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Swedish rape offenders——a latent class analysis 被引量:1
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作者 Ardavan Khoshnood Henrik Ohlsson +1 位作者 Jan Sundquist Kristina Sundquist 《Forensic Sciences Research》 CSCD 2021年第2期124-132,共9页
Sweden has witnessed an increase in the rates of sexual crimes including rape.Knowledge of who the offenders of these crimes are is therefore of importance for prevention.We aimed to study characteristics of individua... Sweden has witnessed an increase in the rates of sexual crimes including rape.Knowledge of who the offenders of these crimes are is therefore of importance for prevention.We aimed to study characteristics of individuals convicted of rape,aggravated rape,attempted rape or attempted aggravated rape(abbreviated rape+),against a woman≥18years of age,in Sweden.By using information from the Swedish Crime Register,offenders between 15 and 60years old convicted of rapeþbetween 2000 and 2015 were included.Information on substance use disorders,previous criminality and psychiatric disorders were retrieved from Swedish population-based registers,and Latent Class Analysis(LCA)was used to identify classes of rapeþoffenders.A total of 3039 offenders were included in the analysis.A major-ity of them were immigrants(n=1800;59.2%)of which a majority(n=1451;47.7%)were born outside of Sweden.The LCA identified two classes:Class A-low offending class(LOC),and Class B—high offending class(HOC).While offenders in the LOC had low rates of previous criminality,psychiatric disorders and substance use disorders,those included in the HOC had high rates of previous criminality,psychiatric disorders and substance use dis-orders.While HOC may be composed by more“traditional”criminals probably known by the police,the LOC may represent individuals not previously known by the police.These two separated classes,as well as our finding in regard to a majority of the offenders being immi-grants,warrants further studies that take into account the contextual characteristics among these offenders. 展开更多
关键词 Forensic sciences Sweden CRIME sex crimes RAPE offender characteristics crime prevention latent class analysis
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Accounting for Heterogeneity in Stop Frequency Models of Work Tours Using Latent Class Poisson Models
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作者 Babak Mirzazadeh 《Journal of Transportation Technologies》 2023年第2期243-261,共19页
Stop frequency models, as one of the elements of activity based models, represent an important part of travel behavior. Unobserved heterogeneity across the travelers should be taken into consideration to prevent biase... Stop frequency models, as one of the elements of activity based models, represent an important part of travel behavior. Unobserved heterogeneity across the travelers should be taken into consideration to prevent biasedness and inconsistency in the estimated parameters in the stop frequency models. Additionally, previous studies on the stop frequency have mostly been done in larger metropolitan areas and less attention has been paid to the areas with less population. This study addresses these gaps by using 2012 travel data from a medium sized U.S. urban area using the work tour for the case study. Stop in the work tour were classified into three groups of outbound leg, work based subtour, and inbound leg of the commutes. Latent Class Poisson Regression Models were used to analyze the data. The results indicate the presence of heterogeneity across the commuters. Using latent class models significantly improves the predictive power of the models compared to regular one class Poisson regression models. In contrast to one class Poisson models, gender becomes insignificant in predicting the number of tours when unobserved heterogeneity is accounted for. The commuters are associated with increased stops on their work based subtour when the employment density of service-related occupations increases in their work zone, but employment density of retail employment does not significantly contribute to the stop making likelihood of the commuters. Additionally, an increase in the number of work tours was associated with fewer stops on the inbound leg of the commute. The results of this study suggest the consideration of unobserved heterogeneity in the stop frequency models and help transportation agencies and policy makers make better inferences from such models. 展开更多
