| Objective:Jilin province is a big agricultural province in Northeast china.According to the result of the sixth national population survey,the total number of rural residents in Jilin has reached over 12 milion,which accounts for 45% of the total population of the province.The purpose of this study was to investigate the prevalence of diabetes mellitus among rural residents in Jilin Province based on the chronic disease survey data of Jilin province in 2012.Analysis of the prevalence of diabetes mellitus and its influencing factors were analyzed from different aspects and angles.According to the results of this study,we provide scientific advice for preventing diabetes and improving the health level of rural residents in Jilin province.Methods:The subjects of this study were from the "Jilin province regional disease spectrum data base" that aged from 18 to 79 years old resident rural community residents,that is,Jilin province chronic disease scene survey population(a total of 21435 people surveyed,rural residents of 10283,have completed epidemiological investigation.The survey included general demographic characteristics,behavior habits,disease history,physical examination,blood glucose,blood pressure,blood lipids,etc.Data were recorded by trained professionals.Before the implementation of the questionnaire,the survey staffs conduct professional training,a unified standard of investigation.The questionnaire was logically examined and the unqualified questionnaires were excluded.Epi Data3.1 was used for data input,and the double entry method was adopted,and the consistency test was carried out as well.Statistical analysis was performed using SPSS 21(IBM)software.The measurement data using(`X±S)or M(Q);count data use rate or ratio.Variance analysis or rank sum test was used to compare between groups,and logistic regression analysis was used to test significant determinants of diabetes.Results:1.Among the 10283 rural residents in this investigation,the prevalence of diabetes was 7.7%.For men and women,the prevalence was 7.8% and 7.6%,respectively.Differences in sex have no statistical significance.Pre-diabetes was more prevalent,the prevalence was 20.7%.Aging population was serious in this study,old people constituted 21.4% of the population;and the overall cultural level was low,46.1% of the residents had the education levels of primary school and below.In addition,the prevalence of smoking and drinking was high in this study,at 33.1% and 29.6% respectively.2.The coverage rate of the new rural cooperative medical insurance among subjects in this study was 75.2%,at a higher level,but the health care situation should be improved.During the past 12 months,only 34.4% of the total rural residents had been to the health service center.3.Population background: the prevalences of diabetes among middle-aged and elderly residents were 2.28(95%CI: 1.841-2.825,p<0.001)and 3.106(95%CI: 2.416-3.993,p<0.001)times as high as the youth.The risk of diabetes among the inhabitants with central obesity was1.99 times(95% CI: 1.623-2.444,p<0.001)than those without central obesity.The rural residents with the education background of high school,junior college and above had lower prevalences of diabetes than those with primary school and below education background(OR junior high school=0.785,95%CI: 0.654-0.941,p<0.001;OR junior college and above=0.648,95% CI: 0.424-0.990,p<0.05).And it could be observed that the risk of diabetes reduced gradually with the increase of the education degrees.4.Life behavior: compared with drinkers,the risk of diabetes among non-drinkers was lower(OR non-drinkers=0.809,95%CI: 0.666-0.983,p<0.05),residents who regularly take physical exercise were at lower risks of diabetes(OR exercise regularly = 0.623,95%CI: 0.529-0.734,p<0.001).5.Family history of diabetes and other diseases: the risk of diabetes among residents with family history was 3.99 times(95%CI: 3.352-4.749,p<0.001)than others,and the risk of diabetes among patients with hypertension and hyperlipidemia was higher than normal community residents(OR hypertension=1.435,95%CI: 1.232-1.672,p<0.001;OR dyslipidemia=2.096,95%CI: 1.805-2.434,p<0.001).Conclusion:1.The situation of basic medical service in rural Jilin Province should be improved;2.The prevalence of diabetes mellitus in rural residents in Jilin province was high,the number of residents in the early stage of diabetes is not optimistic;3.The risk factors of diabetes mellitus among rural residents in Jilin province were: elder age,central obesity,alcohol consumption,family history of diabetes,hypertension and dyslipidemia;protective factors are: high education and regular physical exercise. |
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