Full
Outline
To explore the influencing factors of two-week morbidity among hypertensive patients in Guizhou Province, and to compare the differences and complementarities between coincidence analysis (CNA) and logistic regression in identifying complex associations.
Data were obtained from the 2022 Guizhou Provincial Health Literacy Surveillance, and participants were individuals with self-reported hypertension. CNA and logistic regression were applied for statistical analysis.
A total of 1 344 hypertensive patients from 18 counties/districts were included, with a two-week morbidity rate of 36.09%. CNA identified four configurational pathways leading to high two-week morbidity: counties with higher proportions of ethnic minorities and higher obesity rates; counties with lower educational attainment and higher income or higher obesity rates; counties with higher educational attainment, lower smoking rates, but lower health literacy. The model had a consistency of 0.808, a coverage of 0.801, and a standardized robustness score of 0.75. Multivariable logistic regression showed that education below junior high school (OR=1.586, 95% CI: 1.216-2.068) and low health literacy (OR=1.762, 95% CI: 1.141-2.721) were risk factors for two-week morbidity among hypertensive patients.
From a multi-pathway perspective, this study shows that the risk of two-week morbidity among patients with hypertension in Guizhou is characterized by combinations of low educational attainment, low health literacy, high obesity prevalence, and ethnic minority concentration, providing evidence to inform county-level chronic disease management strategies in Guizhou and other resource-limited settings.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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