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| 基于倾向得分匹配法分析骨质疏松症社区预防的干预效果评估 |
| Assessment of intervention effect of community prevention on osteoporosis based on propensity score matching |
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| DOI：10.3969/j.issn.1006-7108.2021.11.013 |
| 中文关键词: 社区居民 骨质疏松 倾向得分匹配法 自我效能 |
| 英文关键词:community residents osteoporosis propensity score matching self-efficacy |
| 基金项目:国家自然科学基金 （71603167）；上海市公共卫生学科带头人（GWV-10.2-XD13）；
第五轮上海市公共卫生三年行动计划重点学科建设（GWV-10.1-XK15；GWV-10.1-XK18）；上
海市老龄化和妇儿健康研究专项（2020YJZX0118） |
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| 中文摘要: |
| 目的 评估骨质疏松症社区预防的干预效果。方法 选取上海市20家社区服务中心并
分组，开展相应骨质疏松症健康教育，干预前后分别使用方便抽样方法抽取2000名居民进
行问卷调查，使用倾向得分匹配法分别对两组干预前与干预后的数据进行匹配并评估干预效
果。结果 干预后干预组社区居民骨质疏松症相关知识、骨质疏松症自我效能得分、骨质疏
松症预防自我管理行为得分分别平均提升了7.72分、11.62分和3.53分(P＜0.001)，且均
显著高于对照组(P＜0.001)。结论 仅仅开展知识宣教不足以改变居民的生活习惯以达到预
防骨质疏松症的目的，还应辅以心理疏导与行为干预组成社区综合干预形式。 |
| 英文摘要: |
| Objective To assess the effect of intervention on community prevention for osteoporosis. Methods Twenty community service centers in Shanghai were divided into control and interventional groups, in which community health education for osteoporosis were carried out relatively. A total of 2000 residents were investigated before and after intervention, respectively, by questionnaire with convenience sampling method. PSM method was applied to match the data before and after the intervention by grouping to assess the intervention effect. Results After intervention, the average marks of interventional group’s osteoporosis knowledge, osteoporosis efficacy, and self-management behavior of osteoporosis prevention increased by 7.72, 11.62 and 3.53 scores, respectively (P<0.001), which were also higher than those in control group (P<0.001). Conclusion It is not enough to change the residents’ behavior to prevent osteoporosis by merely knowledge education. It should be supplemented by psychological counseling and behavioral intervention to form a comprehensive community intervention form. |
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