预期队列中的多病症模式和过早死亡率:因社会经济地位和健康生活方式而改变效果
Qingping Xue1,2, Shanshan Zhang2,3, Xue Yang4
1Department of Epidemiology and Health Statistics, School of Public Health, Chengdu Medical College, Chengdu, Sichuan, China.
识别出不同的多病症模式,揭示出与长期死亡率的重大关联. 较低的社会经济地位 (SES) 加剧了死亡风险,而健康的生活方式促进了所有模式的生存.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是指老年学的学科.
背景情况:
- 很少有研究研究过多病态模式对早逝率的影响.
- 了解这些模式对于公共卫生干预至关重要.
研究的目的:
- 评估多病症模式与长期死亡率之间的关联.
- 通过社会经济地位 (SES) 和健康的生活方式来检查变化.
主要方法:
- 使用NHANES (1999-2018) 数据对11种慢性疾病进行潜在类别分析.
- 与2019年12月全国死亡指数相关的死亡率结果.
- 加速失效时间模型分析了关联和效果修改.
主要成果:
- 确定了6种多病态模式,从"相对健康"到"严重受损".
- 随着模式的严重程度,死亡风险逐渐增加;"严重受损"显示最短的生存期.
- 低SES放大了死亡风险;健康的生活方式持续改善了生存率.
结论:
- 显著的多病态模式与死亡率有关.
- 较低的SES增加了过度死亡风险;健康的生活方式提高了生存率.
- 减少SES差异和促进健康的生活方式对于管理多病症的健康负担至关重要.
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