甘肃省成年居民婚姻状况与腰椎间盘突出症的关联研究

Study on the Association Between Marital Status and Lumbar Disc Herniation in Adult Residents in Gansu Province

目的了解甘肃省成年居民婚姻状况与腰椎间盘突出症的关系。方法于2022年5月—2022年7月在甘肃省根据海拔(≥3500 m、1500~3500 m、<1500 m)进行分层整群抽样,共调查4598人。对所有研究对象进行问卷调查、体格检查、血糖血脂检测。采用单因素分析与非条件二元Logistic回归模型分析婚姻状况与腰椎间盘突出症的关联性。结果本次调查最终有效样本为4545例。有配偶者腰椎间盘突出症患病率为24.49%,高于无配偶者,差异有统计学意义(P<0.05);在有配偶者中,腰椎间盘突出症患病率女性高于男性,<45岁年龄段高于其他年龄段,藏族高于其他民族,差异均有统计学意义(P<0.05)。二元Logistic回归分析结果显示,有配偶者中女性、年龄≥45岁、农林牧渔、工人、其他职业、居住海拔≥1500 m,高血压均为腰椎间盘突出症的危险因素(OR>1)。结论甘肃省成年居民有无配偶状态与腰椎间盘突出症患病存在关联,且有配偶者患病率相对较高。

Objective To understand the relationship between marital status and lumbar disc herniation in adult residents in Gansu Province.Methods From May to July 2022,a total of 4598 people were surveyed in Gansu Province by stratified cluster sampling according to altitude(≥3500 meters,1500~3500 meters,<1500 meters).All subjects were investigated by questionnaire,physical examination,blood glucose and blood lipid test.Univariate analysis and unconditional binary logistic regression model were used to analyze the correlation between marital status and lumbar disc herniation.Results The fi nal eff ective sample of this survey was 4545 cases.The prevalence of lumbar disc herniation in spouses was 24.49%higher than that in non-spouses,and the diff erence was statistically signifi cant(P<0.05).Among those with spouses,the prevalence of lumbar disc herniation was higher in women than in men,higher in the<45 age group than in other age groups,and higher in Tibetans than in other ethnic groups,with statistically significant differences(P<0.05).The results of binary logistic regression analysis showed that female,age≥45 years old,agriculture,forestry,animal husbandry and fi shery,workers,other occupations,living altitude≥1500 meters and hypertension were risk factors for lumbar disc herniation(OR>1).Conclusions The status of spouses of adult residents in Gansu Province is associated with the prevalence of lumbar disc herniation,and the prevalence of spouses is relatively high.