Background:The prevalence of multimorbidity is increasing,with a notable shift towards younger age groups.Methods:Convenience sampling was employed to select 15,988 young and middle-aged adults in Chongqing as the stu...Background:The prevalence of multimorbidity is increasing,with a notable shift towards younger age groups.Methods:Convenience sampling was employed to select 15,988 young and middle-aged adults in Chongqing as the study population.The Apriori algorithm was used to identify the multimorbidity patterns within this population,while an unordered binary logistic regression model was applied to assess the association between sleep,diet and the risk of multimorbidity.Results:The study population had an average age of 39.2±10.1 years.Apriori association rules revealed that the most prevalent binary chronic disease multimorbidity pattern was dyslipidaemia+hypertension(14.78%),while the most common ternary chronic disease multimorbidity pattern was diabetes+dyslipidaemia+hypertension(9.66%).The logistic regression analysis revealed that a lower rating of sleep quality was associated with an elevated risk of multimorbidity(odds ratio(OR)=1.17,95%confidence interval(CI):1.01,1.36).Individuals who adhere to a meat-based diet(OR=1.45,95%CI:1.25,1.68)and those with elevated salt intake(OR=1.22,95%CI:1.01,1.47)were also observed to have an increased risk of multimorbidity.Additionally,a greater likelihood of multimorbidity was observed among those following a spicy diet(OR=1.3,95%CI:1.11,1.52)and consuming more oil(OR=1.16,95%CI:1.01,1.33).Conclusion:A poor sleep quality and a dietary preference for meat-based,salt,spicy and oils were found to be associated with an increased risk of multimorbidity progression among young and middle-aged populations.It is recommended that young and middle-aged adults should pay attention not only to sleep duration but also to sleep quality and improve dietary habits to reduce the likelihood of multimorbidity.展开更多
Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 you...Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 young and middle-aged patients with CHD who were being treated in the cardiology department of a tertiary care hospital in Suzhou were chosen using a convenience sampling method in order to gather data on the patients’sociodemographic status,fatigue,social support,and stress.Results:Of the 240 disseminated questionnaires,220 valid responses were returned,resulting in an effective recovery rate of 91.67%.The frequency of exhaustion was 51.8%,and the fatigue score was(5.27±2.77).The stress score was(11.15±3.36),while the overall social support score was(39.13±4.72).Binary logistic regression analysis indicated that age,exercise,staying up late,stress,social support,high-sensitivity troponin T,high-density lipoprotein,and ejection fraction were independent risk factors for fatigue in young and middle-aged patients with CHD(P<0.05).Conclusions:Fatigue is more prevalent in young and middle-aged patients with CHD.Clinical nurses can create a unique management plan for patients based on their lifestyle and behavioral patterns,stress levels,social support,and clinical signs to reduce fatigue.展开更多
目的了解深圳市青年男男性行为人群(men who have sex with men,MSM)不同性角色的行为特征,为干预措施的制定提供参考依据。方法运用滚雪球法和同伴推动抽样法招募MSM进行问卷调查,以及梅毒和HIV的血清学检测,用χ2检验和Logistic回归...目的了解深圳市青年男男性行为人群(men who have sex with men,MSM)不同性角色的行为特征,为干预措施的制定提供参考依据。方法运用滚雪球法和同伴推动抽样法招募MSM进行问卷调查,以及梅毒和HIV的血清学检测,用χ2检验和Logistic回归进行性角色的行为特征分析。结果共调查613名MSM,其中性角色为被动型占30.18%(185/613),主动型占34.26%(210/613),均可型占35.56%(218/613)。无序Logistic回归分析结果显示,被动型MSM首次与同性发生肛交年龄低于20岁(aOR=0.39,95%CI:0.25~0.63)、感染梅毒和(或)HIV(aOR=2.98,95%CI:1.54~5.76)和近6月有使用rush的比例(aOR=1.89,95%CI:1.17~3.05)均高于主动型,但近6个月与性伴发生性行为时每次使用安全套(aOR=0.23,95%CI:0.13~0.43)、异性性行为的比例(aOR=0.14,95%CI:0.04~0.44)较低;均可型MSM年龄低于25岁(aOR=1.55,95%CI:1.01~2.37)、首次与同性发生肛交年龄低于20岁(aOR=0.58,95%CI:0.38~0.88)、感染梅毒和(或)HIV(aOR=1.58,95%CI:1.34~2.53)和近6月有使用rush的比例(aOR=1.70,95%CI:1.10~2.62)高于主动型。结论深圳市青年MSM以均可型和主动型为主。相比主动型,被动型和均可型MSM首次与同性发生肛交年龄≤20岁和近6个月有使用rush的比例更高,感染梅毒和(或)HIV的风险更大,有必要将性病艾滋病防控关口前移,青年MSM人群应减少rush的使用,提高梅毒和HIV的检测意识以及安全套的使用意识,降低感染风险。展开更多
基金supported by Chongqing Natural Science Foundation General Project(cstc2021jcyi msxmX0069)Chongqing Social Science Planning Project(2022NDYB196).
