临床医生亚健康状态高阶因子模型分析  

High order factor model analysis of sub-health status among doctors

作　　者：林少炜[1] 吴思英[1] 李煌元[2] 李冬莲 林秀蓉[4] 李艺昕[5] 

机构地区：[1]福建医科大学公共卫生学院流行病与卫生统计学系,福建福州350004 [2]福建医科大学公共卫生学院职业与环境卫生学系 [3]福建省龙岩市妇幼保健院医务科 [4]福建医科大学附属协和医院急诊科 [5]福建医科大学公共卫生学院预防医学实验中心

出　　处：《中国公共卫生》2012年第1期83-84,共2页Chinese Journal of Public Health

基　　金：国家自然科学基金(81001238);福建省高校杰出青年科研人才计划(JA10124)

摘　　要：目的应用结构方程模型中高阶因子模型对临床医生亚健康状态进行评价。方法采用多阶段分层整群抽样方法,抽取福建省5个城市市级医院临床医生810人,运用亚健康状态自评量表进行调查与测评,应用一阶因子相关模型分析因子间相关性,应用二阶因子模型分析不同性别与年龄临床医生的亚健康综合指数得分。结果亚健康状态可以归因于情绪情感问题、躯体活力不足、生理功能减退及社会适应困难等4个因子间具有很强的相关性,相关系数为0.78～0.92(均P<0.001);在二阶因子模型中,4个因子对高阶因子—亚健康综合指数的载荷分别为0.95、0.97、0.87、0.88;女性临床医生的亚健康综合指数得分高于男性,30～45岁临床医生亚健康综合指数得分高于其他年龄的临床医生。结论高阶因子模型可以很好地对医生的亚健康状况进行评价。Objective To evaluate the sub-health status among doctors with a high order factor model. Methods Totally 810 doctors were selected with stratified cluster random sampling and investigated with a sub-health scale. Results The sub-health status could be attributed to four factors ： psychological, physical activity, physical function, and social adapta- tion. The results showed a strong correlation among them（ correlation coefficient：0. 78 -0. 92,P 〈 0. 001 ）. A high order factor could recapitulate these four factors, and the factor loading was 0. 95,0. 97,0. 87, and 0. 88, respectively. The sub- health scores in female doctors were higher than those in male doctor, and the sub-health scores for the doctors at the age of 30 - 45 years were higher than those at other ages. Conclusion High order factor model can be applied to evaluate doctors＇ s sub-health status.

关 键 词：亚健康状态 高阶因子模型 临床医生 

分 类 号：R195[医药卫生—卫生统计学]