关键词 Activity Based Model Work Tour Stop Frequency latent class Poisson Regression Model
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A Comparison of Statistics for Assessing Model Invariance in Latent Class Analysis 被引量:1
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作者 Holmes Finch 《Open Journal of Statistics》 2015年第3期191-210,共20页
Latent class analysis (LCA) is a widely used statistical technique for identifying subgroups in the population based upon multiple indicator variables. It has a number of advantages over other unsupervised grouping pr... Latent class analysis (LCA) is a widely used statistical technique for identifying subgroups in the population based upon multiple indicator variables. It has a number of advantages over other unsupervised grouping procedures such as cluster analysis, including stronger theoretical underpinnings, more clearly defined measures of model fit, and the ability to conduct confirmatory analyses. In addition, it is possible to ascertain whether an LCA solution is equally applicable to multiple known groups, using invariance assessment techniques. This study compared the effectiveness of multiple statistics for detecting group LCA invariance, including a chi-square difference test, a bootstrap likelihood ratio test, and several information indices. Results of the simulation study found that the bootstrap likelihood ratio test was the optimal invariance assessment statistic. In addition to the simulation, LCA group invariance assessment was demonstrated in an application with the Youth Risk Behavior Survey (YRBS). Implications of the simulation results for practice are discussed. 展开更多
关键词 latent class ANALYSIS MODEL INVARIANCE Information Indices
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Latent Class Approach to Estimate the Willingness to Pay for Transit User Information
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作者 Pietro Zito Giuseppe Salvo 《Journal of Transportation Technologies》 2012年第3期193-203,共11页
The aim of analysis is to understand how unreliable information influences user behaviour and how much it discourages public transport use. For this purpose, a Stated Preference Survey was carried out in order to know... The aim of analysis is to understand how unreliable information influences user behaviour and how much it discourages public transport use. For this purpose, a Stated Preference Survey was carried out in order to know the preferences of public transport users relating to information needs and uncertainty on the information provided by Advanced Traveller Information System (ATIS). The perceived uncertainty is defined as information inaccuracy. In our study, we considered the difference between forecasted or scheduled waiting time at the bus stop and/or metro station provided by ATIS, and that experienced by user, to catch the bus and/or metro. A questionnaire was submitted to an appropriate sample of Palermo’s population. A Latent Class Logit model was calibrated, taking into account attributes of cost, information inaccuracy, travel time, waiting time, and cut-offs in order to reveal preference heterogeneity in the perceived information. The calibrated model showed various sources of preference heterogeneity in the perceived information of public transport users as highlighted by the analysis reported. Finally, the willingness to pay was estimated, confirming a great sensitivity to the perceived information, provided by ATIS. 展开更多
关键词 PREFERENCE Heterogeneity latent class Model PERCEIVED Information Uncertainty WILLINGNESS to PAY
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Understanding the Effects of Various Factors on the Public Response to Congestion Charge: A Latent Class Modeling Approach
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作者 Sugiarto Sugiarto Tomio Miwa +1 位作者 Hitomi Sato Takayuki Morikawa 《Journal of Transportation Technologies》 2015年第2期76-87,共12页
