Analysis Of The Situation And The Influencing Factors Of Diabetes Among Residents In Changchun City

Background:diabetes mellitus is a result of in vivo insulin absolute orrelative deficiencycaused a series of clinical syndrome, and have a very close relationship with thegenetic gene. Diabetes is a common disease, its incidence is along with the rapiddevelopment of economy, life behavior style and dietary structure change, cityresident population increase and the social population aging and increase rapidly,which has become one of the major public health problem in the world. Diabetesmellitus is after cardiovascular disease, AIDS, cancer of the fourth deadly diseases. In2008WHO investigation shows, whether in developed countries, developing countries,still less developed countries, diabetes and other chronic diseases have become themain cause of death in the world, the main reason is also a threat to the health of thepublic health problem of our people and led to the rapid growth of medical expenses.Objective:to a large body of research shows that, chronic disease is preventable andcontrollable. The risk of chronic disease development andbad life style and behaviorand other factors are closely related, these risk factors include smoking, drinking,unreasonable diet, physical activity and a lack of spiritual factors etc.. Monitoring ofchronic disease and its riskfactors through population based development, can theepidemic situation and grasp the change trend of patients with chronic diseases andriskfactors of residents in Changchun City, explore the establishment offeasible,effective diabetes management mode, intervention strategies and measures to providea scientific basis for the formulation of ChangchunCity, chronic disease, providestrong evidence to evaluate the relatedhealth policy and chronic disease intervention. Methods:1. investigation object: This study is the13Changchun county (city) area,Development Zone in the12month prior to the survey of internal monitoring pointcommunity living for more than6months and age greater than or equal to the18yearold resident as investigation object, by using a stratified cluster sampling method in13counties the city of Changchun (city)4towns area, development zone monitoringpoints were randomly selected (street), each villages and towns (street)3Village(neighborhood) randomly, each village (neighborhood) a random sample of50households, each household1randomly selected residents aged18years and abovewere investigated, each monitoring point survey of600people, the sampling plan tosurvey7800.2.investigation content: This survey including the questionnaire (includinghouseholdquestionnaire and personal questionnaire), physical measurements and laboratory detectionof the content of the three part.The basic situation, physical activity status, access tothe investigation object through the investigation of drinking, smoking, diet, the mainhealth problems and blood pressure, blood glucose, blood lipid, body weight,healthbehavior and cognitive status. Height, weight, waist circumference,blood pressuremeasurement survey of the index value, detection of allsurvey of the fasting bloodglucose, postprandial2hour blood glucose,glycosylated hemoglobin and four bloodlipids and other biochemical indexes.Results:the number of effective samples obtained by this investigation for7796people,including3700males and4096female; the city of3952people,3844people in ruralareas.The survey results show that the monitoring points of Changchun cityresidentsover18years old in diabetes prevalence rate was12.84%, the prevalence rate of malewas12.49%, female prevalence rate was13.16%,urban prevalence rate of12.70%,rural prevalence rate was12.98%;diabetes mellitus patients awareness rate is57.64%. Male patientsawareness rate was55.19%, female patients know rate of59.37%,urbanpatients awareness rate was78.09%, the awareness rate of32.07%rural patients.The prevalence of diabetes increased with age and there is a clear upward trend,age, culture degree, BMI, edible fruit, total cholesterol and triglyceride, low densitylipoprotein levels were related factors of diabetes mellitus, influence the edible fruit,BMI, total cholesterol and triglyceride, low density lipoprotein level with age, thestrongest. Urban and rural, age,culture degree are the related factors affecting theawareness rate ofdiabetes, in which the urban and rural areas, age was the maininfluencing factors.Conclusion:1.Diabetes mellitus in residents over18years old in Changchun City, theprevalence of high level, health consciousness is not high.2.The main risk of diabetes prevalence of Changchun city residents factors areage, edible fruits and vegetables, BMI, total cholesterol, triglyceride level and lowdensity lipoprotein level.3.Age, urban and rural and cultural level is the related risk factors affecting theawareness rate of diabetes mellitus.