泰国队列研究中的多病态模式的空间分析,使用隐性类分析
Xiyu Feng1, Haribondhu Sarma2, Sam-Ang Seubsman3
1National Centre of Epidemiology and Population Health, The Australian National University, Building 62, Mills Road, Acton, Canberra, 2601, Australia. u6453474@anu.edu.au.
Journal of epidemiology and global health
|February 12, 2025
概括
泰国的多发症模式显示出明显的集群,年龄较大和男性性别增加风险. 教育和家务是保护性的,心脏代谢障碍在地理上聚集在一起.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 非传染性疾病 (NCD) 是一种非传染性疾病.
背景情况:
- 非传染性疾病 (NCD) 在全球和泰国构成了重大健康负担.
- 了解多病态模式对于有效的公共卫生干预至关重要.
- 之前的研究还没有完全阐明泰国人口中特定的多发病概况.
研究的目的:
- 在泰国常见的非传染性疾病中识别和描述多病症的模式.
- 研究已识别的多病症模式与社会人口统计学,生活方式和地理因素之间的关联.
- 为NCD管理提供有针对性的健康政策和干预措施的信息.
主要方法:
- 对泰国队列研究 (TCS) 的42,785名参与者的横截面分析.
- 隐性类分析 (LCA) 用于基于八种慢性疾病的自我报告数据来识别多病症模式.
- 用于评估与风险因素的关联和地理集群的多项模型和空间分析.
主要成果:
- 确定了四种不同的多病态模式:"相对健康" (87.32%),"代谢综合征" (10.20%),"心脏代谢障碍" (1.53%) 和"多系统状况" (0.95%).
- 高龄和男性性别与多种疾病风险增加有关. 大学教育和从事家务工作显示有保护作用.
- 空间分析显示",心脏代谢障碍"倾向于在泰国中部聚集.
结论:
- 泰国的多病态模式受到社会人口因素,生活方式选择和地理分布的重大影响.
- 研究结果强调,需要进行特定人群的研究,以比较不同群体和地点的多病症.
- 有针对性的卫生政策和干预措施对于减轻与NCD多病症相关的健康负担至关重要.
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