首页|基于有序多分类Logistic回归模型的献血者健康状况调查分析

基于有序多分类Logistic回归模型的献血者健康状况调查分析

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目的 探讨广州市无偿献血者群体生活行为方式和心理健康状况特点,并探讨献血次数与其相关性.方法 采用横断面研究,以在2020年5—8月在本中心17个街头献血点的13042名全血献血者为研究对象,采用描述性分析的方法来描述广州市无偿献血者群体生活行为方式和心理健康状况特点;采用有序多分类Logistic回归模型来分析献血次数与其相关性.结果 对13042名献血者的调查发现部分献血者存在不良生活习惯,如6.8%(698/10214,有2828个缺失值)重度烟草依赖、30.6%(3997/13042)运动水平低、38.8%(5056/13042)睡眠质量差、2.2%(271/12159,有883个缺失值)酒精依赖.此外,2.8%(364/13042)和1.3%(172/13042)的献血者可能分别存在中度及以上程度的抑郁和焦虑症状.有序多分类Logistic回归模型分析结果显示:运动水平与献血者的抑郁和焦虑程度显著负相关,随着运动水平的降低,献血者出现抑郁和焦虑的可能性显著增加;BMI、家庭收入、教育水平、婚姻状况、献血次数、饮酒和吸烟等因素与献血者的心理健康状况无显著相关性.结论 改善献血者的运动习惯可能有助于提升其心理健康水平,建议血站工作人员在对献血者做健康宣教时加强运动方面的宣教内容,以促进献血者保持良好的生活方式.同时,也提示在献血前健康征询的过程中可能存在一定程度的心理健康问题漏诊,建议对献血者进行更全面、有效的心理健康评估.
Health status analysis of blood donors:based on the ordinal multinomial logistic regression model
Objective To explore the characteristics of lifestyle behaviors and mental health status among blood donors in Guangzhou,and to investigate the correlation between donation frequency and these factors. Methods A cross-sectional study was conducted among 13042 whole blood donors from 17 street blood donation sites of Guangzhou Blood Center from May to August 2020. Descriptive analysis was used to describe the characteristics of lifestyle behaviors and mental health status among blood donors in Guangzhou. Ordinal multinomial logistic regression model was used to analyze the correlation between donation frequency and these factors. Results It was found that some of 13042 blood donors had unhealthy hab-its,such as 6.8% (698/10214,2828 missing values)had severe tobacco dependence,30.6% (3997/13042) had low exercise levels,38.8%(5056/13042)had poor sleep quality,and 2.2% (271/12159,883 missing values) had alcohol dependence. In addition,2.8% (364/13042) and 1.3% (172/13042) of the donors may have moderate to severe de-pression and anxiety symptoms,respectively. The results of the ordinal multinomial logistic regression model showed that ex-ercise level was significantly negatively correlated with the degree of depression and anxiety among blood donors. With the decrease in exercise level,the possibility of depression and anxiety among donors increased significantly. BMI,household income,education level,marital status,donation frequency,alcohol consumption and smoking had no significant correlation with the mental health status of donors. Conclusion Improving the exercise habits of blood donors may help enhance their mental health level. It is recommended that blood station staff strengthen the content of exercise when providing health edu-cation to blood donors to maintain a healthy lifestyle. It also suggests that there may be a certain degree of under-diagnosis of mental health problems in the process of health consultation before blood donation,and conducting more comprehensive and effective mental health assessments for blood donors is recommended.

blood donorsmental healthlifestyle:Guangzhou

冯凡凡、谢桂芸、邓学成、欧阳剑、陈翀、洪晓春、曾四海、张悦、黄漫玉、陈锦艳、戎霞、黎世杰

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广州血液中心广州市血液安全重点实验室,广东广州 510095

无偿献血者 心理健康 生活方式 广州

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(11)