CN110634541A - A kind of oral health data collection and analysis method - Google Patents
A kind of oral health data collection and analysis method Download PDFInfo
- Publication number
- CN110634541A CN110634541A CN201910557755.4A CN201910557755A CN110634541A CN 110634541 A CN110634541 A CN 110634541A CN 201910557755 A CN201910557755 A CN 201910557755A CN 110634541 A CN110634541 A CN 110634541A
- Authority
- CN
- China
- Prior art keywords
- management
- data
- oral
- oral health
- analysis
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 230000036541 health Effects 0.000 title claims abstract description 97
- 238000004458 analytical method Methods 0.000 title claims description 20
- 238000013480 data collection Methods 0.000 title claims description 9
- 238000013479 data entry Methods 0.000 claims abstract description 20
- 238000011160 research Methods 0.000 claims abstract description 15
- 238000012546 transfer Methods 0.000 claims abstract description 15
- 238000000034 method Methods 0.000 claims abstract description 14
- 238000012545 processing Methods 0.000 claims abstract description 13
- 238000007689 inspection Methods 0.000 claims abstract description 9
- 238000007726 management method Methods 0.000 claims description 57
- 238000007619 statistical method Methods 0.000 claims description 19
- 230000006399 behavior Effects 0.000 claims description 15
- 201000010099 disease Diseases 0.000 claims description 11
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 11
- 238000007405 data analysis Methods 0.000 claims description 10
- 238000011161 development Methods 0.000 claims description 10
- 230000009885 systemic effect Effects 0.000 claims description 10
- 208000025157 Oral disease Diseases 0.000 claims description 8
- 208000030194 mouth disease Diseases 0.000 claims description 8
- 238000004364 calculation method Methods 0.000 claims description 6
- 208000017667 Chronic Disease Diseases 0.000 claims description 3
- 238000013500 data storage Methods 0.000 claims description 3
- 235000006694 eating habits Nutrition 0.000 claims description 3
- 230000015654 memory Effects 0.000 claims description 3
- 238000011841 epidemiological investigation Methods 0.000 abstract description 9
- 238000007418 data mining Methods 0.000 abstract description 2
- 230000000694 effects Effects 0.000 description 13
- 230000003862 health status Effects 0.000 description 13
- 230000008859 change Effects 0.000 description 11
- 230000008901 benefit Effects 0.000 description 10
- 230000018109 developmental process Effects 0.000 description 8
- 238000013517 stratification Methods 0.000 description 8
- 230000001186 cumulative effect Effects 0.000 description 7
- 230000008569 process Effects 0.000 description 7
- 230000019771 cognition Effects 0.000 description 5
- 208000002925 dental caries Diseases 0.000 description 5
- 230000003542 behavioural effect Effects 0.000 description 4
- 238000010276 construction Methods 0.000 description 4
- 230000003993 interaction Effects 0.000 description 4
- 208000008312 Tooth Loss Diseases 0.000 description 3
- 230000009471 action Effects 0.000 description 3
- 230000001419 dependent effect Effects 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 230000036346 tooth eruption Effects 0.000 description 3
- 230000008733 trauma Effects 0.000 description 3
- 208000006440 Open Bite Diseases 0.000 description 2
- 230000002776 aggregation Effects 0.000 description 2
- 238000004220 aggregation Methods 0.000 description 2
- 238000013459 approach Methods 0.000 description 2
- 239000003181 biological factor Substances 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000013523 data management Methods 0.000 description 2
- 238000000556 factor analysis Methods 0.000 description 2
- 230000002452 interceptive effect Effects 0.000 description 2
- 238000011835 investigation Methods 0.000 description 2
- 208000018773 low birth weight Diseases 0.000 description 2
- 231100000533 low birth weight Toxicity 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000000214 mouth Anatomy 0.000 description 2
- 238000012216 screening Methods 0.000 description 2
- 230000009897 systematic effect Effects 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000001680 brushing effect Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 238000007477 logistic regression Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 208000028169 periodontal disease Diseases 0.000 description 1
- 230000001915 proofreading effect Effects 0.000 description 1
- 230000004036 social memory Effects 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 208000004371 toothache Diseases 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 238000000844 transformation Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
Images
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
Landscapes
- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Primary Health Care (AREA)
- Data Mining & Analysis (AREA)
- Biomedical Technology (AREA)
- Databases & Information Systems (AREA)
- Pathology (AREA)
- Medical Treatment And Welfare Office Work (AREA)
Abstract
本发明公开了一种口腔健康数据采集及分析方法,包括用于口腔健康流行病学调查数据存储及统计分析的数据处理工作站、存储中转站、用于对口腔健康流行病学调查数据进行采集的数据录入工作站,所述数据录入工作站通过存储中转站与数据处理工作站通过控制信号连接,所述数据录入工作站包括检查问卷、财务管理、请假管理、轨迹管理、消息管理、日志管理、已答管理、离线管理。本发明填补了该研究领域的空白,不仅能够有效的管理储存现场调查数据,便于在全省甚至全国医疗机构的推广和应用,为将来数据挖掘提供统一规范的数据平台,而且提高项目管理,为调查医师等工作者绩效管理及财务管理提供证据支持。
The invention discloses a method for collecting and analyzing oral health data, including a data processing workstation for storing and statistically analyzing oral health epidemiological investigation data, a storage transfer station, and a tool for collecting oral health epidemiological investigation data. A data entry workstation, the data entry workstation is connected to the data processing workstation through a storage transfer station through a control signal, and the data entry workstation includes inspection questionnaires, financial management, leave management, track management, message management, log management, answered management, Manage offline. The present invention fills up the gap in this research field, not only can effectively manage and store on-site survey data, facilitate the promotion and application of medical institutions in the whole province and even the whole country, provide a unified and standardized data platform for future data mining, but also improve project management and provide Investigate the performance management and financial management of doctors and other workers to provide evidence support.
Description
技术领域technical field
本发明属于口腔数据采集及分析领域,具体涉及一种口腔健康数据采集及分析方法。The invention belongs to the field of oral cavity data collection and analysis, and in particular relates to a method for oral health data collection and analysis.
背景技术Background technique
为掌握我国居民口腔健康状况,我国分别在1983、1995、2005和2015年开展过四次全国口腔健康流行病学调查,为制定口腔卫生政策提供了科学依据。但是在这四次大型调查中,均采用了纸质的调查问卷和检查表,在调查完后需要二次人工录入,财务管理、轨迹管理等缺乏系统的软件管理,给调查医师等工作者在现场调查工作和后期管理中增加了一定的工作难度。In order to grasp the oral health status of Chinese residents, my country carried out four national oral health epidemiological surveys in 1983, 1995, 2005 and 2015, which provided a scientific basis for formulating oral health policies. However, in these four large-scale surveys, paper-based questionnaires and checklists were used, which required a second manual entry after the survey. Financial management, track management, etc. lacked systematic software management. A certain degree of difficulty has been added to the on-site investigation work and post-management.
发明内容Contents of the invention
为了克服现有纸质问卷调查和检查表需要二次人工录入且管理缺乏统一性,不便于后期查看的缺陷,本发明提供了一种既可有效获取调查数据,实现精准化数据分析管理,又可省去二次人工录入,消除二次录入误差,大大节省了人力、物力、财力的口腔健康数据采集及分析方法。In order to overcome the defects that the existing paper questionnaires and checklists require secondary manual entry and lack of uniformity in management, which is not convenient for later viewing, the present invention provides a method that can effectively obtain survey data, realize precise data analysis and management, and It can save the secondary manual entry, eliminate the secondary entry error, and greatly save the oral health data collection and analysis method of manpower, material resources and financial resources.
