论文部分内容阅读
目的评估青岛成人抑郁和2型糖尿病的患病率以及相关危险因素,为社区开展早期慢性病危险因素预防提供科学依据。方法研究对象来自青岛市2006年建立的横断面研究数据,通过分层随机抽样抽取6 100名35~74岁常住居民(居住时间≥5年)。用Zung自评量表进行抑郁的筛检,标准2 h糖耐量试验诊断糖尿病。结果2 974名调查者纳入本研究,抑郁和2型糖尿病的患病率分别为10.1%和16.4%。多因素校正Logistic回归分析中,糖尿病增加抑郁患病风险,农村居民、高密度脂蛋白降低抑郁的风险(均有P<0.05);年龄、抑郁、体质指数、甘油三酯、高血压、糖尿病家族史、未婚与2型糖尿病患病率增长均呈正相关(均有P<0.05);空腹血糖与抑郁(χ~2=12.32,OR=1.366,95%CI:1.151~1.622)、2 h血糖与抑郁(χ~2=11.35,OR=1.212,95%CI:1.081~1.358)皆存在剂量-反应关系。结论抑郁和2型糖尿病互为两者患病率增加的独立危险因素。早期开展社区心理干预能够预防抑郁和糖尿病的发生。
Objective To evaluate the prevalence and related risk factors of depression and type 2 diabetes in adults in Qingdao and provide a scientific basis for community prevention of early chronic disease risk factors. Methods Subjects were from cross-sectional data set in 2006 in Qingdao City. 6 100 permanent residents 35-74 years old (living time ≥ 5 years) were drawn by stratified random sampling. Depression screening with Zung self-rating scale, standard 2-h glucose tolerance test for the diagnosis of diabetes. Results A total of 2 974 investigators were included in this study. The prevalence rates of depression and type 2 diabetes were 10.1% and 16.4%, respectively. Multivariate logistic regression analysis showed that diabetes increased the risk of depression, rural residents and high-density lipoprotein decreased the risk of depression (all P <0.05); age, depression, body mass index, triglyceride, hypertension, The prevalence of type 2 diabetes mellitus was significantly correlated with the prevalence of type 2 diabetes mellitus (all P <0.05). The fasting blood glucose and depression (χ ~ 2 = 12.32, OR = 1.366, 95% CI: 1.151-1.622) There was dose-response relationship between depression (χ ~ 2 = 11.35, OR = 1.212, 95% CI: 1.081-1.358). Conclusion Depression and type 2 diabetes mellitus are independently risk factors for the increased prevalence of both. Early community psychological intervention can prevent depression and diabetes.