目的:探讨赣州市中老年人吸烟、饮酒行为与2型糖尿病的关系,为糖尿病防控提供理论依据.方法:采用多阶段分层整群抽样方法抽取赣州市多社区1310位中老年人为调查对象,进行问卷调查、空腹血糖测定,采用t检验及x2:检验进行统计分析.结果:吸烟指数的升高加大了2型糖尿病的患病风险,差异有统计学意义(x2=8.860,P=0.012);每周酒精量的升高,2型糖尿病患病率呈现先减少后增加的趋势,差异有统计学意义(x2 =6.515,P=0.038);在35 ~50年龄段,吸烟和饮酒都是2型糖尿病的危险因素,差异有统计学意义(x2=8.363,P=0.015;x2=10.681,P=0.005);在51 ~64年龄组,吸烟、饮酒与2型糖尿病患病率的差异均无统计学意义.结论:过量吸烟和饮酒,加大了2型糖尿病的发病风险,但在高年龄组,吸烟、饮酒可能不是2型糖尿病的主要危险因素.
To study the relationship among smoking,alcohol consumption and diabetes in aged and elderly residents in Gan- zhou City,and provide theoretical basis for diabetes prevention. Methods 1310 cases of aged and elderly residents were chosen from several communities in Ganzou with multistage cluster sampling and surveyed with questionnaire. And their fasting - blood - glucose was determined. Data was analyzed with X2 test and t test. Results The prevalence of diabetes B significantly increased with the increase of smoking exponent(x2 = 8. 860 ,P =0. 012). With the increase of weekly alcohol consumption,the prevalence of diabetes decreased first,but followed with its increase(x2 =6. 515 ,P =0. 038). For the people aged from 35 to 50 ,both smok- ing and drinking were risk factors for diabetes. And for the people aged from 51 to 64 ,smoking and drinking were not risk factors. Conclusion Excessive smoking and alcohol consumption were risk factors for diabetes. But for the elderly group, smoking and alco- hol consumption may not be the main risk factors for diabetes. Author's address Department of Preventive Medicine, Gannan Medical College, Ganzhou, P. R. China.