是否进行常规体检与高血压和糖尿病患病率的关联：一项横断面研究

Associations of Undergoing a Routine Medical Examination or Not with Prevalence Rates of Hypertension and Diabetes Mellitus: A Cross-Sectional Study.

作者信息

Zhang Lin, Zhang Wei, Zhang Lingling, Tian Danping, Li Li, Deng Xin, Deng Jing, Ning Peishan, Hu Guoqing

机构信息

Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha 410078, China.

Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA.

出版信息

Int J Environ Res Public Health. 2016 Jun 23;13(7):628. doi: 10.3390/ijerph13070628.

DOI:10.3390/ijerph13070628

PMID:27347985

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4962169/

Abstract

BACKGROUND

Undergoing a routine medical examination may be associated with the prevalence rate of chronic diseases from a population-based household interview survey. However, this important issue has not been examined so far.

METHODS

Data came from the first health service household interview of Hunan province, China, in 2013. A Rao-Scott chi-square test was performed to examine the difference in prevalence rates between subgroups. Adjusted odds ratio (OR) was calculated using the PROC SURVEYLOGISTIC procedure of SAS9.1 statistical software.

RESULTS

In total, 24,282 residents of 8400 households were surveyed. A higher proportion of elderly adults had undergone a medical examination within the prior 12 months compared with young adults (≥65 years, 60%; 45-64 years, 46%; 18-44 years, 37%). After controlling for location, sex, and household income per capita, undergoing a medical examination was significantly associated with high prevalence rates of hypertension (adjusted OR: 2.0, 95% CI: 1.1-3.5) and of diabetes mellitus (adjusted OR: 3.3, 95% CI: 1.7-6.5) for young adults aged 18-44 years. The associations were not statistically significant for age groups 45-64 years and 65 years or older.

CONCLUSION

The prevalence rates of hypertension and diabetes mellitus may be seriously underestimated for young adults not undergoing a routine medical examination in a health household interview survey.

摘要

背景

基于人群的家庭访谈调查显示，进行常规体检可能与慢性病患病率相关。然而，这一重要问题迄今尚未得到研究。

方法

数据来自2013年中国湖南省首次卫生服务家庭访谈。采用Rao-Scott卡方检验来检验亚组间患病率的差异。使用SAS9.1统计软件的PROC SURVEYLOGISTIC过程计算调整后的比值比（OR）。

结果

共对8400户家庭的24282名居民进行了调查。与年轻人相比，在过去12个月内进行过体检的老年人比例更高（≥65岁，60%；45 - 64岁，46%；18 - 44岁，37%）。在控制了地点、性别和人均家庭收入后，18 - 44岁的年轻人进行体检与高血压（调整后的OR：2.0，95%置信区间：1.1 - 3.5）和糖尿病（调整后的OR：3.3，95%置信区间：1.7 - 6.5）的高患病率显著相关。对于45 - 64岁以及65岁及以上年龄组，这种关联无统计学意义。