本发明为了实现上述目的所采用的是:What the present invention adopts in order to realize the above object is:
一种口腔健康数据采集及分析方法,包括用于口腔健康流行病学调查数据存储及统计分析的数据处理工作站、存储中转站、用于对口腔健康流行病学调查数据进行采集的数据录入工作站,所述数据录入工作站通过存储中转站与数据处理工作站通过控制信号连接,所述数据录入工作站包括检查问卷、财务管理、请假管理、轨迹管理、消息管理、日志管理、已答管理、离线管理。A method for collecting and analyzing oral health data, including a data processing workstation for data storage and statistical analysis of oral health epidemiological investigations, a storage transfer station, and a data entry workstation for collecting oral health epidemiological investigation data, The data entry workstation is connected to the data processing workstation through a control signal through a storage transfer station, and the data entry workstation includes inspection questionnaires, financial management, leave management, track management, message management, log management, answered management, and offline management.
进一步地,所述口腔健康流行病学调查数据统计分析主要基于个人生命历程的视角进行分析,具体如下:Further, the statistical analysis of the oral health epidemiological survey data is mainly based on the perspective of personal life history, as follows:
第一、描述性分析First, descriptive analysis
随机抽取3-5岁儿童、12-15岁中学生、35-74岁成人作为调查样本数据,对这三个年龄段的口腔健康状况进行一般检查,并对3-5岁儿童家长、12-15岁中学生、35-74岁成人知识、态度、行为进行问卷调查,通过基本统计图表展示方式、基本统计量计算,定量描述分析口腔健康流行病学总体情况,同时通过基本统计图或基本统计量分析各个年龄段的口腔疾病在城乡、年龄组、性别、地区等不同因素之间的差异以及流行特征,通过单因素及多因素分析统计各年龄组的饮食习惯、生活习惯、既往病史、口腔卫生情况、口腔知识及态度情况、社会因素、学历、收入因素对被调查者口腔健康状况的影响;Children aged 3-5, middle school students aged 12-15, and adults aged 35-74 were randomly selected as survey sample data, and the oral health status of these three age groups was generally checked, and parents of children aged 3-5, 12-15 Middle school students aged 35-74 years old and adults aged 35-74 years old conduct questionnaire surveys on knowledge, attitudes and behaviors, through the display of basic statistical charts, basic statistical calculations, quantitative description and analysis of the overall situation of oral health epidemiology, and at the same time through basic statistical charts or basic statistical analysis Differences and prevalence characteristics of oral diseases in various age groups between urban and rural areas, age groups, gender, regions and other factors, through single factor and multi-factor analysis statistics of eating habits, living habits, past medical history, oral hygiene status of each age group , Oral knowledge and attitudes, social factors, education, income factors on the oral health of the respondents;
第二、深度统计分析Second, in-depth statistical analysis
在前述基本统计分析结果的基础上,结合全身性慢性病等调查数据,进行口腔健康与全身疾病的相关性研究。On the basis of the above-mentioned basic statistical analysis results, combined with the survey data of systemic chronic diseases, the correlation research between oral health and systemic diseases was carried out.
更进一步地,所述口腔健康与全身疾病的相关性研究是基于生命历程视角下的深度数 据分析人体早期生长发育的生理状况与口腔疾病发生发展的关系。例如:低出生体质量与龋 病发生之间的关系,个体早期生长发育的生物因素与牙缺失、牙萌出方式、开牙合、牙外伤之间 的关系。Furthermore, the study on the correlation between oral health and systemic diseases is based on in-depth data analysis from the perspective of life course to analyze the relationship between the physiological status of early growth and development of the human body and the occurrence and development of oral diseases. For example: the relationship between low birth weight and caries occurrence, the relationship between biological factors of early growth and development of individuals and tooth loss, tooth eruption mode, open bite, and tooth trauma.
优选的,所述基本统计量计算包括均值及比例。Preferably, the calculation of the basic statistics includes mean value and ratio.
进一步地,所述检查问卷,用于口腔健康流行病学调查现场时,对被调查者的个人信息、口腔检查、口腔健康知识、态度、行为调查数据的录入,被调查者的个人信息包括ID号、姓名、性别、民族、户口类型、职业、受教育年限、出生日期、年龄;所述财务管理,用于填写申请医疗设备与耗材等内容;所述轨迹管理,用于上传照片,获取当前位置;所述消息管理,用于查收口腔健康流行病学项目组发出的消息;所述日志管理,用于调查人员填写自己的工作计划总结及日志;所述已答管理,用于调查人员查看未上传的检查表和问卷,进行检查、核对;所述离线管理,用于调查人员在离线环境下,录入的数据进行管理,待在有WiFi环境下选择上传到存储中转站。Further, when the inspection questionnaire is used at the oral health epidemiological investigation site, the personal information of the respondent, oral examination, oral health knowledge, attitude, and behavior survey data are entered. The personal information of the respondent includes ID No., name, gender, ethnicity, household registration type, occupation, years of education, date of birth, age; the financial management is used to fill in the application for medical equipment and consumables; the track management is used to upload photos and obtain current Location; the message management is used to check the messages sent by the oral health epidemiology project team; the log management is used for investigators to fill in their own work plan summary and log; the answered management is used for investigators to view The checklists and questionnaires that have not been uploaded are checked and checked; the offline management is used to manage the data entered by investigators in an offline environment, and select to upload to the storage transfer station in a WiFi environment.
优选的,所述存储中转站为中心服务器,数据处理工作站为后台管理电脑端,所述数据录入工作站包括手持平板电脑设备端或手机,所述数据录入工作站包括手持平板电脑或手机,所述手持平板电脑或手机的配置为系统为安卓7.0系统、32GB及以上存储容量、3GB及以上内存、GPS定位指示器。本发明将软件安装至手持平板电脑或手机里,并以手持平板电脑设配端作为数据录入工作站。Preferably, the storage transfer station is a central server, the data processing workstation is a background management computer terminal, and the data entry workstation includes a handheld tablet computer or a mobile phone, and the data entry workstation includes a handheld tablet computer or a mobile phone. The configuration of the tablet or mobile phone is Android 7.0 system, 32GB or above storage capacity, 3GB or above memory, and GPS positioning indicator. The invention installs the software in the hand-held tablet computer or the mobile phone, and uses the hand-held tablet computer as the data entry workstation.
