.195-0.785)were the protective factors of diabetes in the hypertension population.Gender(OR=1.428,95%CI:1.010-2.020),age group 60~69 years old(OR=6.204,95%CI:1.104-34.864),diabetes family history(OR=4661.721,95%CI:621.418-34971.038),TC(OR=1.681,95%CI:1.087-2.599),TG(OR=1.754,95%CI:1.295-2.374),HDL(OR=1.569,95%CI:1.097-2.242)were the risk factors of diabetes in the hypertension population.Multiple factor logistic regression analysis of abdominal obesity entry showed that college education and above(OR=0.395,95%CI:0.197-0.794)was the protective factor for diabetes mellitus in hypertensive people.Gender(OR=1.423,95%CI:1.006-2.013),age group 60~69 years old(OR=5.972,95%CI:1.063-33.552),diabetes family history(OR=4608.171,95%CI:613.774-34597.817),TC(OR=1.665,95%CI:1.077-2.573),TG(OR=1.750,95%CI:1.294-2.366),HDL(OR=1.552,95%CI:1.086-2.218),abdominal obesity(OR=1.350,95%CI:1.002-1.818)were hypertensive people risk factors for diabetes mellitus.Conclusion The prevalence rate of diabetes in people with hypertension is higher than that of the general population.Higher education level is the protective factor of diabetes in this group,while gender,older age,family history,TC,TG,HDL and abdominal obesity are the risk factors of diabetes in this group.