| Objective:To investigate the epidemic situation and related impact factors of diabetes mellitus(DM),impaired glucose tolerance(IGT)and impaired fasting glucose(IFG)among the employment of floating population in Jiangxi Province,in order to provide valuable scientific basis for prevention and treatment of the development of DM and IGR,evaluation of the effects of interventions.Methods:(1)Sampling method: A multi-stage stratified sampling method was adopted to investigate 1500 participants from the manufacturing,wholesale-retail trade,hotels and catering services,social service trades,construction and others six major occupations in five counties(districts)of Jiangxi province.(2)Field investigation method: The survey included inquistion,body measurement and laboratory detectiont.Information such as the basic information of the respondents,smoking,vegetables and fruit intake,red meat intake,the body movement,drinking,static behavior,blood pressure,sleep time,weight,height,waist circumference and health condition were collected by questionnaire and physical examination.Fasting blood was collected from all respondents,other than DM patients,all respondents had accepted the test of oral glucose tolerance,the blood glucoser and serum lipid were tested.(3)The SPSS16.0 software was used in data analysis.Count data adopted rate,ratio of index data for statistical description,the standardized rate and chi-square test.Measurement data used ?x±s for statistical description,compared with t test analysis.By multiple factors Logistic analysis,the influential factors of DM,IGT and IFG screened out.Result:(1)The survey planned to investigate 1500 floating population,and finally got 1475 valid samples,their average age was 35.52±11.53 years old,the largest population was 18 to 29 years old(37.22%),followed by 30 to 39 years old(26.37%).There were 824(55.86%)males,women 651(44.14%)females;and it included rural residents of 885(60.00%),the urban residents of 590(40.00%),the proportion of men are higher than women regardless of urban or rural areas.The cultural degree of respondents was low,primary school or below accounted for 55.86%.Meanwhile,51.59% of the floating population lived in dormitory.(2)Smoking rate,secondhand smoke exposure rate,unhealthy drinking rate,the rate of low vegetables and fruit,the rate of excessive intake red meat,less or not to participate in physical exercise rate,lack of sleep rate were 38.10%,72.91%,6.85%,49.49%,39.66%,77.36%,14.10%;65.29%,83.57%,10.68%,55.34%,47.94%,75.73%,16.26% in man;3.69%,68.01%,2.00%,42.09%,29.19%,79.42%,11.37% in women.The average of BMI,waist circumference,systolic pressure,diastolicl pressure,triglycerides,and blood triglycerides and low density lipoprotein was higher in male than female;it was contrary in the high-density lipoprotein.(3)The morbidity of DM,IGT and IFG were 4.81%,6.51% and 5.42%;the standardized rates of DM,IGT and IFG were 6.87%,7.04% and 5.81%.There was a growing trend with increasing age.The prevalence rates(the standardized morbidity)of DM,IGT and IFG were 5.70%(7.35%),6.43%(6.55%)and 6.43%(6.65%)in man,3.69%(6.18%),6.61%(8.13%)and 4.15%(4.47%)in woman,the morbidity of DM,IGT and IFG did not differ significantly in different gender;4.92%(7.46%),6.78%(7.31%)and 3.90%(4.17%)in urban,4.75%(6.49%),6.33%(6.93%)and 6.44%(6.88%)in rural,the prevalence rates of DM and IGT did not differ significantly between urban and rural,but the morbidity of IFG was higher in rural.The morbidity of DM,IGT and IFG did not differ significantly between different cultural degree,occupation as well as living condition.The morbidity of DM,IGT and IFG were 1.11%、2.78% and 3.63% in unmarried floating people,5.87%、7.70% and 6.05% in married floating people,11.54%、7.69% and 3.85% in divorce floating people.(4)The prevalence rate of unhealthy drinking behavior and less or not to participate in physical exercise,was higher in abnormal glucose metabolism than normal;it was contrary in the lack of sleep.The average of BMI,waist circumference,systolic pressure,diastolic pressure,triglycerides,and blood triglycerides and low density lipoprotein,Fasting blood sugar and blood sugar 2 hours after meal was higher in abnormal glucose metabolism than normal;it was contrary in the highdensity lipoprotein.(5)Single-factor analysis showed that marriage status,urban and rural distribution age group,BMI,visceral obesity,physical exercise,drinking,smoking,hypertension,total cholesterol,triglyceride,high density lipoprotein cholesterol,sleeping time in one day,working pressure,satisfied with their lives were related with DM、IGT and IFG.(6)Multi-factor unconditioned logistic regression analysis indicated that the aged 40 years old and above,high triglycerides and lacking sleep were negative factors of DM;and unhealthy drinking,central obesity and high body mass index were risk factors of IGT;and at the age of more than 40 years,unhealthy drinking,central obesity and hypertension were risk factors of IFG.Conclusion:(1)The prevalence rates of DM,IGT and IFG increased significantly with increasing age,thus it can be seen that age was one of the risk factors of DM.(2)The prevalence rate of DM and IGT among floating population in Jiangxi Province was higher than permanent residents in Jiangxi Province.It may be related to frequent transfer and lack of available health resources.We should pay more attention to the floating population of medical care and living environment.(3)There were different risk factors at various stages of DM.Unhealthy drinking;visceral obesity,over-weight,fat and high blood pressure were the risk factors of IGR.It was closely associated with unwholesome lifestyle.Appropriate intervention measures should be carried out in the early,it can prevent and delay the development of DM.(4)Sleep deprivation and abnormal triglyceride were risks of DM in the floating population;the results of the study were consistent with the reported at home and abroad.The reason may be that daily routine is no law in the floating population,the endocrine system and nervous system were affected by lacking sleep,at the same time,negative psychology and symptoms such as polyuria and polydipsia affected sleeping further more.(5)The rates of not to participate in physical exercise or secondhand smoke exposure and less were 77.36% and 72.91% among floating employed population in Jiangxi Province.It was higher than permanent residents in Jiangxi province and the state.It is urgent to carry out health education,enhance their prevention and care consciousness,and consciousness of needs for health knowledge. |
PDF Full Text Request