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Biomedical and Environmental Sciences ; (12): 184-191, 2021.
Article Dans Anglais | WPRIM | ID: wpr-878336

Résumé

Objective@#Evidence is lacking regarding the combined effects of smoking and obesity on mortality from coronary heart disease in male veterans. This study aimed to explore the combined effect of smoking and obesity on coronary heart disease mortality in male veterans in China.@*Methods@#A cohort of 1,268 male veterans from 22 veteran centers in Xi'an (Shaanxi Province, China) were followed up once every 2 years from February 1, 1987 to October 30, 2016. The endpoint was death from any cause. The hazard ratio ( @*Results@#The total follow-up was 24394.21 person-years; each subject was followed up for a mean duration of 19.24 years. By the end of the study, of the 1,268 veterans, 889 had died, 363 were alive, and 16 were lost to follow-up. Cox regression analysis results revealed that current smoking ( @*Conclusion@#Our results suggest that obese veterans who smoke might be an important target population for coronary heart disease mortality control.


Sujets)
Sujet âgé , Humains , Mâle , Adulte d'âge moyen , Chine/épidémiologie , Maladie coronarienne/mortalité , Obésité/complications , Modèles des risques proportionnels , Facteurs de risque , Fumer , Anciens combattants/statistiques et données numériques
2.
Biomedical and Environmental Sciences ; (12): 502-509, 2020.
Article Dans Anglais | WPRIM | ID: wpr-828987

Résumé

Objective@#To determine the factors influencing insomnia and construct early insomnia warning tools for rescuers to informbest practices for early screening and intervention.@*Methods@#Cluster sampling was used to conduct a cross-sectional survey of 1,133 rescuers from one unit in Beijing, China. Logistic regression modeling and R software were used to analyze insomnia-related factors and construct a PRISM model, respectively.@*Results@#The positive rate of insomnia among rescuers was 2.74%. Accounting for participants' age, education, systolic pressure, smoking, per capita family monthly income, psychological resilience, and cognitive emotion regulation, logistic regression analysis revealed that, compared with families with an average monthly income less than 3,000 yuan, the odds ratio ( ) values and the [95% confidence interval ( )] for participants of the following categories were as follows: average monthly family income greater than 5,000 yuan: 2.998 (1.307-6.879), smoking: 4.124 (1.954-8.706), and psychological resilience: 0.960 (0.933-0.988). The ROC curve area of the PRISM model (AUC) = 0.7650, specificity = 0.7169, and sensitivity = 0.7419.@*Conclusion@#Insomnia was related to the participants' per capita family monthly income, smoking habits, and psychological resilience on rescue workers. The PRISM model's good diagnostic value advises its use to screen rescuer early sleep quality. Further, advisable interventions to optimize sleep quality and battle effectiveness include psychological resilience training and smoking cessation.


Sujets)
Adolescent , Adulte , Humains , Mâle , Jeune adulte , Chine , Épidémiologie , Études transversales , Incidence , Revenu , Modèles théoriques , Maladies professionnelles , Épidémiologie , Intervention de sauvetage , Résilience psychologique , Facteurs de risque , Troubles de l'endormissement et du maintien du sommeil , Épidémiologie , Fumer , Épidémiologie , Facteurs socioéconomiques
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