王笑笑 1刘情 2张英奎 2李进华 3杨洁 4王莉4
作者信息
- 1. 063000 河北省唐山市,华北理工大学研究生院
- 2. 050051 河北省石家庄市,河北省人民医院妇产科
- 3. 050000河北省石家庄市,河北医科大学研究生院
- 4. 050000 河北省石家庄市,河北省妇幼保健中心
- 折叠
摘要
Abstract
Objective To investigate the prevalence and epidemiological characteristics of gestational diabetes mellitus(GDM)in Hebei Province in 2016.Methods Data were collected from the Monitoring Information Management System for Pregnant and Parturient Women of Hebei Women and Children's Health Center(reported by 22 critical maternal surveillance hospitals in Hebei Province via an internet-based system)from January 1 to December 31,2016.The involved individuals were women discharged from these institutions after delivery in 2016.The prevalence of GDM in 2016 was analyzed.Moreover, epidemiological characteristics of GDM including regional distribution(urban distribution,urban and rural distribution),level of hospitals,age group,onset time(season),and the associated high-risk factors〔pluriparity,multifetation,anemia, hypertensive disorders of pregnancy(HDP),tertiary educational attainment〕in 2016 were explored.Results 64 931 parturient women were included.The overall prevalence of GDM was 5.33%(3 460/64 931).From a city-specific perspective, the prevalence of GDM in Baoding and Zhangjiakou was 13.99% and 0.06% respectively.In the view of the location of hospital for childbirth,the prevalence of GDM was higher in urban hospitals compared with rural hospitals(7.20% vs 3.51%,P＜0.05). From the point of view of level of hospitals for childbirth,the prevalence of GDM increased successively in primary,secondary and tertiary hospitals(P＜0.05).From the perspective of age group,of the 5 age groups(≤24,25-29,30-34,35-39,≥40),age group of ≤24 possessed the lowest prevalence of GDM(P＜0.05),age group of 25-29 had lower prevalence of GDM compared with other 3 older groups(P＜0.05),and age group of 30-34 owned lower prevalence of GDM compared with other 2 older groups(P＜0.05),indicating that the prevalence of GDM increased with maternal age(fitting equation:y=0.390 5x-5.893,R2=0.692 4).In terms of onset season,the prevalence of GDM in spring and summer was 5.71% and 4.74% respectively.In addition,by demographic characteristics,higher proportions of women with GDM were found with HDP and tertiary educational attainment compared with those without(P＜0.05).The results of multivariate Logistic regression analysis showed that age,pluriparity,anemia,HDP,education level,level of hospitals,urban and rural distribution,and season were all factors influencing the prevalence of GDM(P＜0.05).Conclusion The prevalence of GDM in Hebei in 2016 was at an intermediate level of the national norms.Its epidemiological characteristics differed significantly by regions,age groups,and seasons.Therefore,in order to prevent the development of GDM in high-risk populations,raising the level of perinatal health care,targeted preventive interventions should be delivered by regions.关键词
糖尿病,妊娠/患病率/流行病学特点Key words
Diabetes,gestational/Prevalence/Epidemiological characteristics分类
医药卫生
