苏州市18-55岁居民躯体亚健康的流行现状及影响因素分析

发布时间：2018-01-11 07:27

本文关键词：苏州市18-55岁居民躯体亚健康的流行现状及影响因素分析　出处：《苏州大学》2011年硕士论文　论文类型：学位论文

【摘要】：研究目的了解苏州市18-55岁居民躯体亚健康流行状况,明确躯体亚健康的主要影响因素,为躯体亚健康的预防和控制提供科学依据。研究方法于2008年8-12月,在苏州市18-55岁,不同职业人群中随机抽取了3225人作为调查对象,由培训合格的调查员采用统一设计的调查表,收集调查对象的人口学资料、生活方式以及躯体亚健康评价信息。采用SAS9.1统计软件进行统计分析。计算躯体亚健康在人群中的流行率,比较躯体亚健康者与躯体正常者的特征。采用多因素非条件logistic回归分析模型,分析躯体亚健康的可疑影响因素,计算比值比(odds ratio, OR)及95%可信区间(95% confidence interval, 95%CI)。研究结果 1.在调查的3225人中,躯体亚健康者532人,占16.50%。 2.躯体亚健康组与躯体正常组比较,在性别、职业、婚姻状况、文化水平、睡眠质量差异有显著性。 3.在不同婚姻状况人群中,离婚或丧偶者发生躯体亚健康的危险性是已婚者的3.11倍。 4.在不同职业人群中,与机关工作人员相比,学生和工人发生躯体亚健康的危险增加,其OR值及95%可信区间分别为1.69(1.17-2.46)、0.65(0.44-0.96)。 5.吸烟者发生躯体亚健康的危险性比不吸烟不饮酒者低,饮酒者发生躯体亚健康的危险性是不吸烟不饮酒者的1.35倍。 6.与睡眠质量好者相比,睡眠质量一般和较差者发生躯体亚健康的危险增加,其OR值及95%可信区间分别为6.50(5.24-8.04)、16.32(11.34-23.49)。 7.多因素分析结果显示,女性(OR =1.78)、饮酒者(OR=1.48)、学生(OR=1.88)、睡眠质量一般及睡眠质量较差者(OR=6.22及OR=16.99)发生躯体亚健康危险升高。 8.生活质量的8个维度,包括身体功能、体格功能、身体疼痛、一般健康、活力、社会功能、情感作用、精神卫生,躯体亚健康者在这8个维度的评分均明显低于躯体正常者(P0.05)。 9.按照躯体亚健康评分的四分位,将调查对象从低到高分为4个水平,随着躯体亚健康评分的升高,生活质量和健康质量评分均呈现出明显的升高趋势(趋势性检验P0.001)。结论 1.苏州市18-55岁居民躯体亚健康流行率为16.50%,女性明显高于男性。 2.女性、饮酒、学生、睡眠质量一般及较差为躯体亚健康的主要影响因素。 3.躯体亚健康降低居民的生活质量和健康质量。
[Abstract]:Research purpose To understand the prevalence of physical sub-health in residents aged 18-55 in Suzhou, to identify the main influencing factors of physical sub-health, and to provide scientific basis for prevention and control of physical sub-health. Research method In 2008, in Suzhou between 18 and 55 years of age, 3225 people were randomly selected from different occupational groups as the objects of investigation, and the standardized questionnaire was adopted by trained qualified investigators. The demographic data, lifestyle and physical sub-health evaluation information of the subjects were collected. The prevalence rate of physical sub-health in the population was calculated by SAS9.1 statistical software. To compare the characteristics of subhealth patients with normal body, the multivariate conditional logistic regression model was used to analyze the suspicious influencing factors of physical sub-health. Odds of odds (ORs) and 95% confidence interval of 95% confidence interval. 95% CI. Research results 1. Of the 3,225 persons surveyed, 532 were physically subhealthy, accounting for 16.50. 2. There were significant differences in sex, occupation, marital status, education level and sleep quality between subhealth group and normal body group. 3. Among people with different marital status, the risk of physical subhealth in divorced or widowed persons was 3.11 times higher than that in married persons. 4. Among different occupational groups, students and workers are at increased risk of physical sub-health compared to agency staff. The OR value and 95% confidence interval were 1.69 ~ 1.17-2.46 ~ 0.65 ~ 0.64 ~ 0.96 ~ 0.96. 5. The risk of somatic subhealth in smokers was lower than that in non-smokers, and the risk of somatic sub-health in drinkers was 1.35 times higher than that in non-smokers. 6.Compared with those with good sleep quality, the risk of physical subhealth was increased in those with normal and poor sleep quality. The OR value and the 95% confidence interval were 6.50 ~ 5.24-8.04, respectively. 11.34-23.49. 7. The results of multivariate analysis showed that female OR = 1.78, alcohol drinker OR1.48, and students OR1.88). The patients with normal sleep quality and poor sleep quality had a higher risk of physical subhealth than those with normal sleep quality or poor sleep quality (6. 22 and 16. 99). 8. Eight dimensions of quality of life, including physical function, physical function, physical pain, general health, vitality, social function, emotional function, mental health. The scores of physical subhealth in these eight dimensions were significantly lower than those in normal subjects (P 0.05). 9.According to the quartile of somatic sub-health score, the subjects were divided into 4 levels from low to high, with the increase of somatic sub-health score. The scores of quality of life and health quality were significantly increased (trend test P 0.001). Conclusion 1. The prevalence rate of physical subhealth of 18-55 years old residents in Suzhou was 16.50, which was significantly higher in women than in men. 2. Women, drinking, students, average and poor sleep quality are the main influencing factors of physical subhealth. 3. Physical subhealth reduces the quality of life and health of residents.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R181.3

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