Objective: To describe epidemiological characteristics and their influencing factors of diabetes and pre-diabetes among adult residents in Hainan Province and provide a theoretical basis to develop epidemic prevention and control strategies for diabetes. Methods: This study used a two-stage unequal proportion cluster sampling method, and 32 857 subjects (≥18 years old) were collected from 24 cities/counties/districts in Hainan Province. All the subjects were investigated with questionnaires, physical examination, and laboratory tests from January to June 2023. The χ2 and Mantel-Haenszel trend χ2 tests were used to analyze the data. Multivariate logistic regression was used to analyze the factors influencing diabetes and pre-diabetes. SPSS 23.0 software was used to analyze the data. Results: The crude prevalence of diabetes and pre-diabetes in adult residents of Hainan Province were 18.1% and 22.8%, while the weighted rates were 13.7% and 20.7%, respectively. The results of multivariate logistic regression analysis showed that: aging (30-39 years old: OR=2.65, 95%CI: 2.06-3.41; 40-49 years old: OR=5.64, 95%CI: 4.40-7.24; 50- 59 years old: OR=9.88, 95%CI: 7.71-12.67; 60-69 years old: OR=18.34, 95%CI: 14.28-23.55; 70-79 years old: OR=21.30, 95%CI: 16.41-27.65; 80 years old and above: OR=24.13, 95%CI: 17.94-32.46), nationality (Li minority group: OR=1.50, 95%CI: 1.38-1.63; other ethnic groups: OR=1.53, 95%CI: 1.20-1.94), urban (OR=1.12, 95%CI: 1.04-1.21), central obesity (OR=2.14, 95%CI: 2.01-2.29), higher frequency of alcohol consumption (5-7 day/week: OR=1.24, 95%CI: 1.11-1.38), physical inactivity (OR=1.09, 95%CI: 1.02-1.17) were risk factors for diabetes, while aging (30-39 years old: OR=1.53, 95%CI: 1.31-1.79; 40-49 years old: OR=2.36, 95%CI: 2.01-2.76; 50-59 years old: OR=3.03, 95%CI: 2.58-3.55; 60-69 years old: OR=4.22, 95%CI: 3.58-4.97; 70-79 years old: OR=5.05, 95%CI: 4.23-6.04; 80 years old and above: OR=6.08, 95%CI: 4.86-7.61), nationality: (Li minority group: OR=1.18, 95%CI: 1.10-1.28; other ethnic groups: OR=1.40, 95%CI: 1.14-1.71), urban (OR=1.12, 95%CI: 1.04-1.19), central obesity (OR=1.72, 95%CI: 1.62-1.83), higher frequency of alcohol consumption (1-4 day/week: OR=1.12, 95%CI: 1.01-1.23; 5-7 day/week: OR=1.35, 95%CI: 1.22-1.49) were risk factors for pre-diabetes. Conclusions: The epidemic situation of diabetes and pre-diabetes among adult residents in Hainan Province was not optimistic. In order to control the development of abnormal blood glucose, measures and targeted health education should be carried out to strengthen the screening, treatment, and management of people with abnormal blood glucose among different populations.
目的： 研究海南省成年居民糖尿病患病及其前期流行特征、影响因素，为更好地防控糖尿病提供依据。 方法： 于2023年1-6月采用二阶段不等比例整群抽样方法，抽取海南省24个市（县、区）≥18岁常住居民32 857人进行问卷调查、身体测量和实验室检测。采用SPSS 23.0软件进行χ2检验、趋势χ2检验，影响因素采用多因素logistic回归分析。 结果： 海南省≥18岁常住居民糖尿病患病粗率为18.1%（加权率为13.7%），糖尿病前期患病粗率为22.8%（加权率为20.7%）。多因素logistic回归分析结果显示，年龄增长（30~岁：OR=2.65，95%CI：2.06~3.41；40~岁：OR=5.64，95%CI：4.40~7.24；50~岁：OR=9.88，95%CI：7.71~12.67；60~岁：OR=18.34，95%CI：14.28~23.55；70~岁：OR=21.30，95%CI：16.41~27.65；≥80岁：OR=24.13，95%CI：17.94~32.46）、民族（黎族：OR=1.50，95%CI：1.38~1.63；其他民族：OR=1.53，95%CI：1.20~1.94）、城镇（OR=1.12，95%CI：1.04~1.21）、中心性肥胖（OR=2.14，95%CI：2.01~2.29）、高饮酒频率（5~7 d/周：OR=1.24，95%CI：1.11~1.38）、身体活动不足（OR=1.09，95%CI：1.02~1.17）是糖尿病的危险因素。年龄增长（30~岁：OR=1.53，95%CI：1.31~1.79；40~岁：OR=2.36，95%CI：2.01~2.76；50~岁：OR=3.03，95%CI：2.58~3.55；60~岁：OR=4.22，95%CI：3.58~4.97；70~岁：OR=5.05，95%CI：4.23~6.04；≥80岁：OR=6.08，95%CI：4.86~7.61）、民族（黎族：OR=1.18，95%CI：1.10~1.28；其他民族：OR=1.40，95%CI：1.14~1.71）、城镇（OR=1.12，95%CI：1.04~1.19）、中心性肥胖（OR=1.72，95%CI：1.62~1.83）、高饮酒频率（1~4 d/周：OR=1.12，95%CI：1.01~1.23；5~7 d/周：OR=1.35，95%CI：1.22~1.49）是糖尿病前期的危险因素。 结论： 海南省成年居民糖尿病及其前期流行现状不容乐观，应加强血糖异常人群的筛查、治疗和管理，并在不同人群中开展有针对性的健康教育，从而控制血糖异常的发生发展。.