The standard ordered response model (SORM) is a common disaggregate approach with ordered outcomes in which the effects of various exogenous attributes are assumed constant across ordinal choices. In this study, an in... The standard ordered response model (SORM) is a common disaggregate approach with ordered outcomes in which the effects of various exogenous attributes are assumed constant across ordinal choices. In this study, an innovative latent class based generalized ordered response model (LC-GORM) is formulated and used to assess the effects of various factors on respondents’ choice behavior with respect to congestion charge proposal for Jakarta, Indonesia. The proposed model probabilistically assigns respondents into selfish and altruistic class memberships (latently) based on their knowledge of the proposed scheme and their specific attributes. Aiming to capture observable preference heterogeneity across ordinal choices and allow the thresholds to be varied across observations, we parameterize the thresholds as a linear function of the exogenous variables for each ordinal preference. Using stated preference data collected in Jakarta in December 2013, we incorporate the influence of a comprehensive set of explanatory variables into four categories: charges, latent variables related to respondent’s psychological motivations, mobility attributes and socio-demographic characteristics. Empirical results obviously verify the existence of preference heterogeneity across outcomes. The findings confirm that the altruistic class are more sensitive with respect to acceptance of the scheme, while the selfish class are more sensitive with respect to rejection. The key factors influencing public acceptability include the charge level and respondent variables such as car dependency, awareness of the problem of cars in society, frequency of visits to the city center and frequency of private mode usage. 展开更多
关键词 Respondent’s CHOICE Behavior latent Types of RESPONDENTS latent class CONGESTION CHARGE
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Chest computed tomography-based artificial intelligence-aided latent class analysis for diagnosis of severe pneumonia
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作者 Caiting Chu Yiran Guo +7 位作者 Zhenghai Lu Ting Gui Shuhui Zhao Xuee Cui Siwei Lu Meijiao Jiang Wenhua Li Chengjin Gao 《Chinese Medical Journal》 2025年第18期2316-2323,共8页
Background:There is little literature describing the artificial intelligence(AI)-aided diagnosis of severe pneumonia(SP)subphenotypes and the association of the subphenotypes with the ventilatory treatment efficacy.Th... Background:There is little literature describing the artificial intelligence(AI)-aided diagnosis of severe pneumonia(SP)subphenotypes and the association of the subphenotypes with the ventilatory treatment efficacy.The aim of our study is to illustrate whether clinical and biological heterogeneity,such as ventilation and gas-exchange,exists among patients with SP using chest computed tomography(CT)-based AI-aided latent class analysis(LCA).Methods:This retrospective study included 413 patients hospitalized at Xinhua Hospital diagnosed with SP from June 1,2015 to May 30,2020.AI quantification results of chest CT and their combination with additional clinical variables were used to develop LCA models in an SP population.The optimal subphenotypes were determined though evaluating statistical indicators of all the LCA models,and clinical implications of them such as guiding ventilation strategies were further explored by statistical methods.Results:The two-class LCA model based on AI quantification results of chest CT can describe the biological characteristics of the SP population well and hence yielded the two clinical subphenotypes.Patients with subphenotype-1 had milder infections(P<0.001)than patients with subphenotype-2 and had lower 30-day(P<0.001)and 90-day(P<0.001)mortality,and lower in-hospital(P=0.001)and 2-year(P<0.001)mortality.Patients with subphenotype-1 showed a better match between the percentage of non-infected lung volume(used to quantify ventilation)and oxygen saturation(used