社会经济地位与中国慢性阻塞性肺病风险之间的关联:一项前性队列研究
Yujie Hua1, Xikang Fan2, Mengshi Yang3
1Department of Non-communicable Chronic Disease Control and Prevention, Suzhou Center for Disease Control and Prevention, Suzhou, 215004, China.
较低的社会经济地位 (SES) 与中国成年人患慢性阻塞性肺病 (COPD) 的风险更高有关. 解决SES差异对于中国有效的COPD预防战略至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 社会经济地位 (SES) 是西方国家慢性阻塞性肺病 (COPD) 的已知危险因素.
- 关于中国人群中SES和COPD风险之间的关联的证据有限.
- 了解这种关系对于在中国开发有针对性的公共卫生干预措施至关重要.
研究的目的:
- 调查社会经济地位 (SES) 与慢性阻塞性肺病 (COPD) 发生率之间的关联.
- 检查各种SES指标与中国成年人队列中COPD风险的关系.
主要方法:
- 利用了来自中国Kadoorie生物库 (CKB) 项目的数据,其中包括45484名30-79岁的成年人.
- 采用Cox的比例危险模型来分析SES指标 (收入,教育,财产,消费) 与COPD风险之间的关系.
- 通过住院记录,死亡证明和平均11.2年的积极随访确定了COPD病例.
主要成果:
- 在家庭收入和COPD风险之间发现了显著的反向关联;较高的收入与较低的风险相关.
- 较低的教育程度和拥有新装修的公寓与COPD风险增加有关.
- 冰箱,私人所和私人电话所有权等指标显示,与COPD风险存在不良关联.
结论:
- 社会经济地位显然与中国成年人患COPD的风险有关.
- 研究结果表明,为减轻中国的COPD负担,需要针对SES量身定制的,基于人口的预防策略.
- 公共卫生倡议应考虑社会经济因素,以有效减少COPD的发病率和影响.
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