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作 者:贾淯媛 郭伟[2] 李璐[2] 刘婷 朱颖俐[2] 卢欣荣[2] JIA Yuyuan;GUO Wei;LI Lu;LIU Ting;ZHU Yingli;LU Xingrong(Jilin Provincial Institute of Tuberculosis Prevention and Treatment,Changchun 130062;Jilin Province Center for Control and Prevention,Changchun 130062,China)
机构地区:[1]吉林省结核病防治科学研究院(吉林省结核病防治科学研究院附属医院),吉林长春130062 [2]吉林省疾病预防控制中心,吉林长春130062
出 处:《中国骨质疏松杂志》2023年第6期847-851,共5页Chinese Journal of Osteoporosis
摘 要:目的 分析吉林省居民骨质疏松症(osteoporosis, OP)流行特征及其影响因素,了解吉林省居民OP现状,为OP相关防控策略的制订提供依据。方法 于2018年1月至8月,采用分层多阶段整群随机抽样方法,选取吉林省4个县(区)共1 850名20岁以上常住居民进行问卷调查、身体测量和骨密度检测。OP相关影响因素分析采用SPSS 21.0版统计软件进行χ2检验和多因素Logistic回归分析。结果 吉林省20岁以上居民OP患病率为10.22%,同男性(3.15%)相比,女性OP患病率较高(16.33%)。女性OP患病率是男性的5.929倍(OR=5.929,95%CI:3.797~9.258,P<0.001);城市居民OP患病率是农村居民的2.234倍(OR=2.234,95%CI:1.400~3.564,P=0.001);50~64岁、≥65岁组OP的患病率分别是20~49岁组的4.964、9.728倍(OR=4.964,95%CI:2.857~8.623,P<0.001;OR=9.728,95%CI:5.301~17.853,P<0.001);大专及以上受教育程度者OP的患病率较低(OR=0.303,95%CI:0.137~0.670,P=0.003);与体重正常人群相比,超重(OR=0.377,95%CI:0.255~0.558,P<0.001)和肥胖(OR=0.328,95%CI:0.182~0.591,P<0.001)人群更不易患OP,低体重(OR=4.215,95%CI:2.182~8.142,P<0.001)人群患OP的风险较高。结论 应重点关注女性、50岁以上人群、城市居民、受教育程度较低者、低体重者,对重点人群加强健康教育、筛查和管理,预防OP的发生。Objective To explore the epidemic characteristics and influential factors of osteoporosis(OP)in Jilin Province,understand the current situation of OP among residents in Jilin Province,and to provide scientific evidence for the prevention and control of OP.Methods A total of 1850 permanent residents aged 20 and over in 4 districts of Jilin Province were selected by stratified multi-stage cluster sampling method from January to August in 2018.Questionnaire,physical examination and bone density testing were used in this study.The relationship between various measures and OP were evaluated using the chi-square test and multiple logistic regression Analysis with SPSS 21.0.Results The prevalence of OP among residents aged 20 and over in Jilin Province was 10.22%.and the rate of OP in females(16.33%)was higher than in males(3.15%).The risk of OP in females was 5.923 times higher than that in males(OR=5.929,95%CI:3.797~9.258,P<0.001);The risk of OP in urban residents was 2.234 times higher than that in rural residents(OR=2.234,95%CI:1.400~3.564,P=0.001);The risk of OP in the 50-64 and≥65age groups were 4.964 and 9.728 times higher than that in the 20-49 age groups(OR=4.964,95%CI:2.857~8.623,P<0.001;OR=9.728,95%CI:5.301~17.853,P<0.001);The risk of OP among people who educated above junior college was lower.(OR=0.303,95%CI:0.137~0.670,P=0.003);Compared with people with normal weight,overweight people(OR=0.377,95%CI:0.255~0.558,P<0.001)and obese people(OR=0.328,95%CI:0.182~0.591,P<0.001)were less likely to suffer from OP,and low weight people(OR=4.215,95%CI:2.182~8.142,P<0.001)had a higher risk of OP.Conclusion Attention should be paid to women,older people,urban residents,and people with low education and low weight.Health education,screening and management strategies should be strengthened for the key population to prevent OP.
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