本发明软件合理实用,构思新颖,在进行大规模的口腔健康流行病学调查时,既可有效获取调查数据,实现“及检查、及录入、及校对、及上传”的精准化数据管理,又可省去二次人工录入,消除二次录入误差,大大节省了人力、物力、财力;强大的后台数据,问卷、检查表数据、财务、轨迹、日志、个人等数据一应俱全,无需再次编辑,并可个性化搜索,导出相关数据,进行分析;被调查者可以通过扫描二维码,“一人一码”顾名思义就是一个口腔流调被调查者拥有唯一性的一个身份识别码,这也是“一人一码”二维码。它是一种多元化集成的一体化安全解决方案,结合了全息防伪技术和二维码溯源系统的“一人一码”,可以有效地解决普通二维码易复制,易仿制等问题。再通过“二维码系统平台+一人一码”两个个层面结合,使得二维码实现高级别的防伪功能。被调查者只需要通过手机扫描公众号上的二维码,输入姓名、性别、地域,便可查询自己的报告,可以查询到自己的口腔信息就可以更加快速的了解到自己的口腔健康状况。,快速进入个人口腔健康状况反馈报告的访问并自行下载。The software of the present invention is reasonable and practical, and has a novel concept. When conducting a large-scale oral health epidemiological investigation, it can not only effectively obtain the investigation data, but also realize the precise data management of "and inspection, and entry, and proofreading, and uploading". It can save the secondary manual entry, eliminate the secondary entry error, and greatly save manpower, material resources, and financial resources; powerful background data, questionnaires, checklist data, financial, track, log, personal and other data are all available, no need to edit again , and can perform personalized searches, export relevant data, and conduct analysis; respondents can scan the QR code, "one person, one code", as the name implies, is a unique identification code owned by a surveyed respondent, which is also the " One person, one code" QR code. It is a diversified and integrated integrated security solution, which combines holographic anti-counterfeiting technology and two-dimensional code traceability system of "one person one code", which can effectively solve the problems of easy copying and imitation of ordinary two-dimensional codes. Then through the combination of the two levels of "two-dimensional code system platform + one person one code", the two-dimensional code can realize a high-level anti-counterfeiting function. Respondents only need to scan the QR code on the official account with their mobile phones, enter their name, gender, and region, and then they can query their own reports. They can query their own oral information and learn about their oral health status more quickly. , to quickly access the personal oral health feedback report and download it yourself.
本发明填补了该研究领域的空白,不仅能够有效的管理储存现场调查数据,便于在全省甚至全国医疗机构的推广和应用,为将来数据挖掘提供统一规范的数据平台,而且提高项目管理,为调查医师等工作者绩效管理及财务管理提供证据支持。The present invention fills up the gap in this research field, not only can effectively manage and store on-site survey data, facilitate the promotion and application of medical institutions in the whole province and even the whole country, provide a unified and standardized data platform for future data mining, but also improve project management and provide Investigate the performance management and financial management of doctors and other workers to provide evidence support.
附图说明Description of drawings
图1为本发明的结构示意图;Fig. 1 is a structural representation of the present invention;
图2为口腔健康知识、态度、行为的生命历程模型构建;Figure 2 is the construction of the life course model of oral health knowledge, attitude and behavior;
图中1.数据处理工作站,2.存储中转站,3.数据录入工作站,4.检查问卷,5.财务管理,6.请假管理,7.轨迹管理,8.消息管理,9.日志管理,10.已答管理,11.离线管理。In the figure 1. Data processing workstation, 2. Storage transfer station, 3. Data entry workstation, 4. Inspection questionnaire, 5. Financial management, 6. Leave management, 7. Track management, 8. Message management, 9. Log management, 10. Answered management, 11. Offline management.
具体实施方式Detailed ways
如图1所示,一种口腔健康数据采集分析与随访系统,包括用于口腔健康流行病学调查数据存储及统计分析的数据处理工作站1、存储中转站2、用于对口腔健康流行病学调查数据进行采集的数据录入工作站3,所述数据录入工作站3通过存储中转站2与数据处理工作站1通过控制信号连接,所述数据录入工作站3包括检查问卷4、财务管理5、请假管理6、轨迹管理7、消息管理8、日志管理9、已答管理10、离线管理11。As shown in Figure 1, an oral health data collection analysis and follow-up system includes a data processing workstation 1 for oral health epidemiological investigation data storage and statistical analysis, a storage transfer station 2, and a data processing station for oral health epidemiological investigation. The data entry workstation 3 for collecting survey data, the data entry workstation 3 is connected with the data processing workstation 1 through a control signal through the storage transfer station 2, and the data entry workstation 3 includes inspection questionnaire 4, financial management 5, leave management 6, Trajectory management 7, message management 8, log management 9, answered
进一步地,所述口腔健康流行病学调查数据分析主要由基本统计分析和深度统计分析两个模块组成,具体如下:Further, the data analysis of the oral health epidemiological survey mainly consists of two modules: basic statistical analysis and in-depth statistical analysis, as follows:
第一、基本统计分析First, basic statistical analysis
随机抽取3-5岁儿童,12-15岁中学生,15岁以上成人作为调查样本数据,对这三个年龄组的口腔健康状况进行一般检查,并对其知识、态度、行为进行问卷调查,通过基本统计量计算、基本统计图表展示方式,定量描述分析口腔流行病学总体情况,同时通过基本统计量或基本统计图统计分析各个年龄组的口腔疾病在城乡、年龄组、性别、地区不同因素之间的差异以及流行特征,通过单因素及多因素分析统计各年龄组的饮食习惯、生活习惯、既往病史、口腔卫生情况、口腔知识及态度情况、社会因素、学历、收入因素对被调查者口腔健康状况的影响;Randomly select children aged 3-5, middle school students aged 12-15, and adults over 15 years old as survey sample data, conduct a general examination of the oral health status of these three age groups, and conduct questionnaire surveys on their knowledge, attitudes, and behaviors. Calculation of basic statistics, display of basic statistical charts, quantitative description and analysis of the overall situation of oral epidemiology, and at the same time, through basic statistics or basic statistical charts, statistical analysis of the relationship between oral diseases in each age group, urban and rural areas, age groups, gender, and regions The differences between the population and the prevalence characteristics, through single factor and multi-factor analysis statistics of the dietary habits, living habits, past medical history, oral hygiene conditions, oral knowledge and attitudes, social factors, education, income factors in the oral cavity of the respondents. effects of health conditions;
第二、深度统计分析Second, in-depth statistical analysis
在前述基本统计分析结果的基础上,结合全身性慢性病等调查数据,进行口腔健康与全身疾病的相关性研究。On the basis of the above-mentioned basic statistical analysis results, combined with the survey data of systemic chronic diseases, the correlation research between oral health and systemic diseases was carried out.
更进一步地,所述口腔健康与全身疾病的相关性研究是基于生命历程视角下的深度数 据分析人体早期生长发育的生理状况与口腔疾病发生发展的关系。例如:低出生体质量与龋 病发生之间的关系,个体早期生长发育的生物因素与牙缺失、牙萌出方式、开牙合、牙外伤之间 的关系。Furthermore, the study on the correlation between oral health and systemic diseases is based on in-depth data analysis from the perspective of life course to analyze the relationship between the physiological status of early growth and development of the human body and the occurrence and development of oral diseases. For example: the relationship between low birth weight and caries occurrence, the relationship between biological factors of early growth and development of individuals and tooth loss, tooth eruption mode, open bite, and tooth trauma.
所述基于生命历程视角下的深度数据分析的步骤如下:The steps of in-depth data analysis based on the perspective of life course are as follows:
一、通过构建生命历程模型框架,对被调查者口腔健康的知识、态度、行为的影响进行分析:1. By constructing a life course model framework, analyze the influence of the knowledge, attitude and behavior of the oral health of the respondents:
生命历程理论是一种有助于阐明人类和社会如何在社会年龄阶层、短期转变及历史时代的共同作用下发展的理论取向。生命历程的研究范式大体上可以分为四个方面:“特定时空中的生活”、“联系或共存的生活”、“生活的时间性”和个人生活选择中的主观能动性。生命事件是生命历程理论的主要研究对象,是指伴随着相对急剧的变化,且会带来严重的、持久的影响的重大事件。Life course theory is a theoretical approach that helps clarify how humans and societies develop through a combination of social age classes, short-term transitions, and historical epochs. The research paradigm of life course can be roughly divided into four aspects: "life in a specific time and space", "life of connection or coexistence", "timeliness of life" and subjective initiative in individual life choices. Life events are the main research object of life course theory, which refers to major events accompanied by relatively rapid changes and will bring serious and lasting effects.
