机构地区:[1]山西医科大学公共卫生学院流行病教研室,太原030001
出 处:《现代预防医学》2010年第24期4603-4605,共3页Modern Preventive Medicine
基 金:国家自然科学基金(30571611)
摘 要:[目的]探讨老年人的人格特征与疾病(包括高血压、冠心病、糖尿病、脑血管病、肿瘤)的关系,为预防与治疗疾病提供科学依据。[方法]2007年11月在太原市采用整群抽样方法选取4个社区的老年人群,男性107例,女性168例,年龄60~83岁,平均71.25岁,用EpiData3.02建立数据库,应用SPSS13.0软件进行χ2检验、t检验及多因素Logistic回归分析。[结果]χ2检验结果:高血压、冠心病、糖尿病、脑血管病、肿瘤中年龄、性别、文化程度与对照组之间的差异均无统计学意义(P﹥0.05)。t检验发现,卡特尔16种人格因素问卷(16PF)中高血压组的4个因素(因素C、H、L、N)、冠心病组的3个因素(因素M、Q3、Q4)、糖尿病组的3个因素(因素L、O、Q4)和脑血管病组的3个因素(因素F、G、Q1)的得分与对照组之间的差异有统计学意义(P﹤0.05);而肿瘤组各自变量得分与对照组之间的差异均无统计学意义(P﹥0.05)。多因素Logistic回归分析表明,高血压组具有统计学意义的变量为:因素C(Waldχ2=11.089,P=0.001,OR=0.102,95%CI:0.027~0.391),因素N(Waldχ2=5.517,P=0.019,OR=7.635,95%CI:1.400~41.638);冠心病组具有统计学意义的变量为:因素M(Waldχ2=3.937,P=0.047,OR=0.200,95%CI:0.041~0.981);糖尿病组具有统计学意义的变量为:因素O(Waldχ2=4.797,P=0.029,OR=14.985,95%CI:1.329~168.918)。[结论]高血压与低稳定性及高世故性有关,冠心病与低幻想性有关,糖尿病与高忧虑性有关,而脑血管病与肿瘤在16PF中没有突出的人格特征。[Objective]To explore the relationship between personality characteristic and disease(Including hypertension,coronary heart disease,diabetes mellitus,cerebrovascular disease and tumor)of in Taiyuan City,and to provide with scientific basis for the prevention and treatment of disease in the aged.[Methods]The aged in four communities in Taiyuan were selected by using cluster sampling method in November 2007.In total,107 men and 168 women were recruited,and the age was range from 60 to 83 years,and the mean average was 71.25 years.Epi-Data 3.02 was used to build up database,and t test and multivariate Logistic regression analysis were performed by SPSS 13.0 software.[Results]Chi-square test showed that no significant differences were found in age,sex and educational level(P﹥0.05)between case group(hypertension,coronary heart disease,diabetes,cerebrovascular disease,and tumor group)and control group.T test showed that Cattell's 16 Personality Factor Questionnaire(16PF)in the hypertensive group of four factors(factor C,H,L,N),CHD group of the three factors(factor M,Q3,Q4),Diabetic group of three factors(factors,L,O,Q4)and cerebrovascular disease group of three factors(factor F,G,Q1)scores was statistically significant different compared with the control group(P﹤0.05).But the differences between tumor group and the control group had no statistical significance(P﹥0.05).Multivariate Logistic regression analysis showed that hypertension had a statistically significant variables:factor C(Wald χ2=11.089,P = 0.001,OR=0.102;95%CI:0.027-0.391)and factor C(Wald χ2=5.517,P = 0.019,OR=7.635(95%CI):1.400-41.638).Coronary heart disease has a statistically significant variables:factor M(Wald χ2=3.937,P = 0.047,OR=0.200,(95%CI):0.041-0.981).Diabetes mellitus has a statistically significant variables:factor O(Wald χ2=4.797,P = 0.029,OR=14.985;95%CI:1.329~168.918).[Conclusion]Low stability and high sophisticated were associated with hypertension.L
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