to reflect gas exchange),compared with patients with subphenotype-2.There were significant differences in the matching degree of lung ventilation and gas exchange between the two subphenotypes(P<0.001).Compared with patients with subphenotype-2,those with subphenotype-1 showed a relatively better match between CT-based AI metrics of the non-infected region and oxygenation,and their clinical outcomes were effectively improved after receiving invasive ventilation treatment.Conclusions:A two-class LCA model based on AI quantification results of chest CT in the SP population particularly revealed clinical heterogeneity of lung function.Identifying the degree of match between ventilation and gas-exchange may help guide decisions about assisted ventilation. 展开更多
关键词 Severe pneumonia Computed tomography Artificial intelligence latent class analysis Subphenotypes Clinical heterogeneity Ventilation
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Investigating the contributing factors of crashes on interstate bridges in Louisiana using latent class clustering and association rule mining
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作者 M.Ashifur Rahman Elisabeta Mitran +1 位作者 Julius Codjoe Kofi K.Ampofo-Twumasi 《International Journal of Transportation Science and Technology》 2025年第1期293-311,共19页
Drivers on long interstate bridges often encounter unique challenges,including restricted lane widths,inadequate shoulders,and a lack of clear zones for safe recovery.Studies on understanding the factors that contribu... Drivers on long interstate bridges often encounter unique challenges,including restricted lane widths,inadequate shoulders,and a lack of clear zones for safe recovery.Studies on understanding the factors that contribute to crash severity on such high-risk sections of interstates are limited.This research study applies latent class clustering(LCC)to detect homogeneous clusters while accounting for unobserved heterogeneity in a dataset of 10036 crashes that occurred over a 6-year period(2015–2020)on eight selected bridges.Utilizing the LCC method,the research identifies four optimal clusters in bridge crashes,characterized by attributes such as 04-lane0,06-lane0,0single-vehicle crashes0,and 0 unknown driver0.The association rule mining(ARM)approach is used to identify the important col-lective factors to visible injury(KAB–fatal,severe,and moderate)and property damage only(PDO or no injury).In Cluster 1(4-lane),KAB and PDO crashes differ in collision type and visibility conditions,with rear-end crashes linked to KAB and sideswipe crashes to PDO.Cluster 2(6-lane)shows similar distinctions but lacks specific lighting associations for PDO.In Cluster 3(single-vehicle crashes),KAB involves moderate traffic and low visi-bility,while PDO has lower speed limits and non-dry surfaces.Cluster 4(unknown driver),despite overrepresenting hit-and-run cases,underscores challenges in injury crash data collection in high-volume mobility scenarios.The discussions of the findings on the sever-ity factors in this study are expected to help traffic safety engineers,policymakers,and planners to identify effective safety countermeasures on major elevated sections. 展开更多
关键词 Bridge latent class clustering(LCC) Association rule mining(ARM) Interstate highway SPEEDING
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Electric vehicle(EV)type choice model:Latent class modelling approach
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作者 Hasan Shahrier Muhammad Ahsanul Habib 《International Journal of Transportation Science and Technology》 2025年第2期315-329,共15页
