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负二项回归和修正泊松回归在伤害发生频率危险因素研究中的应用

[Application of negative binomial regression and modified Poisson regression in the research of risk factors for injury frequency].

作者信息

Cao Qingqing, Wu Zhenqiang, Sun Ying, Wang Tiezhu, Han Tengwei, Gu Chaomei, Sun Yehuan

机构信息

School of the Public Health of Anhui Medical University, Hefei 230032, China.

出版信息

Wei Sheng Yan Jiu. 2011 Nov;40(6):702-4, 708.

Abstract

OBJECTIVE

To Eexplore the application of negative binomial regression and modified Poisson regression analysis in analyzing the influential factors for injury frequency and the risk factors leading to the increase of injury frequency.

METHODS

2917 primary and secondary school students were selected from Hefei by cluster random sampling method and surveyed by questionnaire. The data on the count event-based injuries used to fitted modified Poisson regression and negative binomial regression model. The risk factors incurring the increase of unintentional injury frequency for juvenile students was explored, so as to probe the efficiency of these two models in studying the influential factors for injury frequency.

RESULTS

The Poisson model existed over-dispersion (P < 0.0001) based on testing by the Lagrangemultiplier. Therefore, the over-dispersion dispersed data using a modified Poisson regression and negative binomial regression model, was fitted better. respectively. Both showed that male gender, younger age, father working outside of the hometown, the level of the guardian being above junior high school and smoking might be the results of higher injury frequencies.

CONCLUSION

On a tendency of clustered frequency data on injury event, both the modified Poisson regression analysis and negative binomial regression analysis can be used. However, based on our data, the modified Poisson regression fitted better and this model could give a more accurate interpretation of relevant factors affecting the frequency of injury.

摘要

目的

探讨负二项回归和修正泊松回归分析在分析伤害发生频率的影响因素以及导致伤害发生频率增加的危险因素中的应用。

方法

采用整群随机抽样方法从合肥选取2917名中小学生,通过问卷调查进行调查。将基于计数事件的伤害数据用于拟合修正泊松回归和负二项回归模型。探索导致青少年学生意外伤害发生频率增加的危险因素,以探究这两种模型在研究伤害发生频率影响因素方面的效能。

结果

基于拉格朗日乘数检验,泊松模型存在过度离散(P<0.0001)。因此,采用修正泊松回归和负二项回归模型对过度离散的数据进行拟合,效果更好。两者均显示,男性、年龄较小、父亲在外务工、监护人文化程度在初中以上以及吸烟可能是伤害发生频率较高的原因。

结论

对于伤害事件频率数据呈聚集趋势的情况,修正泊松回归分析和负二项回归分析均可使用。然而,基于我们的数据,修正泊松回归拟合效果更好,该模型能够更准确地解释影响伤害发生频率的相关因素。

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