基于面板数据模型研究某企业员工血压水平的变化趋势及影响因素  

Changing trend and influencing factors of blood pressure level among staff based on panel data model

作　　者：罗潇 戴翔 贾存显 宋华翠 高莉洁 LUO Xiao;DAI Xiang;JIA Cunxian;SONG Huacui;GAO Lijie(Department of Epidemiology,School of Public Health,Shandong University,Jinan 250012,Shandong,China;Health Laboratory,Shandong Electric Power Central Hospital,Jinan 250001,Shandong,China)

机构地区：[1]山东大学公共卫生学院流行病学系,山东济南250012 [2]山东电力中心医院健康研究室,山东济南250001

出　　处：《山东大学学报（医学版）》2022年第2期109-114,共6页Journal of Shandong University:Health Sciences

摘　　要：目的通过面板数据模型分析某企业员工连续4年的血压水平变化及血糖、血脂等体检指标对血压的影响。方法收集某企业员工2015~2018年的健康体检结果,建立面板数据。对血压水平变化进行趋势检验;分别以收缩压和舒张压为因变量,以血糖、血脂等体检指标为自变量,以年龄为控制变量,采用固定效应模型分析上述指标对血压的影响。结果①收缩压随时间呈上升的趋势(F=12.451,P<0.05),舒张压呈波动上升趋势(F=7.682,P<0.05)。②多因素分析发现空腹血糖、甘油三酯、总胆固醇和低密度脂蛋白是收缩压的危险因素(P<0.05);空腹血糖、甘油三酯、总胆固醇、低密度脂蛋白和同型半胱氨酸是舒张压的危险因素(P<0.05)。结论对连续测量的体检数据,采用面板数据模型分析综合了时间和个体效应;员工血压水平随时间推移呈上升趋势;血压应当从血糖、血脂等多方面展开控制。Objective To analyze the changes of blood pressure of staff in an enterprise for 4 consecutive years and to analyze the impact of blood sugar,blood lipids and other health examination indicators on blood pressure using the panel data model.Methods The health examination results from 2015 to 2018 were collected,and panel data were established.The changes in blood pressure were determined with trend test.With systolic and diastolic blood pressure as dependent variables,blood glucose,blood lipids,other health examination indicators as independent variables,and age as control variables,effects of the above indicators on blood pressure were analyzed with fixed-effects model.Results①Systolic blood pressure increased over time(F=12.451,P<0.05)and diastolic blood pressure showed a fluctuating upward trend(F=7.682,P<0.05).②Multivariate analysis showed that fasting blood glucose,triglyceride,total cholesterol,and low-density lipoprotein were risk factors of systolic blood pressure(P<0.05);fasting blood glucose,triglyceride,total cholesterol,low-density lipoprotein,and homocysteine were risk factors of diastolic blood pressure(P<0.05).Conclusion The blood pressure shows an upward trend over time.Due attention should be paid to blood sugar,blood lipids and other indicators to control blood pressure.

关 键 词：面板数据模型 血压 生化指标 健康体检 

分 类 号：R194.3[医药卫生—卫生事业管理]