中国居民2型糖尿病危险因素Meta分析

目的探讨2型糖尿病的主要危险因素。方法通过检索中国知网等数据库,收集国内2003年1月1日至2013年12月31日发表的关于2型糖尿病危险因素的病例对照研究,采用Lichtenstein量表进行文献质量评价,用Meta分析方法计算相关危险因素的合并OR值及其95%置信区间。结果经过筛选最终纳入14篇文献,累计病例4 339例,对照7 523例。各因素与糖尿病的合并OR值(95%CI)为:高血压3.87(2.55～5.87);糖尿病家族史3.53(2.51～4.96);冠心病3.20(1.87～5.46);喜食糖与甜食3.03(1.78～5.14);吸烟1.79(1.21～2.65);饮酒1.47(1.03～2.10)。结论高血压史、糖尿病家族史、冠心病史、喜食糖与甜食、吸烟和饮酒均为我国居民2型糖尿病的危险因素。戒烟限酒、饮食平衡、预防和积极治疗高血压和冠心病对2型糖尿病的预防和控制具有积极意义。厦门市科技计划项目(No.3502Z20143006);;国家级大学生创新项目(DC2013022

Analysis on occupational health surveillance in Xiamen City from 2004-2013

目的了解厦门市职业危害情况。方法收集整理2004—2013年职业有害因素监测资料进行统计分析。结果 2004—2013年厦门市职业有害因素总合格率整体呈上升趋势,平均合格率为88.28%,其中毒物合格率最高(97.56%),其次是粉尘(88.87%),物理因素合格率最低(72.99%);2010—2013年内资、港澳台和外资企业的总合格率差异有统计学意义(P<0.05),各年度的外资企业监测合格率均最高。结论 2004—2013年厦门市职业有害因素总合格率呈上升趋势,说明企业职业卫生工作在不断改善。[Objective]To understand the status of occupational hazards in Xiamen City.[Methods]The monitoring data about occupational hazard factors from 2004-2013 were collected and statistically analyzed.[Results]The total qualified rate of occupational hazard factors in Xiamen City from 2004-2013 showed a rising trend with the average qualified rate of 88.28%.The qualified rate of toxic substances was the highest(97.56%),followed by dust(88.87%),while the qualified rate of physical factors was the lowest(72.99%).There was statistically significant difference in the total qualified rate among domestic-funded enterprises,HK-Macao-Taiwan companies and foreign enterprises(P<0.05).The annual qualified rates of foreign enterprises were the highest from 2004-2013.[Conclusion]The qualified rate of occupational hazard factors has increased gradually in Xiamen City from 2004-2013,reflecting a promotion on occupational health work of enterprises