1. 生命事件———口腔健康的知识、态度、行为的影响口腔健康的知识、态度、行为与其对口腔健康有密切联系,对于被调查者来说,口腔健康的知识、态度、行为是人生轨迹上的一个重要“生命事件”,成为被调查者 “已有的生活经历、经验”,并以社会记忆的方式,和社会化情境因素一起作用于“个体对社会制度乃至社会环境的认知与行动”,最终影响被调查者的口腔健康的知识、态度、行为。1. Life events—the knowledge, attitude, and behavior of oral health affect the oral health knowledge, attitude, and behavior are closely related to oral health. For the respondents, the knowledge, attitude, and behavior of oral health are the An important "life event" on the trajectory becomes the "existing life experience and experience" of the respondent, and acts on "the individual's cognition of the social system and even the social environment" in the form of social memory, together with social situational factors. and actions", which ultimately affect the knowledge, attitudes and behaviors of the oral health of the respondents.
假设一:对“细菌可以引起龋齿”的口腔健康知识回答“正确”的被调查者,其患龋率与回答“错误”的被调查者具有统计学差异。Hypothesis 1: The caries rate of respondents who answered "correctly" to the oral health knowledge of "bacteria can cause dental caries" is statistically different from that of respondents who answered "wrong".
2. 出生组效应———个体年龄的影响 在经受巨大变迁的社会中,对于出生在不同年代的人来说呈现在他们面前的社会景观是不一样的,因而,个体所拥有的社会机会和个体所受到的社会限制也是不一样的。“一定时空中的生活”原理表明,个体在哪一年出生和属于哪一个同龄群体基本上将其与某种历史力量联系起来,它是进行生命历程范式分析的重要组成部分。 由于中年人接受新生事物和学习的能力强于老年人,其生活和思维方式不同,其口腔知识、态度、行为明显强于老年人”,所以,年龄使被调查者在口腔知识、态度、行为认知上具有明显的代际差异;受教育程度也对被调查者在口腔知识、态度、行为认知上存在明显的影响。2. Birth group effect—the influence of individual age In a society undergoing great changes, the social landscape presented to people born in different ages is different. Therefore, the social opportunities and Individuals are subject to social constraints are not the same. The principle of "life in a certain time and space" shows that the year in which an individual was born and which peer group he belongs to basically connects him with a certain historical force, which is an important part of the life course paradigm analysis. Because middle-aged people are more capable of accepting new things and learning than old people, their life and thinking styles are different, and their oral knowledge, attitudes, and behaviors are obviously stronger than those of old people.” There are obvious intergenerational differences in behavioral cognition; the level of education also has a significant impact on the oral knowledge, attitude, and behavioral cognition of the respondents.
假设二: 与老年人比较而言,中年人更注重保护自身的牙齿,维持口腔健康。Hypothesis 2: Compared with the elderly, middle-aged people pay more attention to protecting their own teeth and maintaining oral health.
3. 个人能动性———个人选择及行动的影响生命历程理论反对将社会路线视为个人生命历程的唯一决定因素,认为个人的选择和行动对这种社会期望的解释也非常重要。一般说来,相同年龄的人所经历某些事件的时间和先后次序也会呈现出较大的差异,这说明个人属性在生命历程研究中的重要作用。通常来说,社会经济因素对被调查者在口腔知识、态度、行为认知上有显著正相关影响。3. Individual agency—the impact of personal choices and actions Life course theory opposes the social route as the sole determinant of an individual's life course, and believes that individual choices and actions are also very important in explaining this social expectation. Generally speaking, the time and sequence of certain events experienced by people of the same age also show great differences, which shows the important role of personal attributes in the study of life course. Generally speaking, socioeconomic factors have a significant positive impact on the respondents' oral knowledge, attitudes, and behavioral cognition.
假设三: 个人能动性越强的被调查者,其口腔健康状况具有明显优势。Hypothesis 3: Respondents with stronger personal initiative have obvious advantages in their oral health status.
调查完成后,对调查问卷进行逐题分解,通过编码对研究调查中重要的、突出的、反复出现的现象进行提取,并对这些现象进行意义解释。编码过程由3个级别的编码构成,即开放式编码、主轴编码和选择性编码。开放式编码是指通过将现场调查问卷进行逐题编码和重组,从现场调查问卷中生成初始概念、形成概念范畴。在这一过程被调查者生命历程的影响因素模型构建中,获得初始概念。通过对现场调查问卷的概念归属、意义去重、资料汇总、资料甄别和概念范畴化,获取具体的范畴。假若在研究变量及描述统计中:After the survey is completed, the questionnaire is decomposed question by question, and the important, prominent and recurring phenomena in the research survey are extracted through codes, and the meanings of these phenomena are explained. The coding process consists of three levels of coding, namely open coding, spindle coding and selective coding. Open coding refers to the generation of initial concepts and the formation of conceptual categories from the on-site questionnaire by coding and reorganizing the on-site questionnaire item by item. In this process, the initial concept was obtained in the construction of the influencing factor model of the life course of the respondent. Specific categories were obtained through conceptual attribution, meaning deduplication, data aggregation, data screening, and concept categorization of the on-site questionnaire. If among study variables and descriptive statistics:
(1) 被解释变量是被调查者在口腔知识、态度、行为认知,在调查问卷中的提问是 “刷牙时牙龈出血是否是正常的”,选项分别为 “①正确; ②不正确; ③不知道”。 将三个选项合并成二类,第一类是将①“正确”并赋值为 1; 第二类是将②和③和合并成为 “不”并赋值为 0。假若选择“正确”的被调查者达 68%,选择“错误”的被调查者达 32%。(1) The explained variable is the respondent’s oral knowledge, attitude, and behavior cognition. The question in the questionnaire is “is it normal to have bleeding gums when brushing your teeth?” and the options are “①Correct; ②Incorrect; ③ do not know". Merge the three options into two categories. The first category is to combine ① "correct" and assign a value of 1; the second category is to combine ② and ③ into "no" and assign a value of 0. If 68% of the respondents choose "correct", 32% of the respondents choose "wrong".
(2)自变量为生命历程。根据分析框架,将生命历程变量具体操作化为以下几类。①生命事件: 即被调查者问卷调查中口腔健康知识知晓率,为二分类虚拟变量 ( ≥85%=1,<85%= 0) ,以 0 为参照; 假若口腔健康知识知晓率的被调查者为 60%, 口腔健康知识知晓率的被调查者为 40% 。②个体能动性: 受教育程度: 将教育程度转化为二分类虚拟变量(初中及以上=1,初中以下=0) ,以 0 为参照; 初中及以下的为 27,初中以上的为73% 。(2) The independent variable is life course. According to the analysis framework, the life course variables are specifically operationalized into the following categories. ①Life events: the awareness rate of oral health knowledge in the questionnaire survey of the respondents, which is a binary dummy variable (≥85%=1, <85%=0), with 0 as the reference; 60% of those surveyed, and 40% of those surveyed were aware of oral health knowledge. ②Individual initiative: education level: transform the education level into a dichotomous dummy variable (junior high school and above = 1, and below junior high school = 0), with 0 as the reference; those who are junior high school and below are 27%, and those who are above junior high school are 73%.
