目的:调查了解克拉玛依炼油厂社区居民2型糖尿病患病率及其危险因素。方法采用整群随机抽样法于2007年10月-2010年3月在克拉玛依炼油厂社区抽取年龄>35岁的常住成人作为调查对象,统计不同民族、不同性别、不同年龄段人群的2型糖尿病患病率,对危险因素进行分析。以问卷收集资料并进行体格检查及实验室检查。结果抽取年龄>35岁汉族、维吾尔族及哈萨克族居民共3821人,2型糖尿病总患病率为7.5%,男性糖尿病患病率为9.5%,女性为5.8%,男性2型糖尿病患病率高于女性(P <0.001)。汉族2型糖尿病患病率为7.4%,维吾尔族为10.4%,哈萨克族为6.8%,维吾尔族2型糖尿病患病率显著高于汉族和哈萨克族(χ^2=29.36,P<0.01)。各年龄组间2型糖尿病的患病率差异有统计学意义(P <0.05),且2型糖尿病的患病率均随年龄的增长而增高。结论新疆2型糖尿病患病率存在民族差异。建立健康的生活方式、加强血压、血脂和体质量的控制及倡导低脂饮食是早期预防、发现并且诊治2型糖尿的重要措施。
Objective To investigate the prevalence and associated risk factors of type 2 diabetes among community residents in Karamay refinery.Methods Our data came from the Cardiovascular Risk Survey (CRS)study,which is a multi-ethnic,community-based study designed to investigate the prevalence and risk factors for cardiovascular diseases in Xinjiang from October 2007 to March 2010.Results A total of 3 821 adults were surveyed.The preva-lence of type 2 diabetes for different ethnic groups as follow,9.5% of Han,10.4% of the Uygur,and 6.8% of the Kazak adults aged ≥ 35 years had diabetes.The prevalence of type 2 diabetes increased steeply with age among all ethnic groups (P <0.05).The prevalence rate of type 2 diabetes was much higher in those with overweight,obesi-ty,hypertension and hypertriglyceridemia.Conclusion There are ethnic differences in the prevalence of type 2 dia-betes among community residents in Karamay refinery.Important and effective measures of early prevention,de-tection and treatment of type 2 diabetes include a healthy lifestyle,an increased control of blood pressure,blood lipid and weight.