自然人群中被动吸烟与糖尿病及糖尿病前期关系的横断面研究

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Abstract Objective To explore the relationship between passive smoking and diabetes, pre-diabetes in natural population. Methods A total of 6000 residents from chronic disease surveillance in Jiangxi province were selected by multi-stage sampling from May 2013 to December 2015, and the Surveillance Questionnaire for Chronic Diseases and Their Risk Factors in China designed by Chinese Center for Disease Control and Prevention was used for questionnaire survey and laboratory examination. According to the results of fasting blood glucose, the subjects were divided into three groups: diabetic group (426 cases, fasting blood glucose ≥7.0 mmol/L), pre-diabetic group(848 cases,6.1 mmol/L＜fasting blood glucose ＜7.0 mmol/L), and healthy group (4562 cases, fasting blood glucose ≤6.1 mmol/L). The relationship between prediabetes mellitus and passive smoking was evaluated. Results A total of 5836 qualified samples were screened, and the sample recovery rate was 97.27%. Among the subjects, 5335 cases reported smoking history actively,among which only passive smokers accounted for 40.67%, only active smokers accounted for 3.62%, both active and passive smokers accounted for 18.33%, and those who did not smoke any cigarettes accounted for 37.38%.There were significant differences in gender, age, education level, marital status, occupation, body mass index(BMI), alcohol consumption, blood pressure, blood lipid distribution between diabetic group and healthy group (P＜0.05).Compared with the healthy group, there were statistically significant differences in the distribution of age, educational level, marital status, occupation, BMI, alcohol consumption, blood pressure and blood lipid in the pre-diabetic group(P＜0.05). There was statistical significance in smoking among healthy group, diabetic group and pre-diabetic group (P＜0.05). Generalized Logit regression analysis showed that age ≥60 years old, obesity, alcohol consumption, hypertension,dyslipidemia were risk factors for diabetes or pre-diabetes (P＜0.05). At the same time, after controlling for gender, age,education level, marital status, occupation, BMI, alcohol consumption, hypertension, dyslipidemia and other factors,there was no statistical correlation between only passive smoking or active+passive smoking and diabetes or pre-diabetes (P＞0.05). Conclusion The cross-sectional study shows that passive smoking is not associated with diabetes and pre-diabetes, but large multi-center studies are needed for further validation.

Key words： Natural population Passive smoking Diabetes Cross-sectional study

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	Articles by authors
	DONG Yong-hai
	YAN Wei
	HU Ji-long
	CHEN Yi-ying
	LIU Jie
	XU Yan
	SHI Qi
	LIU Yun

Cite this article:

DONG Yong-hai,YAN Wei,HU Ji-long, et al. Cross-sectional study on the relationship between passive smoking and diabetes, pre-diabetes in natural population[J]. 中国当代医药, 2021, 28(12): 12-017.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I12/12

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