Ecological Study of Community-Level Factors Associated With Chronic Mountain Sickness in the Young Male Chinese Immigrant Population in Tibet

DOI Web Site PubMed 参考文献60件
  • Li Xiaoxiao
    Department of Health Service, College of High Altitude Military Medicine, Third Military Medical University Key Laboratory of High Altitude Medicine, Ministry of Education, Third Military Medical University Key Laboratory of High Altitude Medicine, PLA
  • Pei Tao
    Department of Health Service, College of High Altitude Military Medicine, Third Military Medical University Key Laboratory of High Altitude Medicine, Ministry of Education, Third Military Medical University Key Laboratory of High Altitude Medicine, PLA
  • Xu Haotong
    Department of Radiology, Nanchong Central Hospital of North Sichuan Medical College
  • Tao Fasheng
    Department of Health Service, Urumqi General Hospital of Lanzhou Military District
  • You Haiyan
    Department of Health Service, College of High Altitude Military Medicine, Third Military Medical University Key Laboratory of High Altitude Medicine, Ministry of Education, Third Military Medical University Key Laboratory of High Altitude Medicine, PLA
  • Liu Yan
    Department of Health Service, Ngari Military Subdistrict
  • Gao Yuqi
    Department of Health Service, College of High Altitude Military Medicine, Third Military Medical University Key Laboratory of High Altitude Medicine, Ministry of Education, Third Military Medical University Key Laboratory of High Altitude Medicine, PLA

書誌事項

公開日
2012
資源種別
journal article
DOI
  • 10.2188/jea.je20110058
公開者
日本疫学会

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Background: Chronic mountain sickness (CMS) is a complex medical and public health problem that seriously affects highland immigrants. This study investigated relationships between community-level factors and CMS.<BR>Methods: In this ecological study, data on age- and ethnicity-standardized CMS rates, community factors, and controlling variables were obtained from 2009–2010 surveys of 108 Chinese highland military units. Associations among variables were examined using correlation tests, analyses of covariance, and logistic regression.<BR>Results: The rate of CMS ranged from 1.25% to 36.58% (mean: 14.65%, standard deviation: 8.15%) among military units. Partial correlation tests indicated that medicine expenditure was strongly negatively correlated with CMS (r = −0.267, P = 0.005). Analyses of covariance indicated that communities with oxygen-generating systems had lower CMS rates (F = 9.780, P = 0.002), whereas urban location (F = 5.442, P = 0.022) and construction duty (F = 4.735, P = 0.011) were associated with higher CMS rates. The multiple logistic model showed that medicine expenditure (OR = 0.897, P = 0.022), oxygen-generating system (available vs unavailable: OR = 0.827, P = 0.020), community type (urban vs rural: OR = 1.228, P = 0.019), and occupation (construction vs logistics: OR = 1.240, P = 0.029) were significantly associated with CMS.<BR>Conclusions: We identified community-level, health-related factors that were associated with CMS among young male immigrants. To alleviate the burden of CMS in these highland immigrant populations, further investment should be made in medicine and oxygen-generating systems, and preventive interventions should be implemented among construction workers. Further research should investigate the effects of urbanization on CMS development.

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