[1]李娜,伍亚舟,易东.基于疾病风险指数的重庆市社区居民脑卒中发病风险评估方法[J].第三军医大学学报,2010,32(20):2216-2219.
 Li Na,Wu Yazhou,Yi Dong.An algorithm based on Disease Risk Index for predicting individual stroke risk in community residents in Chongqing[J].J Third Mil Med Univ,2010,32(20):2216-2219.
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基于疾病风险指数的重庆市社区居民脑卒中发病风险评估方法(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
32卷
期数:
2010年第20期
页码:
2216-2219
栏目:
论著
出版日期:
2010-10-30

文章信息/Info

Title:
An algorithm based on Disease Risk Index for predicting individual stroke risk in community residents in Chongqing
作者:
李娜伍亚舟易东
第三军医大学军事预防医学院卫生统计学教研室
Author(s):
Li Na Wu Yazhou Yi Dong
Department of Health Statistics, Collage of Military Preventive Medicine, Third Military Medical University, Chongqing, 400038, China
关键词:
疾病风险指数疾病风险等级脑卒中
Keywords:
Disease Risk Index disease risk level stroke
分类号:
R181.23;R743.3
文献标志码:
A
摘要:
目的   建立一种适合重庆市社区居民脑卒中发病风险预测方法。   方法   采用病例对照研究的方法,在重庆市沙坪坝区疾病预防与控制中心的社区居民健康普查资料基础上,利用非条件Logistic 回归模型筛选脑卒中主要危险因素,运用统计模型把相对危险度转换为疾病危险分值,结合2002年中国居民营养与健康状况调查报告文献资料中分性别、分年龄组的人群危险因素暴露率,计算个体危险分值与人群平均危险分值的比值,及个体相对于同性别同年龄一般人群脑卒中发病风险的RR值,对个体相对于同性别同年龄一般人群疾病风险划分等级并量化。   结果   分别以青年(18~44岁)、中年(45~59岁)、老年(≥60岁)为一个年龄组,建立男性的脑卒中主要危险因素:文化程度、嗜咸食、体育锻炼、高血压家族史、脑卒中家族史、糖尿病、高血压和高脂血症的定量评价标准(危险分值及人群平均危险分值表),女性的脑卒中主要危险因素:文化程度、饮酒、嗜咸食、超重与肥胖、高血压家族史、脑卒中家族史、糖尿病、高血压和高脂血症的定量评价标准(危险分值及人群平均危险分值表)。   结论   疾病风险指数能有效地对个体健康与疾病风险分层与量化,帮助识别可修正的行为与生活方式危险因素,是个性化的健康教育与健康促进的有力依据。
Abstract:
Objective  To establish a prediction method for individual stroke risk in Chongqing, and serve it as a theoretical basis of stroke prevention.     Methods  Based on the community residents health census of Chongqing Shapingba Center for Disease Control and Prevention, logistic regression analysis on the original data was carried out to screen the main risk factors of stroke. We translated the relative risk associated with an exposure into a number of disease risk points. The prevalence of risk factor was taken from the China National Nutrition and Health Survey documents in 2002. An individual’s risk of a given or total cardiovascular disease relative to those in the general population of the same gender as the individual was estimated and then expressed qualitatively and quantitatively.    Results  A risk score and population average score table (quantitative criteria for assessment) of main risk factors for stoke was developed for men at different age groups, including education, high salt consumption, physical exercise, family history of hypertension and stroke, diabetes, hypertension and hyperlipidemia. The similar table was developed for women, including education, drinking, high salt consumption, overweight and obesity, family history of hypertension and stroke, diabetes, hypertension and hyperlipidemia.    Conclusion  The Disease Risk Index offers an effective classification and estimation for personal risk of health and disease. It may help to inform individuals of the risk factors and identify changes in lifestyle that will reduce their risk. It lays a foundation for personalized health education and health promotion.

参考文献/References:

李娜, 伍亚舟, 易东. 基于疾病风险指数的重庆市社区居民脑卒中发病风险评估方法[J].第三军医大学学报,2010,32(20):2216-2219.

更新日期/Last Update: 2010-10-19