Analysis On The Prevalence Status Of Diabetes And Related Factors Of2195Residents Among Urban And Rural

ObjectiveThe objective of the research is to understand the prevalence of diabetes, and theinfluential factors of diabetes in Jilin Province of2195residents, to discuss the relateddiet nutrition and behavior way of life influential factors of diabetes for promoting thereasonable arrangement of diets, changing the bad living habits, improving the qualityof life, provide a theoretical basis for the future residents of the prevention andtreatment of diabetes in the dietary nutrition and lifestyle behaviors.MethodsThe2751residents of city (Chaoyang district of Changchun in Jilin Province)and rural (Dongfeng country of Liaoyuan in Jilin Province) in study was selected byusing cluster sampling method. The survey was conducted by questionnaire andlaboratory tests, the questionnaire including personal behavior characteristics and dietstatus and the laboratory tests including morning determination of fasting bloodglucose and postprandial blood glucose2h. The unified formulation of the ‘Nutritionand health monitoring system platform of Jilin Province’ was used in date entry.SPSS20.0was used in data analysis. General demographic characteristics ofrespondents were described using ratio. The prevalence of diabetes in differentpopulations were described using rate. By t-test or rank sum test was used forcomparison between groups, and the influence factors of diabetes were accomplishedusing Logistic regression analysis.Results1. A total of2195valid questionnaires were collected. There were1024urban residents (46.7%) and1171rural residents (53.3%), including955males (43.5%) and1240females (56.5%), the mean age was47.3±19.0years. There were272(12.4%)under the age of18years,553(25.2%)18~44years,769(35.0%)45~59years and601(27.4%) over the age of60years.2. The prevalence of diabetes of2195residents in Jilin Province were6.7%, theprevalence of diabetes in rural was8.4%, the prevalence of diabetes in urban was5.1%, urban higher than rural （2=4.155，P＝0.042）,the male prevalence of diabeteswas7.1%, the female prevalence of diabetes was6.3%. The prevalence of diabetes of45~59years residents (9.5%) was higher than other age groups, there weresignificantly different in age groups（2=10.967，P＝0.012）. Han Chinese residentsdiabetes prevalence rate was6.7%, and the prevalence of ethnic minorities was6.0%,the prevalence of college and over (11.8%) was the higher than other education levels,there were significantly different in educational levels（2=17.377，P＝0.001）, theprevalence of production of transportation equipment operators (16.1%) was higherthan other professional people, there were significantly different in occupation status（2=24.879，P＝0.009）, there were significantly different in income levels（2=14.946，P＝0.092）.3. The analysis results of dietary intake and composition, main minerals, mainlyvitamins, nutrients factors analysis:①the dietary intake: in addition to vegetable oiland salt were no statistical significance, the rest of the ingestion of food had statisticalsignificance of rural and urban,②the main nutrients intake: in addition to cholesterolintake was no statistical significance, the rest of major mutrients has the statisticalsignificance of rural and urban,③the mineral intake: removal of selenium intakebetween rural and urban was no statistical significance, the rest minerals havestatistical significance between rural and urban,④the vitamin intake: in addition toretinol intake between rural and urban has not statistical significance, the rest ofvitamin intake have statistical significance,○5the composition of the dietary energysource: in addition to potatoes and other food except the energy source of food ofrural and urban showed significant difference in protein, there was statistically significant differences in fat food sources of rural and urban.4. The prevalence of diabetes in smokers was6.6%, and non-smokers was9.1%,there was no significantly different between smoking behavior（2=2.159，P=0.142）.The prevalence of diabetes in drinkers was7.2%, and non-drinkers was8.7%, therewas no significantly different between smoking behavior （2=0.292，P=0.589）。The prevalence of diabetes in exercisers was5.5%and8.0%of never exercisers（2=0.003，P=0.958）. There was no significantly different between ways of travel（2=3.26，P=0.515）. The prevalence of diabetes in overweight and obesity washighest (10.9%), there was significantly different between BMI levels（2=17.641，P<0.001）.5. Multivariate Logistic regression analysis: the living area, age, culture degreeand BMI level are the influence factors of diabetes.Conclusions1.The prevalence of diabetes of2195residents in Jilin Province was6.7%, higherthan the national average in2002(2.6%), urban higher than rural.2.High age and high education level were easier to suffer diabetes. Grains,vegetables, fruits, meat, milk intake, magnesium, manganese, copper and otherminerals were the protection factors of diabetes; too much salt and fat intake were therisk factors of diabetes.3.Overweight and obesity were the risk factor of diabetes.