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时间:2020-05-23
《泸水县农村居民慢性病患病及其影响因素的多水平模型分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、昆明医科大学学报2014,35(9):3943CN53—1221/RJournalofKunmingMedicalUniversity泸水县农村居民慢性病患病及其影响因素的多水平模型分析毛勇,周佳,陈龙,韦焘,祁秉先(昆明医科大学,云南昆明650500)[摘要]目的研究普遍开展基本公共卫生服务情况下泸水县农村居民的慢性病患病情况及其影响因素.方法2012年8月,问卷调查多阶段分层随机抽取的泸水县2131名农村居民患病情况.以山区为组群水平解释变量,老年(≥60岁)为个体水平随机斜率变量,其他个体背景变量为固定斜率变量拟合多水平Logistic回
2、归模型.结果泸水县2131名农村居民的慢性病患病率为79.3‰(95%CI67.8%。~90.8‰),低于2008年全国四类农村水平(119.6%0,P<0.05),与2007年当地1163名农村居民的慢性病患病率(86.0‰,P>0.05)基本持平;年龄别慢性病患病率变化趋势与全国四类农村相似;患病率排名前五位的慢性病是高血压、慢性支气管炎、慢性肠胃炎、胆囊疾病和冠心病.多水平Logistic回归模型结果表明,山区与老年之间有跨层交互作用(P3、未婚为参照,在婚(OR=7.3891,95%cI3.1623~17.2550)、离婚或丧偶(OR=14.0680,95%CI4.9769~40.3665)对慢性病患病也有正效应.结论加强老年人健康管理服务、改变居民不良行为方式、改善山区居住环境和卫生条件等措施有助于人群健康水平的进一步提高.[关键词】边疆;少数民族;农村居民;慢性病;多水平模型[中图分类号]R184[文献标识码]A[文章编号]2095-610X(2014)09—0039—06PrevalenceandDeterminantsofChronicDiseaseamongRuralR4、esidentsinLushui:aMultilevelModelAnalysisMAOYong,ZHOUJia,CHENLong,WEITao,QIBing-xian(KunmingMedicalUniversity,KunmingYunnan650500,China)IAbstractlObiectiveThestudywasaimedtoassesstheprevalenceandriskfactorsofchronicdiseaseamongruralresidentsinLushui.underthebackgroundofessen5、tialpublichealthserviceimplementedgenerally.MethodsInAugust2012,thequestionnairemethodwasemployedtoinvestigatethemorbidityin2131ruralresidentssampledbymultistagestratifiedrandomsamplingfromLushuipopulation.Themultilevellogisticregressionmodelwasfittedbygroup—levelexplanatory6、variablemountainousarea,individual-levelrandomslopesvariableagedandotherindividualbackgroundvariables.ResultsTheprevalenceofchronicdiseaseamong213lruralresidentsinLushuiwas79.3%。(95%CI67.8%D一90.8%。).Itwaslowerthanthatoftheruralregi0nIVinChina(119.6%。,P<0.05).andnosignificant7、differencewiththatof1163localruralresidentsin2007(86.0%。,P>0.05).ItsagetIlendwassameasthatoftheruralregionIVinChina.Thetopfivechronicdiseaseswerehype~ension,chronicbronchitis.chronicenterogastritis.cholecystdiseaseandcoronaryheandisease.Theresultsofmultilevellogisticregressi8、onmodelindicatedthattherewereacross—levelinteractionsbetweenmountainousarea
3、未婚为参照,在婚(OR=7.3891,95%cI3.1623~17.2550)、离婚或丧偶(OR=14.0680,95%CI4.9769~40.3665)对慢性病患病也有正效应.结论加强老年人健康管理服务、改变居民不良行为方式、改善山区居住环境和卫生条件等措施有助于人群健康水平的进一步提高.[关键词】边疆;少数民族;农村居民;慢性病;多水平模型[中图分类号]R184[文献标识码]A[文章编号]2095-610X(2014)09—0039—06PrevalenceandDeterminantsofChronicDiseaseamongRuralR
4、esidentsinLushui:aMultilevelModelAnalysisMAOYong,ZHOUJia,CHENLong,WEITao,QIBing-xian(KunmingMedicalUniversity,KunmingYunnan650500,China)IAbstractlObiectiveThestudywasaimedtoassesstheprevalenceandriskfactorsofchronicdiseaseamongruralresidentsinLushui.underthebackgroundofessen
5、tialpublichealthserviceimplementedgenerally.MethodsInAugust2012,thequestionnairemethodwasemployedtoinvestigatethemorbidityin2131ruralresidentssampledbymultistagestratifiedrandomsamplingfromLushuipopulation.Themultilevellogisticregressionmodelwasfittedbygroup—levelexplanatory
6、variablemountainousarea,individual-levelrandomslopesvariableagedandotherindividualbackgroundvariables.ResultsTheprevalenceofchronicdiseaseamong213lruralresidentsinLushuiwas79.3%。(95%CI67.8%D一90.8%。).Itwaslowerthanthatoftheruralregi0nIVinChina(119.6%。,P<0.05).andnosignificant
7、differencewiththatof1163localruralresidentsin2007(86.0%。,P>0.05).ItsagetIlendwassameasthatoftheruralregionIVinChina.Thetopfivechronicdiseaseswerehype~ension,chronicbronchitis.chronicenterogastritis.cholecystdiseaseandcoronaryheandisease.Theresultsofmultilevellogisticregressi
8、onmodelindicatedthattherewereacross—levelinteractionsbetweenmountainousarea
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