Chinese General Practice ›› 2023, Vol. 26 ›› Issue (02): 201-209.DOI: 10.12114/j.issn.1007-9572.2022.0380
Special Issue: 老年问题最新文章合集
• Population Health Research·Screening • Previous Articles Next Articles
Received:
2022-03-25
Revised:
2022-10-10
Published:
2023-01-15
Online:
2022-10-27
Contact:
SUN Xiaoming, JIANG Hua
About author:
通讯作者:
孙晓明, 江华
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0380
变量 | β | SE | Wald χ2值 | P值 | OR值 | 95%CI |
---|---|---|---|---|---|---|
性别 | 0.365 | 0.255 | 2.061 | 0.151 | 1.441 | (0.875,2.373) |
年龄 | 0.116 | 0.027 | 17.965 | <0.001 | 1.123 | (1.064,1.185) |
BMI | 0.118 | 0.042 | 7.927 | 0.005 | 1.125 | (1.037,1.222) |
超重/肥胖 | 0.551 | 0.259 | 4.516 | 0.034 | 1.734 | (1.044,2.881) |
独居 | 0.532 | 0.552 | 0.929 | 0.335 | 1.702 | (0.577,5.024) |
丧偶/离异 | 1.061 | 0.617 | 2.955 | 0.086 | 2.889 | (0.862,9.684) |
受教育程度为小学及以下 | 0.278 | 0.357 | 0.609 | 0.435 | 1.321 | (0.657,2.657) |
噪音史 | 1.368 | 0.611 | 5.011 | 0.025 | 3.928 | (1.186,13.015) |
失聪家族史 | 0.839 | 1.062 | 0.625 | 0.429 | 2.315 | (0.289,18.541) |
非清淡饮食 | -1.201 | 0.358 | 11.219 | 0.001 | 0.301 | (0.149,0.608) |
无锻炼习惯 | -1.498 | -0.332 | 20.300 | <0.001 | 0.224 | (0.117,0.429) |
吸烟 | 0.262 | 0.344 | 0.580 | 0.446 | 0.769 | (0.392,1.511) |
饮酒 | 0.656 | 0.494 | 1.760 | 0.185 | 1.927 | (0.731,1.538) |
佩戴耳机史 | 19.924 | 7 463.606 | <0.001 | 0.998 | 449 668 255.2 | — |
慢性中耳炎史 | 19.541 | 40 192.970 | <0.001 | 1.000 | 410 198 941.3 | — |
高血压 | 1.237 | 0.257 | 23.144 | <0.001 | 3.445 | (2.081,5.702) |
糖尿病 | 1.794 | 0.412 | 18.936 | <0.001 | 6.011 | (2.680,13.484) |
高脂血症 | 0.963 | 0.290 | 11.021 | 0.001 | 2.620 | (1.484,4.627) |
心脑血管疾病 | 1.273 | 0.393 | 10.508 | 0.001 | 3.571 | (1.654,7.708) |
高尿酸血症 | 1.571 | 0.532 | 8.738 | 0.003 | 4.812 | (1.698,13.640) |
甲状腺功能减退症 | 2.317 | 1.022 | 5.141 | 0.023 | 10.141 | (1.369,75.113) |
耳毒性药物使用史 | 19.845 | 17 974.837 | <0.001 | 0.999 | 415 407 816.7 | — |
Table 1 Univariate Logistic regression model of influencing factors on hearing loss in the elderly
变量 | β | SE | Wald χ2值 | P值 | OR值 | 95%CI |
---|---|---|---|---|---|---|
性别 | 0.365 | 0.255 | 2.061 | 0.151 | 1.441 | (0.875,2.373) |
年龄 | 0.116 | 0.027 | 17.965 | <0.001 | 1.123 | (1.064,1.185) |
