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痴呆危险因素人群归因分值的城乡差异
引用本文:张波,张连生,程桂荣,曾燕,安丽娜,甘旭光,吴玉莲,刘丹. 痴呆危险因素人群归因分值的城乡差异[J]. 中华疾病控制杂志, 2021, 25(7): 854-858,863. DOI: 10.16462/j.cnki.zhjbkz.2021.07.021
作者姓名:张波  张连生  程桂荣  曾燕  安丽娜  甘旭光  吴玉莲  刘丹
作者单位:430065武汉,武汉科技大学医学院;430065武汉,武汉科技大学脑科学先进技术研究院;430065武汉,武汉科技大学医学院
基金项目:国家自然科学基金71774127武汉科技大学人文社会科学高水平培育项目W201809
摘    要:目的 使用人群归因分值(population attributable fractions,PAF)探讨痴呆危险因素所造成痴呆患者的比例,为今后痴呆的早期预防和干预提供建议.方法 采用随机整群抽样的方法选取3 361名≥65岁的老年人进行调查,使用x2检验分析危险因素的城乡差异.在主成分分析探索危险因素之间重叠效应的基...

关 键 词:痴呆  人群归因分值  城乡差异
收稿时间:2020-07-14

Urban-rural differences in population attributable fractions for risk dementia factors
Affiliation:1.Medical College, Wuhan University of Science and Technology, Wuhan 430065, China2.Brain Science and Advanced Technology Institute, Wuhan University of Science and Technology, Wuhan 430065, China
Abstract:  Objective  Based on the population attributable fraction (PAF), the ratio of dementia induced by risk factors was estimated to provide early prevention and intervention strategies.  Methods  To assess the urban-rural differences of risk factors of dementia using Chi-square test in 3 361 persons which are selected using random cluster sampling and 65 years or older. Based on the results from principal components analysis, we calculated the weighted PAF of each risk factor contributing to dementia.  Results  The overall weighted PAF for dementia risk factors in urban was 39.51%, and the weighted PAF for individual risk factors was hypertension (10.46%), overweight and obesity (9.78%), smoking (5.69%), low education (5.55%), diabetes (3.93%), lack of physical exercise (2.75%) and lack of social interaction (1.35%). The overall weighted PAF for dementia risk factors in rural was 31.66%, and the weighted PAF for individual risk factors was low education (9.21%), hypertension (6.60%), overweight and obesity (4.96%), lack of social interaction (4.94%), smoking (4.44%), diabetes (1.51%).  Conclusions  There was a significant difference in weighted PAF of each risk factor between urban and rural areas. And prevention and early intervention strategies for dementia should be given different emphasis in urban and rural areas.
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