基于经合组织数据库的主要健康非医学决定因素与健康状况相关性研究
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国家自然科学基金项目(31371815);河北省重点研发计划项目(19227120D)


Research on the Correlation between Major Non-medical Determinants of Health and Health Status Based on OECD Database
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    摘要:

    根据世界卫生组织公布的数据,缺血性心脏病、中风、慢性阻塞性肺病、阿尔茨海默病、气管支气管和肺癌以及糖尿病为全球前6位死亡原因。本文基于健康的非医学决定因素相关的7项指标【总脂肪供应(X1)、总热量供应(X2)、总蛋白质供应(X3)、食糖供应(X4)、蔬菜供应(X5)、水果供应(X6)和酒精消费(X7)】以及和健康状况相关的6项指标【缺血性心脏病死亡率(Y1)、慢性阻塞性肺病死亡率(Y2)、阿尔茨海默病死亡率(Y3)、气管、支气管和肺癌死亡率(Y4)、糖尿病死亡率(Y5),预期寿命(Y6)】,选取2000-2013年经合组织数据库中预期寿命排名前10位国家的数据,进行多元回归分析。结果表明:X7与Y4呈正相关,与Y1和Y5呈负相关,且系数都大于1,表明酒精消费会增加气管、支气管和肺癌死亡率,同时会使缺血性心脏病和糖尿病死亡率显著下降;X1和X4与Y1呈显著正相关,且系数都大于1,表明总脂肪供应和食糖供应会增加缺血性心脏病死亡率;其余和健康相关的非医学决定因素,有的在逐步回归中被剔除,没有被剔除的系数均小于1,对Y值变化的影响较小。

    Abstract:

    According to data released by the World Health Organization, ischemic heart disease, stroke, chronic obstructive pulmonary disease, Alzheimer's disease, tracheobronchial and lung cancer and diabetes are the top 6 causes of death in the world. This paper was based on 7 Economic Cooperation Organization(OECD) indicators related to non-medical determinants of health [Total fat supply (X1), Total calorie supply (X2), Total protein supply (X3), Sugar supply (X4), Vegetables supply (X5), Fruits supply (X6) and Alcohol consumption (X7)] and 6 indicators related to health status [Ischemic heart diseases mortality (Y1), Chronic obstructive Pulmonary diseases mortality (Y2), Alzheimer's disease mortality (Y3), Malignant neoplasms of trachea, bronchus, lung mortality (Y4), Diabetes mellitus mortality (Y5), Life expectancy (Y6)] from 2000 to 2013. Data from the top 10 countries in the OECD database were selected for multiple regression analysis using 6 indicators related to health status, including Y1, Y2, Y3, Y4, Y5 and Y6, and indicators related to non-medical determinants of health, including X1, X2, X3, X4, X5, X6 and X7. The results showed that the X7 was positively correlated with Y4 and negatively correlated with Y1 and Y5, and the coefficients were all greater than 1. It showed that alcohol consumption will increase the mortality rate of malignant neoplasms of trachea, bronchus, lung, but would significantly reduce the mortality rate of ischemic heart disease and Diabetes mellitus. X1 and X4 were significantly positively correlated with Y1, and the coefficients were both greater than 1, which indicating that total fat supply and sugar supply would increase the mortality rate of ischemic heart disease. Other health-related non-medical determinants, some of which were eliminated in stepwise regression, and the coefficients that were not eliminated were all less than 1, which had little influence on the change of Y value.

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王晓茹;刘亚琼;锁然;李荣斌;师旭;王焕香;罗建华;王颉.基于经合组织数据库的主要健康非医学决定因素与健康状况相关性研究[J].中国食品学报,2021,21(11):271-279

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  • 在线发布日期: 2021-12-17
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