教育水平与睡眠呼吸障碍的患病率和医疗行为之间的关系:基于人口的跨部门研究
Gaihong Zheng1, Qiong Ou2,3, Guangliang Shan4
1Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, People's Republic of China.
Nature and science of sleep
|May 7, 2025
概括
教育水平并没有直接影响中国成年人睡眠呼吸障碍 (SDB) 的患病率. 然而,BMI和吸烟调解了这种关系,这表明需要针对所有教育群体进行有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 睡眠医学 睡眠医学
背景情况:
- 睡眠呼吸障碍 (SDB) 是一个重要的健康问题,患者意识和寻求治疗的程度较低.
- 虽然年龄,肥胖和遗传是已知的风险因素,但社会经济地位,特别是教育水平对SDB患病率的影响仍未得到充分探索.
研究的目的:
- 调查教育程度与中国社区居民中SDB的流行程度之间的关联.
- 检查教育水平如何影响与SDB相关的医疗寻求行为.
主要方法:
- 一项涉及广东群体3717名居民的横截面研究.
- 二元逻辑回归被用于多变量分析.
- 使用系数乘积法来评估生活方式因素和体重指数 (BMI) 对教育-SDB关系的调解效应.
主要成果:
- 在所有教育水平 (29.7%至33.0%) 中,SDB患病率一致,没有统计学上显著的差异 (P=0.580).
- 经过调整后的分析证实,教育水平并没有显著影响SDB风险 (P>0.05).
- 调解分析显示,通过BMI和吸烟,教育对SDB的间接影响 (P<0.0001). 对于SDB的咨询率,教育群体之间没有显著的差异 (P=0.981).
结论:
- SDB影响了中国社区所有教育阶层的个人.
- 体重指数和吸烟习惯似乎是教育和SDB之间的关系的重要调解者.
- 鉴于各个教育层面的医疗咨询行为相似,公共卫生倡议和SDB干预措施应普遍应用.
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