This study develops a flexible latent class model(LCM)to investigate the electric vehicle(EV)type choice decisions of Halifax residents.It utilizes cross-sectional data from the 2022 Halifax Travel Activity(HaliTRAC)s... This study develops a flexible latent class model(LCM)to investigate the electric vehicle(EV)type choice decisions of Halifax residents.It utilizes cross-sectional data from the 2022 Halifax Travel Activity(HaliTRAC)survey,which includes questions related to EV adoption.This study also analyzes eight attitudes and lifestyle preferences related state-ments using the principal component analysis(PCA)technique,and finally extracts three components labeled as“EV enthusiasts”,“sustainable travellers”,and“remote work arrangement admirers”.This paper explores the heterogeneity between two classes for dif-ferent alternative vehicle type choices,e.g.,battery electric vehicle(BEV),plug-in hybrid electric vehicle(PHEV),hybrid electric vehicle(HEV),and regular internal combustion engine(ICE)vehicle.Based on class membership attributes,class-1 can be identified as those who live in suburban areas,have a large family with high vehicle ownership,and are interested in travelling with their family members,especially with their children and vice-versa for class-2.Results suggest that variables across two classes portray heterogene-ity,e.g.,full-time worker portray positive correlation for class-1 and negative to class-2;high annual household income group(more than$200000)exhibit high propensity to choose BEV in class-2 and vice-versa for class-1.Sustainable travelers emphasize the adverse connection towards regular vehicles,while EV enthusiasts demonstrate a favorable association with embracing any type of EV(e.g.,BEV,PHEV,or HEV).Furthermore,the find-ings from this analysis provide guidance for policy measures such as offering purchase incentives,expanding charging infrastructure,and implementing tax rebates to promote the uptake of EVs among the residents of Halifax. 展开更多
关键词 Electric vehicle(EV)type choice latent class model(LCM) Stated preference response Principal component analysis(PCA) Halifax
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Examining unobserved factors associated with red light running in Vietnam:A latent class model analysis
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作者 Tien Dung Chu Tomio Miwa +2 位作者 Tuan Anh Bui Quang Phuc Nguyen Quang Huy Vu 《Transportation Safety and Environment》 EI 2022年第1期110-122,共13页
Red-light running(RLR)is a crucial violation that causes traffic accidents and injuries.Understanding factors that affect RLR is very significant to reduce the potential of this violation.Current studies have paid con... Red-light running(RLR)is a crucial violation that causes traffic accidents and injuries.Understanding factors that affect RLR is very significant to reduce the potential of this violation.Current studies have paid considerable attention to the observable factors,but not to unobservable factors.This study aims to examine the effects of observable and unobservable factors on RLR.This study uses a latent class model(LCM)to assign individuals into two classes—red-light-respectful and red-light-disrespectful road users—by surveying 751 respondents who use private transportation modes.This study incorporates psychological determinants into the LCM to account for unobservable factors.The contribution of this study is the in-depth investigation into law-respectful and law-disrespectful behaviours and intentional and unintentional violators.Such a study has not yet been conducted in the existing literature.In addition,a comprehensive comparison of the LCM and a traditional ordered probit model was conducted.Overall,the results suggest that the LCM is superior to the model that does not consider latent classes.Our estimation results are in alignment with previous studies on RLR:males,younger drivers/riders,less educated road users and motorcyclists are more likely to run red lights.An analysis of the latent variables shows that surrounding conditions—the behaviour of other violators,the absence of traffic police,and long waiting times—increase the possibility of violations.Based on these results,we provide suggestions to policymakers and traffic engineers:the implementation of enforcement cameras and penalties for violators are critical countermeasures to minimize the potential of RLR. 展开更多
关键词 red light running(RLR) developing country latent class model(LCM) multiple indicator multiple cause(MIMIC)model latent variables(LVs) motorcycles(MCs) traffic violation
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The relationship between nomophobia and latent classes of personality
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作者 Shunxin Ji Suwei Xu +2 位作者 Zhao Zhou Ye Zhu Tour Liu 《PsyCh Journal》 2024年第5期860-869,共10页
