分析方法,数据源和重复测量的对人口的影响 归因于生活方式风险因素的可归因部分
You Wu1,2,3, Hanseul Kim4,5,6, Kai Wang7
1Institute for Hospital Management, School of Medicine, Tsinghua University, Beijing, China. youwu@tsinghua.edu.cn.
European journal of epidemiology
|June 6, 2023
概括
人口可归因风险 (PAR%) 对癌症的估计差异很大. 使用重复测量并考虑风险因素的联合影响,可显著增加绝经后预防乳腺癌的PAR%.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 预防医学 预防医学
背景情况:
- 人口可归因风险 (PAR%) 量化了可预防疾病的部分.
- 由于不同的方法,数据和测量时间,癌症的PAR%估计显示出相当大的差异.
研究的目的:
- 为了比较绝经后乳腺癌的PAR%的变化.
- 评估统计方法,数据源和测量时间对PAR%估计的影响.
- 评估多种风险因素对PAR%的联合影响的影响.
主要方法:
- 系统的文献审查确定了三个PAR%估计方法:莱文公式,比较发病率和比较风险评估.
- 护士健康研究中PAR%估计值的比较,使用单次与重复暴露测量.
- 评估肥胖,酒精,体力活动和饮食对PAR%的联合影响.
主要成果:
- 在使用重复测量时,PAR%的估计值在所有三种方法中都高于基线测量.
- 基线,简单更新和累计平均模型的整体PAR%从13.7%到31.2%.
- 综合考虑多种风险因素,比假设独立 (18.9%) 获得更高的PAR% (31.2%) 结果.
结论:
- 当数据源和测量时间一致时,选择的统计方法会产生类似的PAR%.
- 重复的暴露测量和联合风险因素分析大大增加了PAR%的估计值.
- 这些发现强调了测量频率和协同效应在癌症预防策略中的重要性.
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