(3) 控制变量。假若选择从个人基本特征和家庭特征两个层面参与模型的控制变量,包括健康状况、婚姻状况、是否务农、子女数量。假若务农者为 45%,非务农者为55%;40%为有配偶者,60%为无配偶者; 有0-2个子女的成年人占 40%,3-4个子女的占45%,15%的老人有4个以上子女。(3) Control variables. If you choose to participate in the control variables of the model from the two levels of basic personal characteristics and family characteristics, including health status, marital status, whether you work in agriculture, and the number of children. For example, 45% are farmers and 55% are non-farmers; 40% are spouses and 60% are unmarried; 40% are adults with 0-2 children, and 45% are adults with 3-4 children , 15% of the elderly have more than 4 children.
基于以上数据进行模型构建(见图2),假若将被解释变量分为三类,分别是农村、城镇城郊和城市,因而,采用多元logistic 模型,比较城市与农村、城镇城郊与农村、城市与城镇城郊在口腔健康知识、态度、行为方面的差异,以农村为参照类建立模型Ⅰ和模型Ⅱ,以城镇城郊为参照类建立模型Ⅲ ( 见表 1)。调查完成后,对调查问卷进行逐题分解,通过编码对研究调查中重要的、突出的、反复出现的现象进行提取,并对这些现象进行意义解释。编码过程由3个级别的编码构成,即开放式编码、主轴编码和选择性编码。开放式编码是指通过将现场调查问卷进行逐题编码和重组,从现场调查问卷中生成初始概念、形成概念范畴。在这一过程被调查者生命历程的影响因素模型构建中,获得初始概念。通过对现场调查问卷的概念归属、意义去重、资料汇总、资料甄别和概念范畴化,获取具体的范畴。建构影响变量只包括控制变量的基准模型,然后在基准基础上加入研究关注的核心影响变量———生命历程因素,建立完全模型,假若模型拟合结果如下,见表1。Based on the above data for model construction (see Figure 2), if the explanatory variables are divided into three categories, namely, rural areas, urban suburbs and cities, a multivariate logistic model is used to compare urban and rural areas, urban and rural areas, and urban and rural areas. Differences in oral health knowledge, attitudes, and behaviors between urban and suburban areas, Model I and Model II were established with rural areas as the reference category, and Model III was established with urban and suburban areas as the reference category (see Table 1). After the survey is completed, the questionnaire is decomposed question by question, and the important, prominent and recurring phenomena in the research survey are extracted through codes, and the meanings of these phenomena are explained. The coding process consists of three levels of coding, namely open coding, spindle coding and selective coding. Open coding refers to the generation of initial concepts and the formation of conceptual categories from the on-site questionnaire by coding and reorganizing the on-site questionnaire item by item. In this process, the initial concept was obtained in the construction of the influencing factor model of the life course of the respondent. Specific categories were obtained through conceptual attribution, meaning deduplication, data aggregation, data screening, and concept categorization of the on-site questionnaire. Construct a baseline model in which the influencing variables only include control variables, and then add the core influencing variables of research focus—life course factors on the basis of the baseline to establish a complete model. If the model fitting results are as follows, see Table 1.
表1口腔健康知识、态度、行为的影响因素 (OR)Table 1 Influencing factors of oral health knowledge, attitude and behavior (OR)
注: 1. * 、**和***分别表示相应变量在1%、5% 和10%水平显著; 在0.1 显著性水平下未表现出显著影响的 拟合结果未在表中展示; “……”表示在六个模型中均未表现出显著影响的变量。Notes: 1. *, ** and ** indicate that the corresponding variables are significant at the 1%, 5% and 10% levels respectively; the fitting results that do not show a significant effect at the 0.1 significance level are not shown in the table; " ..." indicates variables that did not show a significant effect in any of the six models.
从基准模型可以看出,在只考虑控制变量的前提下,健康状况、受教育程度对被调查者口腔健康知识、态度、行为有显著影响。基于上述研究给我们得到的启示是,增强全民教育,加大口腔健康教育宣传教育势在必行。From the benchmark model, it can be seen that under the premise of only considering the control variables, health status and education level have a significant impact on the oral health knowledge, attitude and behavior of the respondents. Based on the above research, we have learned that it is imperative to strengthen education for all and increase oral health education and publicity.
二、通过生命历程“累积优势与劣势效应”,生命历程方法的危险累计模型2. Through the "cumulative advantage and disadvantage effect" of the life course, the cumulative risk model of the life course approach
当下,口腔健康的社会不平等研究引入了生命历程的视角。在这个理论框架下,将被调查者的既往经历放在他们所生活的历史时间与空间背景下分析,以期寻找一种将生命的个体意义与社会意义相联系的方式。生命历程的理论视角明确突出,个人特征及转变是伴随一生的。与社会分层相联系,在个体层面,个人经历的不平等程度随着年龄增加而增大或缩小;在群体层面,个人之间的差异也会随着时间而变化。Currently, research on social inequalities in oral health has introduced a life-course perspective. Under this theoretical framework, the past experiences of the respondents are analyzed in the context of the historical time and space in which they live, in order to find a way to connect the individual meaning of life with the social meaning. The theoretical perspective of the life course is clearly highlighted, and personal characteristics and transformations are accompanied by a lifetime. Linked to social stratification, at the individual level, the degree of inequality experienced by individuals increases or decreases with age; at the group level, differences between individuals also change over time.
就本文对口腔健康梯度的研究而言,个体在一生中社会经济因素不会稳定,而口腔健康总体来说是呈下滑趋势,对口腔健康的解析应放眼于整个生命跨度中,置于社会经济因素、饮食结构因素、医疗资源和自然环境多个层面中,并结合个人年龄、出生世代和历史时期来分析。生命历程的研究关注因口腔疾病与全身系统性疾病之间不平等的疾病机制。“累积优势与劣势效应”就是一个被系统发展起来的假说, 并得到较多验证。这一概念最初由默顿在他的经典论 文《科学中的马太效应》中提出。累积优势意指某一群体所具有的优势资源会随着时间而积累,意味着该优势资源的不平等分配差距随着时间而加大。这所谓的 “优势”是指一些关键的资源和回报,比如学术名声、财富或健康。这些社会不平等由社会机构产生,并在社会分层过程中贯穿整个生命历程。 在分层过程中,“(资源拥有的)劣势将增大个人所面对的风险,而优势则增加个人所面临的机遇”。累积优势与劣势的概念反映并超越了传统的“穷的越穷,富的越富”的说 法。在优势与劣势的累积过程中,初始的细微差异随着时间的延续而 放大,这让早期在教育、健康等方面处于劣势状态的个人或群体很难赶上。因此,教育等社会资源早期的不平等将会动态地影响后来的职业、收入和财富积累,从而将一个弱势的群体置于长久甚至更加弱势的境地,从而处于弱势的群体口腔疾病及全身系统性疾病的患者占比加大。As far as the research on the gradient of oral health in this paper is concerned, the socioeconomic factors of individuals will not be stable throughout their lives, while oral health generally shows a downward trend. The analysis of oral health should focus on the entire life span, placing socioeconomic factors, diet structure factors, medical resources and natural environment, and combined with individual age, birth generation and historical period to analyze. Life-course research focuses on disease mechanisms underlying the inequalities between oral and systemic diseases. "Cumulative advantages and disadvantages effect" is a hypothesis that has been developed systematically and has been widely verified. This concept was first proposed by Merton in his classic paper "The Matthew Effect in Science". Cumulative advantage means that the advantageous resources of a certain group will accumulate over time, which means that the unequal distribution gap of the advantageous resources will increase over time. This so-called "advantage" refers to some key resources and rewards, such as academic reputation, wealth or health. These social inequalities are generated by social institutions and occur throughout the life course in the process of social stratification. In the process of stratification, "disadvantages (of resource possession) will increase the risks faced by individuals, and advantages will increase the opportunities faced by individuals". The concept of cumulative advantages and disadvantages reflects and transcends the traditional adage that the poor get poorer and the rich get richer. In the process of accumulating advantages and disadvantages, the initial subtle differences magnify over time, which makes it difficult for individuals or groups who are at a disadvantage in education and health in the early stage to catch up. Therefore, the early inequality of social resources such as education will dynamically affect the subsequent occupation, income and wealth accumulation, thus putting a disadvantaged group in a long-term or even more disadvantaged situation, so that oral diseases and systemic diseases of the disadvantaged groups The proportion of patients with diseases has increased.
