文章摘要
刘杰,郭超,周威.童年期居住环境卫生对农村居民中老年期慢性病患病的影响研究[J].中华流行病学杂志,2022,43(6):898-905
童年期居住环境卫生对农村居民中老年期慢性病患病的影响研究
Effect of childhood living environment sanitation on chronic diseases in middle-aged and elderly rural residents
收稿日期:2021-08-10  出版日期:2022-06-16
DOI:10.3760/cma.j.cn112338-20210810-00628
中文关键词: 居住环境卫生;农村居民;慢性病;童年期健康状况;生命历程理论
英文关键词: Living environment sanitation;Rural residents;Chronic diseases;Childhood health status;Life course theory
基金项目:国家自然科学基金(82103955);北京大学人才启动项目(7100603693)
作者单位E-mail
刘杰 北京大学人口研究所, 北京 100871  
郭超 北京大学人口研究所, 北京 100871
北京大学亚太经合组织健康科学研究院, 北京 100871 
chaoguo@pku.edu.cn 
周威 华中师范大学教育学院, 武汉 430079  
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中文摘要:
      目的 探讨童年期居住环境卫生对农村居民中老年期慢性病患病的影响,并检验童年期健康状况在其中的中介效应。方法 基于中国健康与养老追踪调查2018年最新调查和2014年生命历程调查共同访问的12 506名农村居民数据,运用χ2检验、秩和检验、logistic回归分析模型、倾向评分加权法、负二项回归模型和KHB分析法进行分析。结果 调整其他混杂因素后,相比童年期居住环境卫生较好的农村居民,童年居住环境卫生较差的中老年农村居民患哮喘风险提高23.7%(OR=1.237,95%CI:1.060~1.445),患肝脏疾病、肾脏疾病和消化系统疾病的风险增加16.4%(OR=1.164,95%CI:1.006~1.347)、22.4%(OR=1.224,95%CI:1.083~1.383)和19.6%(OR=1.196,95%CI:1.103~1.296),患血脂异常和心脏病的可能性上升了26.6%(OR=1.266,95%CI:1.153~1.390)和13.6%(OR=1.136,95%CI:1.031~1.253)。负二项回归模型分析结果显示,童年居住环境卫生较差的中老年农村居民患慢性病的数量比童年居住环境卫生较好的中老年农村居民多了0.176种,且童年期健康状况在其中起到7.143%的中介作用。结论 童年期居住环境卫生与农村居民中老年期多种慢性病患病与否及患病数量存在统计学关联,且童年期健康状况在其中起到部分中介作用。应重视农村居民居住环境的建设与管理,为儿童及青少年提供干净、卫生的成长环境,以促进农村居民的全生命周期健康。
英文摘要:
      Objective To explore the effect of childhood living environment sanitation on the prevalence of chronic diseases in middle-aged and elderly rural residents and test the mediating product of childhood health status. Methods Based on the data of 12 506 rural residents jointly interviewed by the latest survey of China Health and Retirement Longitudinal Survey (CHARLS) in 2018 and the life course survey in 2014, the χ2 test, Rank sum test, logistic regression analysis model, Propensity score weighting method, negative binomial regression model and KHB analysis method were used for analysis. Results After adjusting for other confounding factors, compared with rural residents with better living environment sanitation in childhood, the risk of asthma in middle-aged and elderly rural residents with poor childhood living environment sanitation increased by 23.7% (OR=1.237,95%CI: 1.060-1.445), and the risk of liver disease, kidney disease, and digestive system disease increased by 16.4% (OR=1.164,95%CI: 1.006-1.347) and 22.4% (OR=1.224,95%CI: 1.083-1.383) and 19.6% (OR=1.196,95%CI: 1.103-1.296), the possibility of dyslipidemia and heart disease increased by 26.6% (OR=1.266,95%CI: 1.153-1.390) and 13.6% (OR=1.136,95%CI: 1.031-1.253). The negative binomial regression model analysis results show that, on average, the number of chronic diseases of middle-aged and elderly rural residents with poor living environment sanitation in childhood is 0.176 more than that of middle-aged and elderly rural residents with better living environment sanitation in childhood. Childhood health status played an intermediary role of 7.143%. Conclusion There is a statistical correlation between residential environmental sanitation in childhood and the prevalence and number of chronic diseases in middle-aged and elderly rural residents. Childhood health status plays a partial intermediary role. Attention should be paid to the construction and management of rural residents' residential environment to provide a clean and hygienic growth environment for children and adolescents to promote the health of rural residents in the whole life cycle.
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