目的探讨与建立糖尿病发病风险的评估模型,为糖尿病发病提供预测依据。方法采用病例-对照研究的方法,在重庆市社区居民健康普查资料基础上,利用Logistic回归模型筛选糖尿病主要危险因素,将比值比(OR)转换为疾病危险分值,对个体进行疾病风险等级的划分并量化,根据人群暴露率情况,得到各年龄组人群平均危险分值。结果得到不同性别、年龄组的个体在不同情况下的危险分值,男性为高脂血症史(50)、冠心病(25)、高血压家族史(25)、吸烟(25)等12个危险因素进入主效应模型;女性为高脂血症史(50)、高血压家族史(25)、脑卒中史(25)、冠心病(25)、吸烟(25)等14个危险因素;最终得到不同性别人群的定量评价标准。结论基于疾病风险指数的风险评估模型能有效地对个体进行针对性的健康教育与健康促进,为实现"健康重庆"的目标提供科学的参考。
Objective To discussion and establish a evaluation model for the risk of diabetes in Chongqing,and serve it as a theoretical basis of diabetes prevention.Methods Based on the community residents health census of Chongqing,Logistic regression analysis on the original data was carried out to screen the main risk factors of diabetes.We translated the relative risk associated with an exposure into a number of disease risk points,and then expressed qualitatively and quantitatively for the risk of individual.According to the exposure rate of risk factors,the average risk score of all age groups was obtained.Results A risk score and population average score of main risk factors for diabetes was developed,applicable to individuals of different sex and age,for men,12 risk factors including hyperlipidemia(50),coronary heart disease(25),family history of hypertension(25),smoking(25)etc.while for women,hyperlipidemia(50),family history of hypertension(25),stroke(25),coronary heart disease(25),smoking(25),about 14 risk factors,were entering the main effect model.Fanally the quantitative evaluation criteria for different gender groups was obtained.Conclusion The risk assessment model based on Disease Risk Index can be targeted to the individual health education and health promotion.It provided a scientific reference for the realization of "health Chongqing".