假若探测在受教育程度分层与人均GDP分层的交互作用下,生命历程中的两个竞争性理论———“累积优势/劣势理论”和“年龄中和效应理论”,哪一个更能解释人均GDP所经历的口腔健康不平等。通过电子化数据随访系统的开发及管理,进行追踪数据和成长曲线模型可以发现,社会经济地位分层对性别分层导致的口腔健康不平等及其发展有独特的影响。Which of the two competing theories in the life course—the "cumulative advantage/disadvantage theory" and the "age-neutralizing effect theory"—was more effective in detecting the interaction between education level stratification and per capita GDP stratification? Explaining oral health inequalities experienced in GDP per capita. Through the development and management of electronic data follow-up system, tracking data and growth curve model, it can be found that socioeconomic status stratification has a unique impact on oral health inequality and development caused by gender stratification.
首先设定因变量,如果自评口腔健康为因变量,即便是采用1—4编码,也大多将其处理为连续变量。对口腔健康的处理延续这一传统,以利于模型的简化与解读。但为了对成长曲线模型进行稳健性检验,我们也将健康视为定序变量进行分析,使用的是多层累积Logistic回归模 型,所得结果与将健康处理为连续变量差异不大。Firstly, the dependent variable is set. If the self-assessed oral health is the dependent variable, even if the 1-4 coding is used, it is mostly treated as a continuous variable. The treatment of oral health continues this tradition to facilitate model simplification and interpretation. However, in order to test the robustness of the growth curve model, we also regard health as an ordinal variable for analysis, using a multi-layer cumulative Logistic regression model, and the results obtained are not much different from treating health as a continuous variable.
自评口腔健康状况是本研究的健康指标。自评口腔健康是一个主观的健康评估,被认为是口腔疾病状况的一个有效预测指标,是一项较为综合有效的口腔健康测度指标。在电子化数据随访系统中的问卷调查中,被调查者回答该问题“你如何评价自己的口腔健康状况”,备选项是“差”“一般”“好”和“非常好”。在分析中我们将口腔健康按连续性变量处理,按从“差”到“非常好”的顺序从1到4编码。Self-assessment of oral health status is the health index of this study. Self-assessment of oral health is a subjective health assessment, which is considered to be an effective predictor of oral disease status and a relatively comprehensive and effective measure of oral health. In the questionnaire survey in the electronic data follow-up system, the respondents answered the question "How do you evaluate your oral health status", and the options are "poor", "general", "good" and "very good". In the analysis we treated oral health as a continuous variable, coded from 1 to 4 in order from "poor" to "very good".
自变量受教育水平是一个连续变量,即“读了多少年的书”,成人的教育水平并不随时间而变化,我们采用被调查者最后一次进入调查时所报告的教育水平。 收入是前一年被访者人均家庭收入。考虑到通货膨胀因素,将各观察年度的家庭年收入换算为2010年的收入水平,以便于 各年份间的纵向比较。家庭年收入属于时间的协变量。为了避免极值影响,在分析中我们对家庭收入取自然对数。年龄、世代和其他控制变量,我们取调查时35岁以上成年人的样本。这个时期,人们多已完成大学教育,可以有效避免健康选择对教育的影响。在后面的成长曲线模型分析中对年龄做了中心化处理,即向样本均值集中,以便于对结果中截距参数的解释。对年龄做了平方处理,以估计年龄对口腔健康的二次曲线影响。但年龄平方项对口腔健康变化影响并不显著,故没有包含在后面的分析模型中。 在生命历程的分析中,出生世代是一个很重要的概念。婚姻状况被认为对健康有较大影响。我们将“已婚”编码为1,“其他情况(未婚、离异、丧偶)”为0。城乡二元化也被认为是影响健康的重要因素,我们将户籍作为控制变量,“城市户口”编码为1,“农村户 口”为0。The independent variable, education level, is a continuous variable, that is, "how many years of reading", and the education level of adults does not change over time. We use the education level reported by the respondents when they entered the survey last time. Income is the per capita household income of respondents in the previous year. Taking into account the inflation factor, the annual household income in each observation year was converted to the income level in 2010, so as to facilitate the longitudinal comparison between the years. Annual household income is a covariate of time. In order to avoid the influence of extreme values, we take the natural logarithm of household income in the analysis. To control for age, generation, and other variables, we take a sample of adults over the age of 35 at the time of the survey. During this period, most people have completed college education, which can effectively avoid the impact of healthy choices on education. In the subsequent analysis of the growth curve model, the age is centralized, that is, concentrated to the sample mean, so as to facilitate the interpretation of the intercept parameter in the result. Age was squared to estimate the quadratic effect of age on oral health. However, the square term of age has no significant effect on oral health changes, so it is not included in the subsequent analysis model. Birth generation is an important concept in the analysis of life course. Marital status is thought to have a greater impact on health. We coded "married" as 1 and "other conditions (single, divorced, widowed)" as 0. Urban-rural duality is also considered to be an important factor affecting health. We use household registration as a control variable, with “urban household registration” coded as 1 and “rural household registration” coded as 0.
