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美国糖尿病带和解释过度风险的因素:多因素建模和机器学习分析分析
Longjian Liu1, Nathalie S May2, Yuwei Hou3
1Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA 19104, United States.
糖尿病 (DM) 在美国糖尿病带中更为普遍,原因是社会经济地位低,身体不活跃和高血压. 解决这些因素对于减少DM差异至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 美国糖尿病带 (DM Belt) 是糖尿病患病率很高的地区.
- 了解DM带中DM风险过高的因素对于公共卫生干预至关重要.
研究的目的:
- 与非DM带地区相比,调查DM带地区DM带风险增加相关的因素.
- 识别和排名DM带中DM风险过度的主要贡献者.
主要方法:
- 来自2019年行为风险因素监测系统的398,243名成年参与者的分析.
- 使用后勤回归,随机森林和逐步后勤回归来评估DM风险并确定导致因素.
- DM状态是自我报告的医生诊断的DM;DM带分类遵循CDC标准.
主要成果:
- 与非DM带地区 (10.5%) 相比,DM带的DM患病率显著更高 (12.5%).
- 低社会经济地位 (SES),身体不活动和高血压是解释DM风险过高的前三大因素.
- 这些因素共同导致DM带的DM负担更高.
结论:
- 综合方法对于DM风险降低至关重要,重点是改善SES,促进体育活动和管理高血压.
- 解决这些可修改的因素可以帮助缓解美国DM流行病的健康差异.
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