BMI | 0.118 | 0.042 | 7.927 | 0.005 | 1.125 | (1.037,1.222) |
超重/肥胖 | 0.551 | 0.259 | 4.516 | 0.034 | 1.734 | (1.044,2.881) |
独居 | 0.532 | 0.552 | 0.929 | 0.335 | 1.702 | (0.577,5.024) |
丧偶/离异 | 1.061 | 0.617 | 2.955 | 0.086 | 2.889 | (0.862,9.684) |
受教育程度为小学及以下 | 0.278 | 0.357 | 0.609 | 0.435 | 1.321 | (0.657,2.657) |
噪音史 | 1.368 | 0.611 | 5.011 | 0.025 | 3.928 | (1.186,13.015) |
失聪家族史 | 0.839 | 1.062 | 0.625 | 0.429 | 2.315 | (0.289,18.541) |
非清淡饮食 | -1.201 | 0.358 | 11.219 | 0.001 | 0.301 | (0.149,0.608) |
无锻炼习惯 | -1.498 | -0.332 | 20.300 | <0.001 | 0.224 | (0.117,0.429) |
吸烟 | 0.262 | 0.344 | 0.580 | 0.446 | 0.769 | (0.392,1.511) |
饮酒 | 0.656 | 0.494 | 1.760 | 0.185 | 1.927 | (0.731,1.538) |
佩戴耳机史 | 19.924 | 7 463.606 | <0.001 | 0.998 | 449 668 255.2 | — |
慢性中耳炎史 | 19.541 | 40 192.970 | <0.001 | 1.000 | 410 198 941.3 | — |
高血压 | 1.237 | 0.257 | 23.144 | <0.001 | 3.445 | (2.081,5.702) |
糖尿病 | 1.794 | 0.412 | 18.936 | <0.001 | 6.011 | (2.680,13.484) |
高脂血症 | 0.963 | 0.290 | 11.021 | 0.001 | 2.620 | (1.484,4.627) |
心脑血管疾病 | 1.273 | 0.393 | 10.508 | 0.001 | 3.571 | (1.654,7.708) |
高尿酸血症 | 1.571 | 0.532 | 8.738 | 0.003 | 4.812 | (1.698,13.640) |
甲状腺功能减退症 | 2.317 | 1.022 | 5.141 | 0.023 | 10.141 | (1.369,75.113) |
耳毒性药物使用史 | 19.845 | 17 974.837 | <0.001 | 0.999 | 415 407 816.7 | — |
变量 | β | SE | Wald χ2值 | P值 | OR值 | 95%CI |
---|---|---|---|---|---|---|
性别 | -0.056 | 0.322 | 0.030 | 0.863 | 0.946 | (0.503,1.779) |
年龄 | 0.104 | 0.031 | 11.221 | 0.001 | 1.100 | (1.037,1.166) |
BMI | 0.059 | 0.075 | 0.609 | 0.435 | 1.060 | (0.915,1.228) |
超重/肥胖 | -0.081 | 0.468 | 0.030 | 0.836 | 0.922 | (0.368,2.310) |
丧偶/离异 | 0.148 | 0.712 | 0.043 | 0.836 | 1.159 | (0.287,4.681) |
噪音史 | 1.357 | 0.655 | 4.298 | 0.038 | 3.886 | (1.077,14.022) |
非清淡饮食 | 0.894 | 0.395 | 5.114 | 0.024 | 2.445 | (1.127,5.305) |
无锻炼习惯 | -0.385 | 0.403 | 0.915 | 0.339 | 0.680 | (0.309,1.498) |
饮酒 | 0.592 | 0.593 | 0.996 | 0.318 | 1.808 | (0.565,5.785) |
高血压 | 0.609 | 0.303 | 4.038 | 0.044 | 1.839 | (1.015,3.330) |
糖尿病 | 1.461 | 0.441 | 10.985 | 0.001 | 4.310 | (1.817,10.225) |
高脂血症 | 0.246 | 0.355 | 0.479 | 0.489 | 1.278 | (0.637,2.564) |
心脑血管疾病 | 0.362 | 0.463 | 0.613 | 0.434 | 1.437 | (0.580,3.558) |
高尿酸血症 | 1.155 | 0.574 | 4.045 | 0.044 | 3.174 | (1.030,9.779) |
