Objective: To investigate the prevalence and risk factors of diabetes and prediabetes in Jingyuan County in Ningxia. Methods: A cross-sectional survey including 10 639 participants (18-88 years of age) with a multistage sampling was conducted in Jingyuan County between January, 2014 and April, 2015. Questionnaires, physical examinations, and laboratory tests were included in the survey. Results: Among all the subjects, 10 491 participants (men: 4 826, women: 5 665) with complete data were included in the analysis. The standardized prevalence of diabetes and prediabetes was 4.2% (men: 3.9%, women: 4.5%) and 8.8% (men: 7.6%, women 10.3%), respectively, in which the standardized prevalence of diabetes was higher in Hui (4.5%) than that in Han (3.5%) (P< 0.05). Logistic regression analyses showed that age, family history of diabetes, overweight/obesity, hypertriglyceridemia and hypertension were positively associated with prediabetes and diabetes with the odds ratios being 1.60 and 2.14 (age, P< 0.001), 1.40 and 3.32 (family history, P< 0.05), 1.47 and 1.57 (overweight/obesity, P< 0.001), 1.88 and 2.55 (hypertriglyceridemia, P< 0.001), 1.44 and 1.89 (hypertension, P< 0.001), respectively. Conclusions: The prevalence of diabetes was relatively low in the rural area in Ningxia. However, it is still essential to take active interventions in people at high risk of diabetes in order to prevent the incident diabetes.
目的： 探讨宁夏泾源县成人糖尿病及其前期的流行特点和影响因素。 方法： 2014年1月至2015年4月采用多阶段抽样方法，对泾源县10 639名成人进行横断面调查。调查内容包括问卷调查、体格检查和血糖、血脂的实验室检测。 结果： 纳入本次分析的共1 0491人（男4 826人，女5 665人）。宁夏泾源县成人糖尿病及其前期的标化患病率分别为4.2%（男性3.9%；女性4.5%）和8.8%（男性7.6%；女性10.3%），回族糖尿病标化患病率为4.5%（男性4.2%；女性4.8%），汉族为3.5%（男性3.0%；女性3.9%）。多因素logistic回归分析显示，增龄、一级亲属糖尿病史、超重/肥胖、高甘油三酯血症、高血压均为糖尿病前期及糖尿病的危险因素，OR值分别为1.60和2.14，1.40和3.32，1.47和1.57，1.88和2.55，1.44和1.89，P值均<0.05。 结论： 与全国患病率水平相比，宁夏农村地区糖尿病及前期患病率较低，但面对该地区潜在的糖尿病负担，需积极针对危险因素制定高危人群的干预措施来有效降低糖尿病发病风险。.
Keywords: Diabetes mellitus; Prediabetic state; Prevalence; Risk factors.