Zeitschrift für Gemeinde- und öffentliche Gesundheitspflege

Abstrakt

Multiple Logistic Regression Analysis on the Health Checkup Data and the Lifestyle Habits of Medicated Residents: A Population-Based Cohort Study

Kotomi Akahoshi and Michiaki Kai

Background: The residents currently taking prescribed medication have been exempted from the special public health guidance conducted in the act in Japan. This study analyzed blood pressure taken during the special health checks from 2008 to 2011 in light of resident lifestyle, focusing on comparisons between medicated and non-medicated residents.

Methods: Health checkup data in retrospective cohort of 4,734 residents undergoing special health checks in B-City from 2008 to 2011 were analyzed. The participants were categorized as taking medication (medicated residents, n=1,083) and others (non-medicated residents, n=3,651). The multiple logistic regression analysis provided odds ratios (ORs) and 95% confidence intervals (95% CI).

Results: The medicated residents had higher systolic and diastolic blood pressure than the non-medicated in both 2008 and 2011. Factors on which the OR was significantly higher for the hypertension group (normal blood pressure group=1) were alcohol consumption (OR: 1.30 (95% CI: 1.12-1.50)), and weight gain (OR: 1.45 (95% CI: 1.26-1.67)). Factors on which the OR was significantly higher for the diabetes mellitus group (normal blood glucose group=1) were smoking (OR: 3.14 (95% CI:1.69-5.80)). Factors on which the OR was significantly higher for the neutral fat high-flying group (normal neutral fat group=1) were alcohol consumption (OR: 1.30 (95% CI: 1.12-1.50)) and weight gain (OR: 1.45 (95% CI: 1.26-1.67)). Compared to the group with hypertension only, the group with multiple conditions who consumed alcohol in both 2008 and 2011 had an OR of 1.49 (95% CI: 1.29-1.72), and those who had weight gain of 10 kg had an OR of 1.74 (95% CI: 1.50-2.02).

Conclusion: No improvement was found in the lifestyle habits of medicated residents. This study suggested that an appropriate health guidance will be needed to improve the lifestyle habits in medicated residents.