日本的自杀与身体疾病之间的关联:基于区域属性的统计调整的分析
Akihito Ueda1,2, Masayoshi Koinuma3
1Department of Internal Medicine, Medical Corporation Toujinkai, Fujitate Hospital, Osaka, JPN.
Cureus
|May 14, 2025
概括
日本的自杀率与脑梗塞和糖尿病有关,特别是考虑到年龄和财富等区域因素. 适应这些社会经济条件对于有效的自杀预防策略至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 自杀在日本是一个重要的社会问题,健康问题是主要的驱动因素.
- 之前的研究在分析身体疾病和自杀之间的联系时没有考虑区域因素.
研究的目的:
- 调查针对特定疾病的门诊访问与日本各县的自杀率之间的关联.
- 在分析身体疾病和自杀风险时,调整区域混变量.
主要方法:
- 对来自47个县的数据进行了逐步多重回归分析.
- 自杀人数被调整为区域属性:老年人比例,家庭资产,幸福程度和阳光时间.
- 分析了六种疾病:瘤,胃/十二指肠,肝病,质疾病/功能衰竭,糖尿病和脑梗塞.
主要成果:
- 自杀在调整区域因素后显示与脑梗塞和糖尿病有显著的关联.
- 对区域属性的控制是必不可少的,因为未经调整的分析没有发现任何显著的关联.
- 老年人的比例和家庭资产是自杀率的重要区域预测因素.
结论:
- 对脑梗塞和糖尿病患者进行自杀风险监测至关重要.
- 区域社会经济因素必须纳入自杀预防战略.
- 初级医疗保健专业人员可以在识别和支持处于危险的个体方面发挥关键作用.
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