我们使用成长曲线模型检验个体健康的变化趋势化因社会经济因素而导致的系统性差异。使用的统计软件是社会分层与健康不平等的性别差异,成长曲线模型又称为分层线性模型,是一种多层分析模型,用来处理纵贯数据中个人数据随时间变动的情况。个体的数据在调查中被反复观察记录,所以这个数据具有分层的结构,即不同年份的数据嵌套于个人之中。故此,成长曲线模型允许我们同时 探讨个体之内和个体之间的口腔健康变化。该模型的另一大优势是处理“不平衡数据”,也就是说,每个个体可以有不同次数的观察,因此,成长曲线模型的使用能最大限度地利用纵 贯数据的信息。成长曲线模型由一对亚模型组成:第一层模型展示个人数据随时 间而变化,第二层模型体现个人数据的变化趋势在不同个体之间的区别。该模型假定个人数据的变化模式是有章可循的。个人成长的模型有不同的起始点(截距不同),个人成长变化的比率也不一样(斜率不同)。也就是说,截距和斜率在个人之间随机改变。对于本研究而言,在起始年份有人口腔健康状况好,有人口腔健康状况差(截距有高有低),随着年龄的增长,有人的口腔健康状况变化快,有人变化慢。除了因变量口腔健康外,自变量家庭收入也随时间的变化而变化,这称为间的协变量,也有个体之内的变化和个体之间的变化。时间协变量的分层差异也要区分出来。为估计个体口腔健康随年龄的变化轨迹和因性别和社会经济地位导致的口腔健康轨迹的异质性,本研究采用的成长曲线模型公式如下。 第一层模型:We use a growth curve model to examine systematic differences in individual health trends due to socioeconomic factors. The statistical software used is the gender difference of social stratification and health inequality. The growth curve model, also known as the hierarchical linear model, is a multi-layer analysis model, which is used to deal with the change of personal data in longitudinal data over time. Individual data are repeatedly observed and recorded in the survey, so this data has a hierarchical structure, that is, data from different years are nested within individuals. Thus, the growth curve model allows us to explore both intra-individual and inter-individual changes in oral health. Another great advantage of this model is to deal with "unbalanced data", that is, each individual can have different number of observations, so the use of growth curve model can maximize the use of longitudinal data information. The growth curve model is composed of a pair of sub-models: the first layer model shows the change of personal data over time, and the second layer model reflects the difference in the change trend of personal data among different individuals. The model assumes that there are rules to follow in the changing patterns of personal data. Models of personal growth have different starting points (different intercepts) and different rates of change in personal growth (different slopes). That is, the intercept and slope vary randomly between individuals. For this study, some people have good oral health status and some people have poor oral health status in the initial year (intercepts are high and low), and as the age increases, some people's oral health status changes quickly and some people change slowly. In addition to the dependent variable oral health, the independent variable family income also changes over time, which is called a covariate between individuals, and there are also intra-individual and inter-individual changes. Stratified differences in time covariates were also distinguished. To estimate the trajectory of individual oral health with age and the heterogeneity of oral health trajectory due to gender and socioeconomic status, the growth curve model formula used in this study is as follows. First layer model:
其中i代表从1到 N个样本中的调查个体;Healthti代表个体 i在时间Among them, i represents the survey individual from 1 to N samples; Healthti represents individual i at time
t的健康测量;Ageti是个体i在时间t的年龄,但经过中心化(减去平均年龄48.1岁);Incometi是个体i在时间t的家庭收入对数值。对于特定个体i而言,系数 π0i代表其在平均年龄处的口腔健康得分,也就是个人口腔健康的截距; π1i是个人口腔健康随年龄变化的斜率; π2i是收入(对数值)提高对应的口腔健康变化的期望值; π3i代表的是收入和年龄的交互变量导致的口腔健康变化斜率的期望值; eti是特定个人i在时间t的残差,服从均值为0,方差为 σ 的正态分布。其他随时间变化的控制变量 Xj 都放在第 一层模型中,包括每次测量的婚姻状况和是否在下次追踪调查中死亡。 第一层模型主要测量的是个体自身健康随年龄的变化轨迹。 为了测量个体健康轨迹变动的异质性,并探测性别和个体层面的社会经济特征对个体健康变化轨迹的影响,测量了个体特征对第一层模型中个体截距和斜率参数的影响。第二层模型包含如下系列公式。 第二层模型:t; Ageti is the age of individual i at time t, but after centering (subtracting the mean age of 48.1 years); Incometi is the logarithm of household income of individual i at time t. For a specific individual i, the coefficient π0i represents its oral health score at the average age, that is, the intercept of personal oral health; π1i is the slope of personal oral health with age; π2i is the corresponding increase in income (log value) The expected value of oral health change; π3i represents the expected value of the slope of oral health change caused by the interactive variables of income and age; eti is the residual error of a specific individual i at time t, which obeys the normal distribution with mean 0 and variance σ. Other time-varying control variables Xj are placed in the first-level model, including marital status for each measurement and death in the next follow-up survey. The first-level model mainly measures the trajectory of the individual's own health with age. To measure the heterogeneity of individual health trajectory changes and to detect the impact of gender and individual-level socioeconomic characteristics on individual health change trajectories, the influence of individual characteristics on the individual intercept and slope parameters in the first-level model was measured. The second-level model contains the following series of formulas. The second layer model:
第二层模型包含了4个公式,其中公式(2)测量的是第一层模型中的截距参数π0i,公式(3)、公式(4)、公式(5)分别测量第一层模型中的斜率参数 π1i,π2i,π3i。参数 βpq是固定效应模型参数,代表性别、教育等个体特征对第一层模型中截距和斜率参数的影响。β00-β03是截 距模型 π0i的参数,测量性别、教育,以及性别和教育的交互变量对截距的影响。其他不随年龄变化的个体层面控制变量Zj,如世代、户籍和区域也包括在截距参数模型内。β10-β13是上述性别、教育、“性别×教育”变量对健康成长斜率的π1i参数,也是这些变量与年龄的交互影响效果。β20和 β21测量性别与家庭收入(时间的协变量 π2i)的交互影响 参数,而β30和 β31测量的是性别、收入与年龄的三维交互影响的参数π3i。γ10和 γ1i是截距和一次斜率的随机效应,也服从均值为0的正态 分布。γ10、γ1i和公式(1)中的eti一起组成随机效应的方差。就研究假设而言,β03和β20是验证假设1的参数,β03和π31是验证假设2的参数,β12、 β13、 β30和β31验证假设3。The second-level model contains four formulas, among which formula (2) measures the intercept parameter π0i in the first-level model, and formula (3), formula (4), and formula (5) measure the intercept parameter π0i in the first-level model respectively. The slope parameters of π1i, π2i, π3i. The parameter βpq is a fixed-effect model parameter, which represents the influence of individual characteristics such as gender and education on the intercept and slope parameters in the first-level model. β00-β03 are the parameters of the intercept model π0i, which measure the impact of gender, education, and the interactive variables of gender and education on the intercept. Other individual-level control variables Zj that do not change with age, such as generation, household registration, and region, are also included in the intercept parameter model. β10-β13 is the π1i parameter of the above-mentioned gender, education, and "gender × education" variables on the slope of healthy growth, and it is also the interaction effect of these variables and age. β20 and β21 measure the interaction parameters of gender and family income (time covariate π2i), while β30 and β31 measure the three-dimensional interaction parameters π3i of sex, income and age. γ10 and γ1i are random effects of intercept and primary slope, which also obey normal distribution with mean 0. γ10, γ1i and eti in formula (1) together constitute the variance of the random effect. As far as research hypotheses are concerned, β03 and β20 are parameters to verify hypothesis 1, β03 and π31 are parameters to verify hypothesis 2, and β12, β13, β30 and β31 are parameters to verify hypothesis 3.
通过电子化数据采集系统,利用跨年的追踪数据来追寻社会经济地位与社会性别在生命历程中对个体口腔健康变迁的影响。从而知道社会经济因素对男女的口腔健康回报在生命历程中是否一致,这些影响是否会随着岁月的流逝而加大。Through the electronic data collection system, we use the tracking data across the years to track the impact of socioeconomic status and gender on the changes in individual oral health during the life course. To know whether socioeconomic factors have consistent oral health returns for men and women over the life course, and whether these effects increase with age.
对个体早期的社会经济、社会心理和行为学等因素进行分析,以此来预测其后期的口 腔健康状况,例如龋病、牙周病、牙缺失、牙外伤、开牙合、牙萌出,甚至是牙疼痛。Analyze the early socioeconomic, social psychological and behavioral factors of individuals to predict their later oral health status, such as caries, periodontal disease, tooth loss, tooth trauma, open occlusion, tooth eruption, and even It's a toothache.
优选的,所述基本统计量计算包括均值及比例。Preferably, the calculation of the basic statistics includes mean value and ratio.
