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张祖涵, 张前, 李程洪, 李环, 沈丽宁, 徐娟, 王巍, 张治国. 潜在类别分析在心血管病高危人群分类中应用[J]. 中国公共卫生, 2020, 36(8): 1196-1199. DOI: 10.11847/zgggws1123678
引用本文: 张祖涵, 张前, 李程洪, 李环, 沈丽宁, 徐娟, 王巍, 张治国. 潜在类别分析在心血管病高危人群分类中应用[J]. 中国公共卫生, 2020, 36(8): 1196-1199. DOI: 10.11847/zgggws1123678
Zu-han ZHANG, Qian ZHANG, Cheng-hong LI, . Classification of main risk domains in population at high-risk of cardiovascular diseases: a latent class analysis[J]. Chinese Journal of Public Health, 2020, 36(8): 1196-1199. DOI: 10.11847/zgggws1123678
Citation: Zu-han ZHANG, Qian ZHANG, Cheng-hong LI, . Classification of main risk domains in population at high-risk of cardiovascular diseases: a latent class analysis[J]. Chinese Journal of Public Health, 2020, 36(8): 1196-1199. DOI: 10.11847/zgggws1123678

潜在类别分析在心血管病高危人群分类中应用

Classification of main risk domains in population at high-risk of cardiovascular diseases: a latent class analysis

  • 摘要:
      目的  探讨潜在类别分析在心血管病高危人群分类中的应用,为采取有针对性的干预措施提供决策依据。
      方法  于2016年12月 — 2017年4月采用整群抽样方法抽取湖北省赤壁市13 908名35~75岁常住居民,从中筛查出2 951名心血管病高危人群作为研究对象进行潜在类别分析,并应用χ2检验分析不同类别高危人群的人口学特征及疾病史分布特征。
      结果  筛查出的2 951名心血管病高危人群根据潜类别模型拟合结果得出4个潜类别的模型为首选模型,心血管病高危人群可聚为血脂异常组、体重异常组、呼吸系统异常组和睡眠状态下呼吸异常组四类,依次为860人(29.1 %)、477人(16.2 %)、672人(22.8 %)和942人(31.9 %);不同类别心血管病高危人群比较,4个类别高危人群的性别、年龄和疾病史分布差异均有统计学意义(均P < 0.01)。
      结论  心血管病高危人群可分为血脂异常、体重异常、呼吸系统异常和睡眠状态下呼吸异常4个潜类别,其中以血脂异常和在睡觉状态下呼吸异常者较多。

     

    Abstract:
      Objective  To explore the classification of main risk domains in the population at high-risk of cardiovascular diseases (CVDs) with latent class analysis (LCA) and to provide evidences for making targeted interventions on CVDs in the population.
      Methods  We screened out 2 951 people at high-risk of CVDs among 13 908 permanent residents aged 35 – 75 years recruited using cluster sampling in Chibi city of Hubei province from December 2016 to April 2017. Groups with different main risk domains in the people at high CVDs risk were identified using LCA method and chi-square test was adopted to assess distribution differences in demographic characteristics and disease history among various groups.
      Results  Based on LCA model established, four main risk domain groups were identified among the 2 951 people at high CVDs risk, including those with dyslipidemia (n = 860, 29.1%), abnormal body weight (477, 16.2%), abnormal respiratory function (672, 22.8%), and abnormal respiratory function during sleep (942, 31.9%). There were significant distribution differences in sex, age, and disease history among the four groups (P < 0.01).
      Conclusion  Dyslipidemia, abnormal body weight, abnormal respiratory function and abnormal respiratory function during sleep are main risk domains and dyslipidemia and abnormal respiratory function during sleep are more common among community populations at high-risk of cardiovascular diseases.

     

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