甲状腺功能减退症 | 1.645 | 1.066 | 2.379 | 0.123 | 5.181 | (0.641,41.897) |
Table 2 Multivariate Logistic regression model of influencing factors on hearing loss in the elderly
变量 | β | SE | Wald χ2值 | P值 | OR值 | 95%CI |
---|---|---|---|---|---|---|
性别 | -0.056 | 0.322 | 0.030 | 0.863 | 0.946 | (0.503,1.779) |
年龄 | 0.104 | 0.031 | 11.221 | 0.001 | 1.100 | (1.037,1.166) |
BMI | 0.059 | 0.075 | 0.609 | 0.435 | 1.060 | (0.915,1.228) |
超重/肥胖 | -0.081 | 0.468 | 0.030 | 0.836 | 0.922 | (0.368,2.310) |
丧偶/离异 | 0.148 | 0.712 | 0.043 | 0.836 | 1.159 | (0.287,4.681) |
噪音史 | 1.357 | 0.655 | 4.298 | 0.038 | 3.886 | (1.077,14.022) |
非清淡饮食 | 0.894 | 0.395 | 5.114 | 0.024 | 2.445 | (1.127,5.305) |
无锻炼习惯 | -0.385 | 0.403 | 0.915 | 0.339 | 0.680 | (0.309,1.498) |
饮酒 | 0.592 | 0.593 | 0.996 | 0.318 | 1.808 | (0.565,5.785) |
高血压 | 0.609 | 0.303 | 4.038 | 0.044 | 1.839 | (1.015,3.330) |
糖尿病 | 1.461 | 0.441 | 10.985 | 0.001 | 4.310 | (1.817,10.225) |
高脂血症 | 0.246 | 0.355 | 0.479 | 0.489 | 1.278 | (0.637,2.564) |
心脑血管疾病 | 0.362 | 0.463 | 0.613 | 0.434 | 1.437 | (0.580,3.558) |
高尿酸血症 | 1.155 | 0.574 | 4.045 | 0.044 | 3.174 | (1.030,9.779) |
甲状腺功能减退症 | 1.645 | 1.066 | 2.379 | 0.123 | 5.181 | (0.641,41.897) |
变量1 | 变量2 | P值 | OR值 | 95%CI |
---|---|---|---|---|
年龄 | 高血压 | <0.001 | 1.018 | (1.011,1.026) |
年龄 | 糖尿病 | <0.001 | 1.026 | (1.014,1.038) |
年龄 | 高脂血症 | 0.001 | 1.014 | (1.006,1.022) |
年龄 | 心脑血管疾病 | 0.001 | 1.018 | (1.007,1.029) |
年龄 | 甲状腺功能减退症 | 0.024 | 1.033 | (1.004,1.063) |
年龄 | 高尿酸血症 | 0.003 | 1.022 | (1.008,1.038) |
已婚 | 独居 | 0.198 | 2.633 | (0.603,11.505) |
性别 | 吸烟 | 0.369 | 1.346 | (0.704,2.572) |
性别 | 饮酒 | <0.001 | 1.247 | (1.155,1.345) |
Table 3 Interaction effects analysis
变量1 | 变量2 | P值 | OR值 | 95%CI |
---|---|---|---|---|
年龄 | 高血压 | <0.001 | 1.018 | (1.011,1.026) |
年龄 | 糖尿病 | <0.001 | 1.026 | (1.014,1.038) |
年龄 | 高脂血症 | 0.001 | 1.014 | (1.006,1.022) |
年龄 | 心脑血管疾病 | 0.001 | 1.018 | (1.007,1.029) |
年龄 | 甲状腺功能减退症 | 0.024 | 1.033 | (1.004,1.063) |
年龄 | 高尿酸血症 | 0.003 | 1.022 | (1.008,1.038) |
已婚 | 独居 | 0.198 | 2.633 | (0.603,11.505) |
性别 | 吸烟 | 0.369 | 1.346 | (0.704,2.572) |
性别 | 饮酒 | <0.001 | 1.247 | (1.155,1.345) |
原因 | 应答人数〔n(%)〕 |
---|---|
测试软件板块过多 | 3(8.8) |
部分问题理解有疑义 | 3(8.8) |