进一步地,所述检查问卷4,用于口腔健康流行病学调查现场时,对被调查者的个人信息、口腔检查、口腔健康KAP调查的录入,被调查者的个人信息包括ID号、姓名、性别、民族、户口类型、职业、受教育年限、出生日期、年龄;所述财务管理5,用于填写申请医疗设备与耗材等内容;所述轨迹管理7,用于上传照片,获取当前位置;所述消息管理,用于查收口腔健康流行病学项目组发出的消息;所述日志管理9,用于调查人员填写自己的工作计划总结及日志;所述已答管理10,用于调查人员查看未上传的检查表和问卷,进行检查、核对;所述离线管理11,用于调查人员在离线环境下,录入的数据进行管理,待在有WiFi环境下选择上传到存储中转站2。Further, when the inspection questionnaire 4 is used on the oral health epidemiological investigation site, the personal information of the respondent, oral examination, and oral health KAP survey are entered. The personal information of the respondent includes ID number, name, Gender, ethnicity, household registration type, occupation, years of education, date of birth, age; the financial management 5 is used to fill in the application for medical equipment and consumables; the track management 7 is used to upload photos and obtain the current location; The message management is used to check the messages sent by the oral health epidemiology project team; the log management 9 is used for investigators to fill in their own work plan summary and log; the answered
优选的,所述存储中转站2为中心服务器,数据处理工作站1为后台管理电脑端,所述数据录入工作站3包括手持平板电脑设备端或手机,所述数据录入工作站3包括手持平板电脑或手机,所述手持平板电脑或手机的配置为系统为安卓7.0系统、32GB及以上存储容量、3GB及以上内存、GPS定位指示器。本发明将软件安装至手持平板电脑或手机里,并以手持平板电脑设配端作为数据录入工作站3。Preferably, the storage transfer station 2 is a central server, the data processing workstation 1 is a background management computer terminal, the data entry workstation 3 includes a handheld tablet computer device or a mobile phone, and the data entry workstation 3 includes a handheld tablet computer or a mobile phone , the configuration of the handheld tablet computer or mobile phone is an Android 7.0 system, a storage capacity of 32GB or above, a memory of 3GB or above, and a GPS positioning indicator. The present invention installs the software in the handheld tablet computer or mobile phone, and uses the handheld tablet computer as the data entry workstation 3 with the configuration terminal.
Claims (7)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201910557755.4A CN110634541A (en) | 2019-06-26 | 2019-06-26 | A kind of oral health data collection and analysis method |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201910557755.4A CN110634541A (en) | 2019-06-26 | 2019-06-26 | A kind of oral health data collection and analysis method |
Publications (1)
Publication Number | Publication Date |
---|---|
CN110634541A true CN110634541A (en) | 2019-12-31 |
Family
ID=68968455
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201910557755.4A Pending CN110634541A (en) | 2019-06-26 | 2019-06-26 | A kind of oral health data collection and analysis method |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN110634541A (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112107386A (en) * | 2020-09-22 | 2020-12-22 | 上海复敏贝浙健康管理有限公司 | System and method for collecting and processing user health data |
CN114464284A (en) * | 2022-02-10 | 2022-05-10 | 重庆鸿皓云康科技有限公司 | A decentralized, time-based student health data processing system |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105205601A (en) * | 2015-09-23 | 2015-12-30 | 复旦大学附属中山医院 | System for improving chronic disease long-term follow-up management/compliance through mobile phone terminals |
CN106066938A (en) * | 2016-06-03 | 2016-11-02 | 贡京京 | A kind of disease prevention and health control method and system |
CN107436988A (en) * | 2016-05-26 | 2017-12-05 | 上海蝶科软件有限公司 | A kind of implementation method of hospital's Supervise |
CN107506592A (en) * | 2017-08-29 | 2017-12-22 | 杭州卓健信息科技有限公司 | A kind of follow-up method and its follow-up system |
CN107767923A (en) * | 2016-08-23 | 2018-03-06 | 江苏省疾病预防控制中心 | A kind of health education class investigation and assessment system based on Android platform |
CN108257673A (en) * | 2018-01-12 | 2018-07-06 | 南通大学 | Risk value Forecasting Methodology and electronic equipment |
-
2019
- 2019-06-26 CN CN201910557755.4A patent/CN110634541A/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105205601A (en) * | 2015-09-23 | 2015-12-30 | 复旦大学附属中山医院 | System for improving chronic disease long-term follow-up management/compliance through mobile phone terminals |
CN107436988A (en) * | 2016-05-26 | 2017-12-05 | 上海蝶科软件有限公司 | A kind of implementation method of hospital's Supervise |
CN106066938A (en) * | 2016-06-03 | 2016-11-02 | 贡京京 | A kind of disease prevention and health control method and system |
CN107767923A (en) * | 2016-08-23 | 2018-03-06 | 江苏省疾病预防控制中心 | A kind of health education class investigation and assessment system based on Android platform |
CN107506592A (en) * | 2017-08-29 | 2017-12-22 | 杭州卓健信息科技有限公司 | A kind of follow-up method and its follow-up system |
CN108257673A (en) * | 2018-01-12 | 2018-07-06 | 南通大学 | Risk value Forecasting Methodology and electronic equipment |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112107386A (en) * | 2020-09-22 | 2020-12-22 | 上海复敏贝浙健康管理有限公司 | System and method for collecting and processing user health data |
CN112107386B (en) * | 2020-09-22 | 2022-06-10 | 上海复敏贝浙健康管理有限公司 | System and method for collecting and processing user health data |
CN114464284A (en) * | 2022-02-10 | 2022-05-10 | 重庆鸿皓云康科技有限公司 | A decentralized, time-based student health data processing system |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN108960640B (en) | A formative evaluation and optimization system for cloud data clinical medical education and training process | |
Zhao et al. | China health and retirement longitudinal study–2011–2012 national baseline users’ guide | |
Hicks | Research methods for clinical therapists: applied project design and analysis | |
O’Connor et al. | Does positive mental health in adolescence longitudinally predict healthy transitions in young adulthood? | |
Sharkey et al. | An approach to consensus building using the Delphi technique: developing a learning resource in mental health | |
Neff | A confirmatory factor analysis of a measure of “machismo” among Anglo, African American, and Mexican American male drinkers | |
Chung et al. | Predictors of patient satisfaction in an outpatient plastic surgery clinic | |
WO2007005622A2 (en) | System and method for assessing individual healthfulness and for providing health-enhancing behavioral advice and promoting adherence thereto | |
Dickens et al. | Factor validation and Rasch analysis of the individual recovery outcomes counter | |
Hwang et al. | Health education and competency scale: Development and testing | |
CN103679393A (en) | Clinical pathway management evaluation index system and method based on analytic hierarchy process | |
Chahine et al. | In the minds of OSCE examiners: uncovering hidden assumptions | |
Padmanabhan et al. | A mobile emergency triage decision support system evaluation | |
CN110634541A (en) | A kind of oral health data collection and analysis method | |
Kamanzi et al. | Motivation levels among nurses working at Butare University teaching hospital, Rwanda | |
Fu et al. | Joint modeling of action sequences and action time in computer-based interactive tasks | |
Agosta | Psychometric evaluation of the nurse practitioner satisfaction survey (NPSS) | |
Strating et al. | Quality improvement in long‐term mental health: results from four collaboratives | |
Santos et al. | Development and implementation of a nursing patient history in Pediatric Intensive Care | |
McCluskey et al. | Implementing evidence | |
Clark et al. | An international methodology to describe clinical nursing phenomena: a team approach | |
Gautschi et al. | Empirical methods for studying decision-making in child welfare and protection | |
Awe | Exploring the role of religious leaders in preventing sickle cell disease in Nigeria | |
Johnson et al. | Would you be surprised if this patient died?: Preliminary exploration of first and second year residents' approach to care decisions in critically ill patients | |
Juan et al. | Collaborative desing in web aplication development to improve tuberculosis diagnostic |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination |