渝南地区成人缺铁性贫血患者社会因素的调查分析  

Investigation and analysis of social factors in adult iron-deficiency anemia in South of Chongqing

作　　者：李云龙 杨嫄[2] 谢成敏 罗青松 方永碧 古育玲 李懿 LI Yunlong;YANG Yuan;XIE Chengmin;LUO Qingsong;FANG Yongbi;GU Yuling;LI Yi(Graduate School of Army Medical University,Chongqing 400038,China;Department of Hematology,the People′s Hospital of Qijiang District,Chongqing 401422,China;Department of Hematology,the People′s Hospital of Banan District,Chongqing 401320,China;Department of Hematology,the People′s Hospital of Nanchuan District,Chongqing 408400,China;Department of Internal Medicine,the People′s Hospital of Wansheng District,Chongqing 409199,China;Department of Physical Examination,the People′s Hospital of Qijiang District,Chongqing 401420,China;Vocational Education Center of Army Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学研究生院,重庆400038 [2]重庆市綦江区人民医院血液内科,401422 [3]重庆市巴南区人民医院血液内科,401320 [4]重庆市南川区人民医院血液内科,408400 [5]重庆市万盛区人民医院内科,409199 [6]重庆市綦江区人民医院健康体检科,401420 [7]陆军军医大学职业教育中心,重庆400038

出　　处：《重庆医学》2020年第17期2921-2925,共5页Chongqing medicine

基　　金：重庆市卫生和计划生育委员会医学科研项目(2015MSXM179);重庆市綦江区科技计划项目(QJ2015090、QJ2018029)。

摘　　要：目的了解渝南地区成人缺铁性贫血(IDA)患者与社会因素的相关性。方法选择渝南地区4所大型医院为调查点,开展问卷调查,进行logistic回归分析社会因素对成人缺铁性贫血的影响。结果分析显示,长期吸烟相对不吸及偶尔吸烟OR=0.654,膳食合理相对膳食不合理OR=2.435,中学和大学文化程度相对小学及以下文化程度OR=0.164、0.096,家庭人数4人及以上相对3人及以下OR=0.424、0.118,工作紧张相对工作宽松OR=0.368,工作时间固定相对工作时间不固定OR=2.700,上述比较差异有统计学意义(P<0.05)。结论吸烟、紧张工作和无固定工作时间是缺铁性贫血的独立危险因素,而合理膳食、较高文化程度和3人及以上家庭规模是独立保护因素。Objective To understand the correlation between adult iron-deficiency anemia(IDA)patients and social factors in south of chongqing.Methods Four major hospitals in south of chongqing were selected as the survey sites,and the questionnaire survey was carried out by means of random survey.The survey included social and demographic factors,family environment factors,work environment factors and so on.Univariate and multivariate logistic regression analysis were used to analyzed the influence of social factors on adult iron deficiency anemia.Results According to logistic regression analysis,there were statistically significant in long-term smoking vs.non-smoking or occasional smoking(OR=0.654),reasonable diet vs.unreasonable diet(OR=2.435),high school and university education vs.primary school education or below(OR=0.164,0.096),the family size were four or above vs.the family size were three or below(OR=0.424 and OR=0.118),work stress vs.work loose(OR=0.368,P<0.001),fixed working hours at 6-8 hours vs.un-fixed working hours(OR=2.700).Conclusion Smoking,stressful work and unfixed working hours are independent risk factors for iron deficiency anemia,while reasonable diet,higher education level and family size of 3 persons or above are independent protective factors.

关 键 词：渝南地区 成年人 贫血、缺铁性 社会因素 LOGISTIC模型 

分 类 号：R195.4[医药卫生—卫生统计学]