测试时环境不适合 | 2(5.7) |
测试软件太麻烦 | 4(11.4) |
测试软件意义不大 | 14(40.0) |
没有进一步意愿测试 | 5(14.3) |
测试时信号意外中断 | 2(5.7) |
担心个人隐私泄露 | 1(2.9) |
Table 4 Results of the interview on the reasons for incompletescreening software
原因 | 应答人数〔n(%)〕 |
---|---|
测试软件板块过多 | 3(8.8) |
部分问题理解有疑义 | 3(8.8) |
测试时环境不适合 | 2(5.7) |
测试软件太麻烦 | 4(11.4) |
测试软件意义不大 | 14(40.0) |
没有进一步意愿测试 | 5(14.3) |
测试时信号意外中断 | 2(5.7) |
担心个人隐私泄露 | 1(2.9) |
编号 | 选项 | 平均分(分) | 分值分布(分) | 对应分值位数〔n(%)〕 |
---|---|---|---|---|
1 | 作为全科医生,您愿意使用老年听力损失筛查软件吗? | 4.86±0.35 | 4 | 15 (14.2) |
5 | 91 (85.8) | |||
2 | 您觉得老年听力损失筛查软件结构组成合理吗? | 4.80±0.42 | 3 | 1 (1.0) |
4 | 19 (17.9) | |||
5 | 86 (81.1) | |||
3 | 您觉得老年听力损失筛查软件对于老年人使用,便利度合适吗? | 4.72±0.53 | 4 | 30 (28.3) |
5 | 76 (71.7) | |||
4 | 您觉得通过听力损失筛查软件使用,有助于提升老年人对听力损失的关注度吗? | 4.61±0.63 | 3 | 8 (7.5) |
4 | 25 (23.6) | |||
5 | 73 (68.9) | |||
5 | 您觉得在基层使用听力筛查软件,有利于老年听力损失的管理吗? | 4.60±0.63 | 3 | 8 (7.5) |
4 | 26 (24.5) | |||
5 | 72 (68.0) | |||
6 | 您会给每一位就诊的老年患者使用听力筛查软件吗? | 4.51±0.66 | 3 | 9 (8.5) |
4 | 34 (32.1) | |||
5 | 63 (59.4) | |||
7 | 您觉得老年听力损失筛查软件使用有中有明显缺陷吗?a | 3.58±0.74 | 3 | 60 (56.6) |
4 | 30 (28.3) | |||
5 | 16 (15.1) | |||
8 | 您觉得在工作中使用听力筛查软件,会增加工作的额外负担吗?a | 3.55±0.73 | 3 | 63 (59.4) |
4 | 28 (26.4) | |||
5 | 15 (14.2) |
Table 5 Scores of the questionnaire on the suitability of the hearing loss screening software for the elderly
编号 | 选项 | 平均分(分) | 分值分布(分) | 对应分值位数〔n(%)〕 |
---|---|---|---|---|
1 | 作为全科医生,您愿意使用老年听力损失筛查软件吗? | 4.86±0.35 | 4 | 15 (14.2) |
5 | 91 (85.8) | |||
2 | 您觉得老年听力损失筛查软件结构组成合理吗? | 4.80±0.42 | 3 | 1 (1.0) |
4 | 19 (17.9) | |||
5 | 86 (81.1) | |||
3 | 您觉得老年听力损失筛查软件对于老年人使用,便利度合适吗? | 4.72±0.53 | 4 | 30 (28.3) |
5 | 76 (71.7) | |||
4 | 您觉得通过听力损失筛查软件使用,有助于提升老年人对听力损失的关注度吗? | 4.61±0.63 | 3 | 8 (7.5) |
4 | 25 (23.6) | |||
5 | 73 (68.9) | |||
5 | 您觉得在基层使用听力筛查软件,有利于老年听力损失的管理吗? | 4.60±0.63 | 3 | 8 (7.5) |
4 | 26 (24.5) | |||
5 | 72 (68.0) | |||
6 | 您会给每一位就诊的老年患者使用听力筛查软件吗? | 4.51±0.66 | 3 | 9 (8.5) |
4 | 34 (32.1) | |||
5 | 63 (59.4) | |||
7 | 您觉得老年听力损失筛查软件使用有中有明显缺陷吗?a | 3.58±0.74 | 3 | 60 (56.6) |
4 | 30 (28.3) | |||
5 | 16 (15.1) | |||
8 | 您觉得在工作中使用听力筛查软件,会增加工作的额外负担吗?a | 3.55±0.73 | 3 | 63 (59.4) |
4 | 28 (26.4) | |||
5 | 15 (14.2) |
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