摘要
目的:筛查非健康状态危险因素,建立风险预测模型及简明风险评分量表。方法:采用Logistic回归分析进行自变量筛选,建立非健康状态风险预测模型;采用危险因素评分法建立简明风险评分量表。结果:年龄(OR=1.646,P<0.001)、平素健康状态(OR=0.592,P=0.030)、头晕(OR=3.068,P<0.001)、乏力(OR=1.423,P=0.044)、易于感冒(OR=6.576,P=0.043)、懒言(OR=2.620,P=0.005)和大便无力或时稀(OR=6.334,P=0.039)是非健康状态的风险因素。简明风险评分量表总分达到8分时,约登指数最大,ROC曲线下面积为0.773(95%CI[0.751,0.793])。结论:年龄、平素健康状态、头晕、乏力、易于感冒、懒言和大便无力或时稀,是健康状态的风险因素;自评总分>8分时,建议自评对象去医院进行健康体检。
Objective:To screen the main risk factors of non-health status,and establish a risk prediction model and brief rating scale.Methods:Logistic regression analysis was used to screen the independent variables and establish the risk prediction model of non-health status.A brief rating scale was established by risk factors scoring method.Results:Age(OR=1.646,P<0.001),health condition(OR=0.592,P=0.030),dizziness(OR=3.068,P<0.001),weakness(OR=1.423,P=0.044),susceptibility to the common cold(OR=6.576,P=0.043),laziness to speak(OR=2.620,P=0.005),and inability to defecate or loose stools(OR=6.334,P=0.039)were the risk factors of non-health status.When the scores of brief rating scale reached 8,the Youden’s index was the maximal.The area under the curve was 0.773(95%CI[0.751,0.793]).Conclusion:Age,health condition,dizziness,weakness,susceptibility to the common cold,laziness to speak,and inability to defecate or loose stools are the risk factors of non-health status.When the scores are more than 8,the object is advised a body check.
作者
冉俐
王泓午
赵铁牛
步怀恩
RAN Li;WANG Hong-wu;ZHAO Tie-niu;BU Huai-en(Wuhan University,Wuhan 430071,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第4期2326-2329,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点基础研究发展计划(973计划)(No.2011CB505406)
天津市卫生健康委员会中医药重点领域科研项目(No.2019007)
天津市卫生计生委、天津市中医药管理局中西医结合科研课题(No.2017099)
天津中医药大学校级科研项目(No.XJ201801)。
作者简介
通信作者:步怀恩,天津市静海区鄱阳湖路10号天津中医药大学公共卫生教研室,邮编:301617,电话:022-59596195,E-mail:huhuaien@163.com。