多水平模型在居民慢病患病的影响因素分析中的应用

发布时间：2018-05-17 05:14

本文选题：慢病 + 影响因素　；参考：《中国健康教育》2016年04期

【摘要】：目的了解我国城乡居民的慢病现状及影响因素,为探索慢病预防控制的规划和政策提供依据。方法选取我国东、中、西部22个省(市、自治区)内合计35个县(区)的调查数据,分析居民慢病患病情况,并运用二项Logistic回归和多水平回归的统计方法,分析慢病的影响因素。结果共调查城乡居民7073人,男3868人,占54.7%;女3205人,占45.3%;城乡居民慢病患病率为22.7%。多水平模型显示,个体水平因素中,年龄较小(OR=1.049)、文化程度较高(OR值分别为0.886、1.039、0.676)、BMI较低(OR=1.036)、具备健康素养(OR=0.666)、无烟草暴露(OR=1.277)、无运动行为(OR=1.292)是慢病患病的保护因素,区域水平中,基层卫生机构数较多(OR值分别为1.649、2.006、1.893)和区域经济水平较高(OR值分别为1.727、1.272、0.838)是慢病患病的危险因素。结论我国居民慢性病患病率较高,不能单独依赖卫生系统对居民的个体干预,更需要一个综合社会经济和个体两个层面的行动框架来全面促进居民的健康。
[Abstract]:Objective to understand the status quo and influencing factors of chronic disease among urban and rural residents in China, and to provide basis for exploring the planning and policy of prevention and control of chronic disease. Methods the survey data of 35 counties (autonomous regions) in 22 provinces (cities and autonomous regions) in the east, middle and west of China were selected to analyze the prevalence of chronic disease, and two statistical methods of Logistic regression and multi-level regression were used. The influencing factors of chronic disease were analyzed. Results A total of 7073 urban and rural residents, 3868 males (54.7%) and 3205 females (45.3%) were investigated. The multilevel model showed that among the individual level factors, the lower OR value (0.8861.039), the higher OR value (0.8861.039), the lower BMI (0.6636), no tobacco exposure (1.277N), and no exercise behavior (OR1.292) were the protective factors for chronic disease. The OR value of more primary health institutions was 1.649 / 2.006 / 1.893) and the higher regional economic level was 1.727 / 1.272 / 0.838), respectively) were the risk factors of chronic disease. Conclusion the prevalence of chronic diseases in Chinese residents is high, so we can not rely on the individual intervention of health system alone, but also need a comprehensive socio-economic and individual level of action framework to promote the health of residents.
【作者单位】：北京大学公共卫生学院;中国健康教育中心;
【分类号】：R195

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