文摘Background:The prevalence of multimorbidity is increasing,with a notable shift towards younger age groups.Methods:Convenience sampling was employed to select 15,988 young and middle-aged adults in Chongqing as the study population.The Apriori algorithm was used to identify the multimorbidity patterns within this population,while an unordered binary logistic regression model was applied to assess the association between sleep,diet and the risk of multimorbidity.Results:The study population had an average age of 39.2±10.1 years.Apriori association rules revealed that the most prevalent binary chronic disease multimorbidity pattern was dyslipidaemia+hypertension(14.78%),while the most common ternary chronic disease multimorbidity pattern was diabetes+dyslipidaemia+hypertension(9.66%).The logistic regression analysis revealed that a lower rating of sleep quality was associated with an elevated risk of multimorbidity(odds ratio(OR)=1.17,95%confidence interval(CI):1.01,1.36).Individuals who adhere to a meat-based diet(OR=1.45,95%CI:1.25,1.68)and those with elevated salt intake(OR=1.22,95%CI:1.01,1.47)were also observed to have an increased risk of multimorbidity.Additionally,a greater likelihood of multimorbidity was observed among those following a spicy diet(OR=1.3,95%CI:1.11,1.52)and consuming more oil(OR=1.16,95%CI:1.01,1.33).Conclusion:A poor sleep quality and a dietary preference for meat-based,salt,spicy and oils were found to be associated with an increased risk of multimorbidity progression among young and middle-aged populations.It is recommended that young and middle-aged adults should pay attention not only to sleep duration but also to sleep quality and improve dietary habits to reduce the likelihood of multimorbidity.
基金This study received support from the Suzhou Science and Technology Development Plan Livelihood Technology Project(No.sys2018018)the Soochow University Medical Department Scientific Research Project(No.2021YXBKWKY044)。
文摘Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 young and middle-aged patients with CHD who were being treated in the cardiology department of a tertiary care hospital in Suzhou were chosen using a convenience sampling method in order to gather data on the patients’sociodemographic status,fatigue,social support,and stress.Results:Of the 240 disseminated questionnaires,220 valid responses were returned,resulting in an effective recovery rate of 91.67%.The frequency of exhaustion was 51.8%,and the fatigue score was(5.27±2.77).The stress score was(11.15±3.36),while the overall social support score was(39.13±4.72).Binary logistic regression analysis indicated that age,exercise,staying up late,stress,social support,high-sensitivity troponin T,high-density lipoprotein,and ejection fraction were independent risk factors for fatigue in young and middle-aged patients with CHD(P<0.05).Conclusions:Fatigue is more prevalent in young and middle-aged patients with CHD.Clinical nurses can create a unique management plan for patients based on their lifestyle and behavioral patterns,stress levels,social support,and clinical signs to reduce fatigue.
文摘目的了解深圳市青年男男性行为人群(men who have sex with men,MSM)不同性角色的行为特征,为干预措施的制定提供参考依据。方法运用滚雪球法和同伴推动抽样法招募MSM进行问卷调查,以及梅毒和HIV的血清学检测,用χ2检验和Logistic回归进行性角色的行为特征分析。结果共调查613名MSM,其中性角色为被动型占30.18%(185/613),主动型占34.26%(210/613),均可型占35.56%(218/613)。无序Logistic回归分析结果显示,被动型MSM首次与同性发生肛交年龄低于20岁(aOR=0.39,95%CI:0.25~0.63)、感染梅毒和(或)HIV(aOR=2.98,95%CI:1.54~5.76)和近6月有使用rush的比例(aOR=1.89,95%CI:1.17~3.05)均高于主动型,但近6个月与性伴发生性行为时每次使用安全套(aOR=0.23,95%CI:0.13~0.43)、异性性行为的比例(aOR=0.14,95%CI:0.04~0.44)较低;均可型MSM年龄低于25岁(aOR=1.55,95%CI:1.01~2.37)、首次与同性发生肛交年龄低于20岁(aOR=0.58,95%CI:0.38~0.88)、感染梅毒和(或)HIV(aOR=1.58,95%CI:1.34~2.53)和近6月有使用rush的比例(aOR=1.70,95%CI:1.10~2.62)高于主动型。结论深圳市青年MSM以均可型和主动型为主。相比主动型,被动型和均可型MSM首次与同性发生肛交年龄≤20岁和近6个月有使用rush的比例更高,感染梅毒和(或)HIV的风险更大,有必要将性病艾滋病防控关口前移,青年MSM人群应减少rush的使用,提高梅毒和HIV的检测意识以及安全套的使用意识,降低感染风险。