The phenomenon of nomophobia,defined as the anxiety experienced when a person is without their mobile phone or is unable to use it,has been identified as having serious negative effects on individuals,particularly stu... The phenomenon of nomophobia,defined as the anxiety experienced when a person is without their mobile phone or is unable to use it,has been identified as having serious negative effects on individuals,particularly students.Previous research has explored the relationship between personality traits and nomophobia,but the findings have been inconclusive.The main objective of this study was to classify personality types through latent class analysis and explore the relationship between these personality types and nomophobia.The Chinese version of the Nomophobia Scale and the Chinese brief version of the Big Five Personality Inventory were used in this study to survey 1906 Chinese college students.The results indicated that(1)a four-class model provided the best fit and categorized the personality traits as the overcontrolled class,resilient class,moderate class,and vulnerable class;(2)significant differences were observed between the four personality types and nomophobia,with overcontrolled and resilient personality types consistently scoring significantly lower than moderate and vulnerable personality types.Our finding highlights the key feature of the study. 展开更多
关键词 big five personality latent class analysis mobile phone use nomophobia
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老年结直肠癌患者术后衰弱的发展轨迹及影响因素研究
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作者 敬文丹 吴岫霏 +4 位作者 李霜 王诗雨 尤朝香 寇红艳 肖冰冰 《中国护理管理》 北大核心 2026年第2期217-221,共5页
目的:识别老年结直肠癌患者术后衰弱发展轨迹并分析其影响因素,为开展干预提供依据。方法:采用便利抽样法,选取2024年2月—7月在四川省某三级甲等医院胃肠外科行结直肠癌根治术的268例老年患者为研究对象,于手术出院前1天、术后1个月、... 目的:识别老年结直肠癌患者术后衰弱发展轨迹并分析其影响因素,为开展干预提供依据。方法:采用便利抽样法,选取2024年2月—7月在四川省某三级甲等医院胃肠外科行结直肠癌根治术的268例老年患者为研究对象,于手术出院前1天、术后1个月、术后3个月、术后6个月评估其衰弱水平。构建潜类别增长模型识别其轨迹类别,采用无序多分类Logistic回归分析影响因素。结果:共231例患者完成4次调查,拟合出“高水平缓慢上升型”(22.1%)、“中水平波动型”(61.0%)、“低水平持续上升型”(16.9%)3种发展轨迹。回归分析结果显示,年龄、性别、婚姻状况、住院费用、原发肿瘤分期、造口、自我感知老化得分、营养风险筛查得分是衰弱发展轨迹的影响因素(均P<0.05)。结论:老年结直肠癌患者术后衰弱存在3种发展轨迹,医护人员应依据影响因素为患者开展衰弱干预。 展开更多
关键词 结直肠癌 老年 衰弱 影响因素 潜类别增长模型
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Longitudinal trajectory analysis of sepsis after laparoscopic surgery
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作者 Boming Xia Chengqiao Jiang +9 位作者 Jie Yang Suibi Yang Bo Zhang Zhihao Wang Shengze Wu Yang Wang Qian Gao Yucai Hong Huiqing Ge Zhongheng Zhang 《Laparoscopic, Endoscopic and Robotic Surgery》 2026年第1期34-51,共18页
Objective:Sepsis exhibits remarkable heterogeneity in disease progression trajectories,and accurate identificationof distinct trajectory-based phenotypes is critical for implementing personalized therapeutic strategie... Objective:Sepsis exhibits remarkable heterogeneity in disease progression trajectories,and accurate identificationof distinct trajectory-based phenotypes is critical for implementing personalized therapeutic strategies and prognostic assessment.However,trajectory clustering analysis of time-series clinical data poses substantial methodological challenges for researchers.This study provides a comprehensive tutorial framework demonstrating six trajectory modeling approaches integrated with proteomic analysis to guide researchers in identifying sepsis subtypes after laparoscopic surgery.Methods:This study employs simulated longitudinal data from 300 septic patients after laparoscopic surgery to demonstrate six trajectory modeling methods(group-based trajectory modeling,latent growth mixture modeling,latent transition analysis,time-varying effect modeling,K-means for longitudinal data,agglomerative hierarchical clustering)for identifying associations between predefinedsequential organ failure assessment trajectories and 25 proteomic biomarkers.Clustering performance was evaluated via multiple metrics,and a biomarker discovery pipeline integrating principal component analysis,random forests,feature selection,and receiver operating characteristic analysis was developed.Results:The six methods demonstrated