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家庭成员数量作为消化性溃疡病的一个危险因素。

The number of household members as a risk factor for peptic ulcer disease.

机构信息

Future Medicine Division, Korea Institute of Oriental Medicine, 1672 Yuseong-daero, Yuseong-gu, Daejeon, 34054, Republic of Korea.

出版信息

Sci Rep. 2021 Mar 5;11(1):5274. doi: 10.1038/s41598-021-84892-5.

Abstract

Peptic ulcer disease (PUD) is caused by many sociodemographic and economic risk factors other than H. pylori infection. However, no studies reported an association between PUD and the number of household members. We showed the number of family members affected by PUD based on sex in a Korean population. This cross-sectional study used 1998-2009 data from the Korea National Health and Nutrition Examination Survey of the Korea Centers for Disease Control and Prevention. Multiple binary logistic regression models adjusted for confounders were constructed to analyze the association of PUD with the number of household members. The number of household members was associated with PUD, age, body mass index (BMI), waist circumference, systolic blood pressure, hemoglobin, glucose, location (urban/rural), income, education level, stress, current drinking, and smoking in both sexes. Men with other household members had a higher PUD risk compared to men or women living alone (reference), and the opposite was observed for women. Men with 4 household members had a higher PUD risk than men living alone in the model adjusted for age, BMI, income, location, education, and stress (OR = 2.04 [95% CI 1.28-3.27], p value = .003). Women with more than 6 household members had a lower PUD risk than women living alone in the adjusted model (OR = 0.50 [0.33-0.75], p value = .001). Women with more household members had a lower PUD risk. However, more men had PUD than women regardless of the number of household members.

摘要

消化性溃疡病(PUD)除了幽门螺杆菌感染之外,还由许多社会人口和经济风险因素引起。然而,尚无研究报告 PUD 与家庭成员数量之间存在关联。我们根据性别展示了韩国人群中受 PUD 影响的家庭成员数量。这项横断面研究使用了韩国疾病控制与预防中心韩国国家健康与营养检查调查的 1998-2009 年数据。构建了调整混杂因素的多变量二项逻辑回归模型,以分析 PUD 与家庭成员数量之间的关联。家庭成员数量与 PUD 以及年龄、体重指数(BMI)、腰围、收缩压、血红蛋白、葡萄糖、地点(城市/农村)、收入、教育程度、压力、当前饮酒和吸烟有关,无论男女都是如此。与独居男性或女性相比,其他家庭成员中有男性患有 PUD 的风险更高(参考),而女性则相反。在调整了年龄、BMI、收入、地点、教育程度和压力的模型中,有 4 名家庭成员的男性患 PUD 的风险高于独居男性(OR=2.04[95%CI 1.28-3.27],p 值=0.003)。在调整后的模型中,有 6 名以上家庭成员的女性患 PUD 的风险低于独居女性(OR=0.50[0.33-0.75],p 值=0.001)。有更多家庭成员的女性患 PUD 的风险较低。然而,无论家庭成员数量多少,男性患 PUD 的人数都多于女性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f07a/7935938/2ce7006d0251/41598_2021_84892_Fig1_HTML.jpg

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