潜阶级分析多病症和全因死亡率:智利成年人的前性研究
Gabriela Nazar1, Felipe Díaz-Toro2, Yeny Concha-Cisternas3,4
1Departmento de Psicología, Universidad de Concepción, Concepción, Chile.
PloS one
|December 19, 2023
概括
在智利,特定的多病症模式显著增加了死亡风险. 识别这些疾病集群,如抑郁症/心血管/癌症和高血压/脏疾病,对于公共卫生战略至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 多种疾病模式与死亡率有关,但智利的研究往往忽视了特定的疾病集群.
- 现有的研究重点关注单个疾病或有限的组合,而不是全面的模式.
研究的目的:
- 在智利人口中识别出明显的多病态模式.
- 调查这些已识别的模式与全因死亡率之间的联系.
主要方法:
- 在3,701名智利成年人中对16种慢性疾病的潜在类别分析 (国家健康调查2009-2010).
- 使用智利民事登记处的死亡率数据进行未来的后续调查.
- 根据社会人口统计学和生活方式因素调整的考克斯比例回归模型.
主要成果:
- 确定了三个不同的多病态模式:最健康的 (72.1%),抑郁症/心血管/癌症 (17.5%),高血压/慢性病 (10.4%).
- 抑郁症/心血管/癌症类显示死亡风险高45%.
- 高血压/慢性病类与最健康类相比,死亡风险高出98%.
结论:
- 特定的多病症模式,特别是那些涉及高血压的模式,显著提高所有原因的死亡风险.
- 高血压是导致发病率和死亡率增加的关键因素.
- 了解这些疾病集群对于有针对性的公共卫生干预和提高生存率至关重要.
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