高级知识分子冠心病心理社会因素的Logistic回归分析  

The Logistic Regression Analysis of Psychosocial Factors of Coronary Heart Disease Among Intellectuals

作　　者：王敏霓[1] 徐应军[2] 

机构地区：[1]暨南大学医学院流行病学教研室,广州510632 [2]华北煤炭医学院

出　　处：《老年学杂志》1992年第3期135-137,共3页

摘　　要：本文报告在广州高级知识分子中采用1:1配对病例对照的方法,共选取合乎配对要求和医学资料齐全者100对,做了心理社会因素与冠心病发病关系的研究。结合高校特点,选取可能与冠心病有关因子28项,逐一数量化,以IBM/PC机用Logistic回归程序进行分析,结果发现,对冠心病发病有显著作用的因素有五个,按比数大小依次为体力活动、冠心病家族史、A型行为、吸烟量和社会支持。除冠心病家族史是生物因素外,其余均属心理社会因素和生活方式范畴,这反映了生物心理社会新的医学模式,对研究冠心病等慢性病病因具有重要指导意义。A study on the relationship between psychosocial factors and coronary heart disease (CHD) among the university intellectuals of Gunagzhou, Paired 1:1 case-control study was used. According to the principle of pair matching and completed medical data 100 pairs of patients and controls were studied. Twenty eight factors related to CHD were numerized. It was analysed by logistic regression procedure with IBM/PC. The results showed that there were five factors which played a significance role for CHD. According to the values of odds ratio, the sequence of the five factors were: lack of physical activities, family history of CHD, type A behavior, abuse of smoking and less of social supports. From these five risk factors the family history of CHD is as only one faetor of biological agents, the rest belongs to the realm of psychosocial and life styles. This reflected the importance of the new bio-psychosocial medical model for exploring the cause of CHD and some other chronic diseases as well. It is emphasized that the bad habit of sitting quietly to read and to write for all day long should be changed among intellectuals. At the same time organizing collective tour, encouraging to take part in various social activities and establishing the healthy life-style are benificial for promoting both their physical and psycological state of health and preventing the deseases.

关 键 词：冠心病 心理社会因素 回归分析 

分 类 号：R541.402[医药卫生—心血管疾病]