??? ???????? Health risk factors appraisal

1
??? ????????Health risk factors appraisal

• ???????
• ???????

2
????requirements

• ??
• ?????
• ??????????
• HRA?????
• ?????????

• Introduction
• Natural history of chronic disease
• Characteristic and category of health risk
• Methods for calculation
• individual appraisal and population appraisal

3
????Research backgrounds

• objective
• change of disease and death spectrums
• subjectiveimprovement of health demand

• ????????????
• ???????????

4
??? ? ?introduction

• ??????????
• health risk factors appraisal,
  HRA
• ????????????????????????????????????

5
?????????????objective of HRA

• ???????????????
• ??????
• ????????????????

• To change unhealthy behavioral life style
• To reduce risk factors
• To enhance life quality and improve health level

6
????????natural history of chronic Disease

• ?????
• ??????
• ??????
• ??????
• ??????
• ?????

• none risk stage
• appearing risk factors
• appearing factors causing disease
• forming disease stage
• appearing symptom
• losing work ability

7
??? ??????health risk factors

• ?????????
• 1. ??????
• ????????
• ????????
• 2. ?????????
• 3. ????????
• 4. ??????????

• category
• Environment risk factors
• Psychological and behavior risk factors
• Genetic risk factors
• Factors in medical service

8
????????
9
????????
10
?????????
11
?????????Features of risk factors

• ????
• ????
• ????
• ??????

• universal existence
• long latent period
• feeble specificity
• obvious combination effects

12

• ???
• ?????????????
• Calculation methods of HRA

13
?72 ???41???????????? ???? ???? ???
??? ?? ??? ??? ?????? ???
??? ???? ??? ??????
(1/10?) ??? ??
??? ??? ?????? ?? ???? ???
???() (1)
(2) (3) (4)
(5) (6) (7)
(8) (9) (10)
(11) (12) (13) ???
1877 ??(kPa) 16.0/9.3 0.4
-
0.4
???(mg/dl) 192 0.6
- 0.6
????
? 1.0
- 1.O
???? ????
2.5 1.9l 3585.07 ???? 1.0
0.11 206.47 3378.6
47
??? ? 0.9
-
0.9
?? ?? 0.5
- 0.5
??
??30 1.3
?????? 1.0 ?? 285
?? ?? 0.5
- 0.5
????
25000??/? 2.5 1.9 541.5
- 2.5 1.9
541.5 0 0
?????
90 0.8
100 0.8 ??
264 ?? ?? 2.5
???? 1.5
1.5 369.0 264.0
4
??? ? 1.0 2.5
660.0 - 1.0
??? 222 ?? ??
0.1 0.1 22.2 -
0.1 0.1 22.2
0 0 ???? 222
??(kP8) 16.0/9.3 0.4
-
0.4
???(mg/dl) 192 0.2 0.19
42.18 - 0.6
0.19 42.18 0 0

???? ? 1.0
-
1.0
?? ?? 0.8
- 0.8
?? 202 ??
?? 0.2 0.2 40.4
- 0.2 0.2
40.4 0 0 ????
167 ???? ? 1.0

1.0 ???? ???
? 1.0 0.1 16.7
- 1.0 0.1
16.7 0 0
????
? 0.1
0.1
?? 111 ?? ??
1.0
1.0
??? ?
1.0 1.0 111.0 -
1.0 0.1 111.0
0 0
?? ??
1.0
1.0 ?? 111
??? ? 1.0
-
1.0
???? ? 1.0 1.0 111.0
- 1.0 0.3
33.3 77.7 1

?? ? 1.0
- 1.0
?????
? 1.0
?????? 0.3 ???? 56
??(kPa) 16.6/9.3 0.4 0.7
39.2 ?? ??
??30 1.3
?????? 1.0 0.4 22.4
16.8 0.2 ??? 56
X??? ?? 0.2
-
0.2
???? ? 1.0 0.2
11.2 - 1.0
0.2 11.2 0 0
???????
?? 1.0
- 1.0 ??
1987
1.0 1987
1.0
1987 0 0 ??
5560
7167.45

3430.35 3737.1 52.2
14

???? concept

• 1. ????(appraisal age)
• ???????????????,????????????????????
  2. ????(achievable age)
• ?????????????????????

15
??????gathering data

• 1. ????????????
• 2. ??????????(5?)
• ????
• ???????
• ?????
• ???????
• ???????

16
?????????Steps of analyzing data

• ????????????
• ????????
• ??????
• ??????(appraisal age)
• ??????(achievable age)
• ??????????

17
???????????????

• 1.??????????????
• 2.?????????????????,????????????
• ??1.0??????1.0?????????
• ?????1.0????????????
• ?????????????,?????????????

18
??? ???????????Application of HRA

• ??????
• 1. ???
• 2. ????????
• 3. ??????????
• 4. ??????

• Individual appraisal
• Healthy type
• Self-made risk type
• hard-changed risk type
• Average risk type

19
(?) ???
8000
(?????) ?????
7000
6000
????
5000
4000
????
3000
????
2000
??(??)
40 41 42 43 44 45 46 47
?7-1 ??????????
20
(?)????????
(?????)?????
7000
????
6000
5000
????
4000
????
3000
2000
??(?)
35 36 37 38 39 40 414243 44
?7-2 ???????????????
21
(?) ??????????
9000
(?????) ?????
8000
????
7000
????
5000
????
4000
3000
??(?)
40 41 42 45 46 47
?7-3 ??????????????????
22
??????population appraisal
I. danger degree of population II. analysis of
risk factors attribute III. analyzing the effect
of risk factors on health

• 1. ???????
• 2. ????????
• 3. ????????????

23
??summary

• ???????????
• ????????????
• ?????????????