军队男性离退休干部死因构成及其相关因素研究

发布时间：2018-06-19 07:52

本文选题：死因 + 相关因素　；参考：《中国慢性病预防与控制》2008年05期

【摘要】：目的探讨军队男性离退休干部死因构成及死亡相关的危险因素。方法 2005年6月30日—2006年6月30日对1987年建立的1268名西安市22所军队干休所基线队列男性人群死因进行了再次随访,运用巢式病例-对照研究的方法进行分析。统计学分析由SPSS 13.0软件完成。结果至2005年6月30日,研究队列中死亡491人,转所29人,存活748人。该队列人群前5位死因及构成比分别为恶性肿瘤(39.71%)、慢性阻塞性肺病(16.90%)、冠心病(16.09%)、脑卒中(11.20%)和糖尿病(4.68%),调整死亡率分别为1039/10万、442/10万、421/10万、293/10万和123/10万,调整总死亡率为2 616/10万,平均死亡年龄(74.08±6.63)岁;恶性肿瘤构成比前3位分别为肺癌(30.77%)、胃癌(21.54%)和肝癌(12.82%)。多因素Logistic回归分析结果显示,年龄、收缩压、甘油三酯、吸烟、开始吸烟年龄、高血压家族史和癌症家族史与总死亡相关,OR(95%CI)分别为1.109(1.077～1.143),1.012(1.003～1.020),1.002(1.001～1.005),2.175(1.335～3.543),0.982(0.964～0.999),1.561(1.033～2.359)和1.791(1.228～2.610)。结论该人群前3位死因依次为恶性肿瘤、慢性阻塞性肺病和冠心病,需重点防控。应提倡健康的生活方式(如戒烟),维持适当的收缩压、甘油三酯和体重水平,积极预防和控制卒中、糖尿病和癌症等。
[Abstract]:Objective to investigate the causes of death and the risk factors of death among male retired military cadres. Methods from June 30, 2005 to June 30, 2006, the causes of death of 1268 men in the baseline cohort of 22 military recuperations in Xi'an were followed up again, and the nested case-control study was used to analyze the causes of death. Statistical analysis was performed by SPSS 13.0 software. Results by June 30, 2005, 491 people had died, 29 had been transferred and 748 had survived in the study cohort. The top five causes of death and their composition in this cohort were malignant tumor 39.71%, chronic obstructive pulmonary disease 16.90%, coronary heart disease 16.09%, stroke 11.20%) and diabetes 4.68%. Adjusted mortality rates were 1039% 100%, 44.2% 10 million, 2933% and 123.10 million respectively, adjusted total mortality rate was 26.16% -10 000. The mean age of death was 74.08 卤6.63 years. Multivariate logistic regression analysis showed that age, systolic blood pressure, triglyceride, smoking, age of smoking, family history of hypertension and family history of cancer and total mortality were 1.109, 1.0771.143 and 1.0021.0031.020, 1.0021.0011.0055.2.1751.3353.543triglyceride 0.9820.9640.9920.9640.9920.9611.0330.359and 1.7911.22282.61010, respectively. Conclusion the top three causes of death were malignant tumor, chronic obstructive pulmonary disease and coronary heart disease. Healthy lifestyles (such as quitting smoking, maintaining proper systolic blood pressure, triglyceride and weight levels, and active prevention and control of stroke, diabetes, and cancer) should be promoted.
【作者单位】：中国人民解放军总医院老年医学研究所流行病学研究室;第四军医大学军事预防医学系军队流行病学教研室;
【基金】：科技部医药卫生科学数据共享项目(2005DKA32403)
【分类号】：R82;R195

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