基于潜在类别分析研究20~30岁职业人群行为生活方式与中医体质的关系  

Relationship between behavioral lifestyle and traditional Chinese medicine constitution among 20 to 30 years old young occupational groups based on latent class analysis

作　　者：贾丽燕 朱燕波[2] 张千 吕晓颖 JIA Li-yan;ZHU Yan-bo;ZHANG Qian;LYU Xiao-ying(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;School of Management,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]北京中医药大学管理学院,北京102488

出　　处：《中华中医药杂志》2021年第4期2083-2088,共6页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京中医药大学2020重点攻关项目(No.2020-JYB-ZDGG-073);科技部基础性工作专项(No.2013FY114400-5)。

摘　　要：目的:分析20~30岁职业人群行为生活方式的潜在类别特点,探讨行为生活方式潜在类别与中医体质间的关联性。方法:应用已建立的健康状况调查数据库中5 374名20~30岁职业人群数据进行研究。调查内容包括一般情况、行为生活方式、中医体质量表。对研究对象喜咸、喜甜、喜油腻、运动习惯、吸烟、饮酒、每天睡眠时长7项行为生活方式进行潜在类别分析,采用χ2检验和对应分析探讨行为生活方式潜在类别与中医体质的关系。结果:5 374名研究样本,平均年龄(25.72±2.94)岁,男性2 378名(44.25%),女性2 996名(55.75%)。潜在类别分析将研究对象分为4类:基本健康型2 401名(44.68%)、缺乏运动型2 113名(39.32%)、吸烟饮酒型500名(9.30%)、饮食不健康型360名(6.70%)。4组间中医体质类型分布特点不同。平和质与行为生活方式基本健康型关联性较强;气郁质、阳虚质、血瘀质、气虚质、特禀质与缺乏运动型关联性较强;痰湿质与饮食不健康型关联性较强。结论:20~30岁职业人群的行为生活方式有明显的分类特征,不同行为生活方式潜在类别与中医体质类型之间存在关联性,应针对不同中医体质的行为生活方式特点进行差异性干预。Objective:To explore the latent classes of health behavioral lifestyle among 20 to 30 years old young occupational groups and the association between TCM constitution and the subjects’life-style.Methods:Based on the established health survey database,5374 occupational population aged 20 to 30 years old were included in the analysis.The survey contents include basic demographic characteristics,behavior and lifestyle,and TCM constitution.We analyzed the information collected on the participants’salty food intake,sweet food intake,greasy food intake,exercise habits,sleeping time,smoking,and drinking using latent class analysis method.Chi-square test and correspondence analysis was performed on the latent classes of health behavior and TCM constitution type.Results:A total of 5374 cases were included in this study,with mean age of(25.72±2.94)years,2378 cases(44.25%)were male and 2996 cases(55.75%)were famale.Four latent classes were yielded:behavioral health group(2401,44.68%),lack of exercise group(2113,39.32%),smoking and drinking group(500,9.30%),unhealthy diet group(360,6.70%).Different latent classes of behavioral lifestyles had different characteristics of TCM constitution types.Gentleness type showed strong relevance with behavioral health group;qi depression type,yang deficiency type,blood stasis type,qi deficiency and special diathesis type showed strong relevance with lack of exercise group;Phlegm wetness type showed strong relevance with unhealthy diet group.Conclusion:There is a clear classification of behavioral lifestyles among 20 to 30 years old young occupational groups in China.Different latent classes of behavioral lifestyles shows different correlation with TCM constitution types.Different intervention strategies should be advocated for people in different TCM constitution types.

关 键 词：中医体质 行为方式 生活方式 潜在类别分析 潜变量建模 健康行为集合模式 职业人群 

分 类 号：R229[医药卫生—中医基础理论]