生活方式与中国成年人多病症之间的地理特定关联
Peixi Rong1, Yukui Chen1, Yusong Dang1
1Department of Epidemiology and Health Statistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, P.R. China.
PloS one
|June 7, 2023
概括
吸烟和饮酒等生活方式因素增加了中国成年人的多病风险,因地区和性别而异. 定期健身可以提供保护,特别是在中国西部.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 生活方式和多发性疾病之间的联系是已知的,但空间变异的研究不足.
- 了解地理差异对于有针对性的健康干预至关重要.
研究的目的:
- 研究中国成年人生活方式因素与多病症之间的空间关系.
- 确定生活方式相关的多发病风险的区域差异.
主要方法:
- 利用了2018年中国健康与退休纵向研究 (CHARLS) 数据库,共计7101名参与者.
- 采用地理加权物流回归 (GWLR) 和非空间模型,包括性别分层.
- 使用ArcGIS 10.7进行空间分析,可视化数据.
主要成果:
- 整体多病发病率为5.13%. 关键疾病包括高血压 (4.45%),糖尿病 (2.32%),心脏病 (3.02%) 和中风 (1.41%).
- 吸烟和过去的饮酒是显著的风险因素,观察到区域和性别特定的模式.
- 强烈的体力活动在中国西部显示有保护作用,而抑郁症在全球范围内增加了风险,区域差异很大.
结论:
- 生活方式因素显著影响多发病风险,中国的地理异质性很大.
- 空间分析揭示了独特的区域模式,突出了对量身定制的公共卫生战略的需要.
- 研究结果强调了在理解和管理多病症时考虑空间因素的重要性.
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