varying performance in identifying trajectory structures,with each approach exhibiting distinct analytical characteristics.The performance metrics revealed differences across methods,which may inform context-specificmethod selection and interpretation strategies.Conclusion:This study illustrates practical implementations of trajectory modeling approaches under controlled conditions,facilitating informed method selection for clinical researchers.The inclusion of complete R code and integrated proteomics workflows offers a reproducible analytical framework connecting temporal pattern recognition to biomarker discovery.Beyond sepsis,this pipeline-oriented approach may be adapted to diverse clinical scenarios requiring longitudinal disease characterization and precision medicine applications.The comparative analysis reveals that each method has distinct strengths,providing a practical guide for clinical researchers in selecting appropriate methods based on their specificstudy goals and data characteristics. 展开更多
关键词 Laparoscopic surgery SEPSIS Longitudinal trajectory Group-based trajectory modeling latent class analysis PHENOTYPING
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老年慢性心力衰竭患者运动恐惧变化轨迹及其影响因素研究
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作者 刘建萍 郭卫婷 +3 位作者 吴煜峥 张晓雪 张彬彬 王文君 《中国护理管理》 北大核心 2026年第2期227-233,共7页
目的:探讨老年慢性心力衰竭患者运动恐惧变化轨迹的潜在类别及其影响因素,为实施精准干预提供依据。方法:采用便利抽样法,于2023年5月至2024年5月,选取山东大学某三级甲等医院的248例老年慢性心力衰竭住院患者作为研究对象,并分别于患者... 目的:探讨老年慢性心力衰竭患者运动恐惧变化轨迹的潜在类别及其影响因素,为实施精准干预提供依据。方法:采用便利抽样法,于2023年5月至2024年5月,选取山东大学某三级甲等医院的248例老年慢性心力衰竭住院患者作为研究对象,并分别于患者出院时、出院后1个月、3个月、6个月评估患者的运动恐惧水平。采用潜类别增长模型识别轨迹类别,采用Logistic回归分析轨迹类别的影响因素。结果:本研究识别出3种运动恐惧变化轨迹,分别为低恐动-快速缓解组(27.5%)、中恐动-缓慢缓解组(47.1%)、高恐动-波动不稳组(25.4%)。文化程度、居住地、病程、左心室射血分数、查尔森合并症指数、心衰症状、D型人格及运动自我效能是老年慢性心力衰竭患者运动恐惧变化轨迹的影响因素(P<0.05)。结论:老年慢性心力衰竭患者运动恐惧变化轨迹存在异质性,临床工作者应根据轨迹类别的影响因素,制订针对性的干预措施,以降低其运动恐惧水平。 展开更多
关键词 老年 心力衰竭 运动恐惧 轨迹 潜类别增长模型 影响因素
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照护者顺应喂养潜在剖面分析及与幼儿社会情绪能力间的关系
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作者 曹智慧 李智慧 +3 位作者 孔燕 刘岩 张文玥 于桂玲 《中国儿童保健杂志》 北大核心 2026年第2期128-132,138,共6页
目的分析照护者顺应喂养的潜在类别,并探讨其与幼儿社会情绪能力发展的关系,为改善照护者顺应喂养水平,提高幼儿社会情绪能力提供参考。方法采用便利抽样法于2024年11月—2025年3月选取青岛市2所三甲医院儿保科进行健康体验的310名幼儿... 目的分析照护者顺应喂养的潜在类别,并探讨其与幼儿社会情绪能力发展的关系,为改善照护者顺应喂养水平,提高幼儿社会情绪能力提供参考。方法采用便利抽样法于2024年11月—2025年3月选取青岛市2所三甲医院儿保科进行健康体验的310名幼儿主要照护者为研究对象,采用一般资料调查表、照护者顺应喂养量表及幼儿社会情绪能力评估量表作为调查工具,以照护者顺应喂养量表的3个维度作为外显指标进行潜在剖面分析,通过单因素分析、多元logistic回归分析识别不同剖面照护者的影响因素,采用单因素方差分析探讨不同类别幼儿的社会情绪能力发展差异。结果照护者的顺应喂养可分为低顺应-低互动喂养组49例(15.8%)、中顺应喂养组192例(61.9%)、高顺应-高互动喂养组69例(22.3%)。祖辈为主要照护者更可能进入低顺应-低互动喂养组(OR=4.779,95%CI:2.164~10.553,P<0.001),进入高顺应-高互动组的可能较小(OR=0.393,95%CI:0.180~0.856,P<0.05);城市家庭的照护者更可能进入高顺应-高互动喂养组(OR=2.976,95%CI:1.354~6.540,P=0.007)。不同类别的幼儿社会情绪能力总分及依从性、注意力、求精动机、移情、亲社会的同伴关系5个维度得分差异有统计学意义(F=6.253~47.834,P<0.01)。结论照护者顺应喂养水平存在明显的异质性,不同类别的幼儿社会情绪能力发展存在差异。儿童保健人员应针对顺应喂养的异质性采取针对性的干预策略,帮助照护者提升顺应喂养水平从而促进幼儿社会情绪能力发展。 展开更多
关键词 顺应喂养 社会情绪能力 潜在剖面分析 潜在类别 幼儿
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基于CHARLS数据的糖尿病肾病患者自我管理行为潜在类别与健康结局的关联性研究
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作者 严玲霞 谢琳 +3 位作者 乔蓉 徐丽玉 王娟 丁璐 《现代生物医学进展》 2026年第4期552-557,565,共7页
目的基于中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)数据分析糖尿病肾病(Diabetic Kidney Disease,DKD)患者自我管理行为潜在类别与健康结局的关系。方法基于2015年CHARLS数据纳入DKD患者685例进... 目的基于中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)数据分析糖尿病肾病(Diabetic Kidney Disease,DKD)患者自我管理行为潜在类别与健康结局的关系。方法基于2015年CHARLS数据纳入DKD患者685例进行研究,使用潜在类别分析(Latent Class Analysis,LCA)识别自我管理行为模式,评估不同管理行为模式与日常生活活动(Activities of Daily Living,ADL)功能障碍、抑郁风险及住院经历的关系。结果3类模型拟合度最佳,各类样本分布均衡,类别解释具备临床意义。LCA分析发现,全面管理型患者占比30.07%,在服药、饮食、运动、血糖监测、戒烟等方面均表现良好,具有较高健康意识。生活方式控制不足型患者占比41.46%,服药行为良好,但运动、饮食和体重管理等生活方式控制较差。低医疗依从性型患者占比28.47%,在服药、血糖监测方面依从性差,但部分有戒烟或饮食控制行为。DKD患者自我管理行为潜在类别与ADL功能障碍、抑郁风险及过去一年住院情况存在相关性(P<0.05),低依从性型患者住院与抑郁风险最高。结论DKD患者自我管理行为存在明显异质性,非理想行为显著影响其健康结局,未来需针对不同行为模式制定分层干预策略。 展开更多
关键词 糖尿病肾病 自我管理行为 潜在类别分析 健康结局
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基于潜在类别分析的婴儿睡眠模式及其影响因素研究
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作者 韦玮 王惠 张军 《中国当代儿科杂志》 北大核心 2026年第1期49-55,共7页
目的 识别婴儿期睡眠模式并探讨其影响因素,为健康睡眠模式的形成及干预提供科学依据。方法 纳入上海优生儿童队列中1 483名12月龄婴儿,通过简明婴幼儿睡眠问卷评估其睡眠状况。采用潜在类别分析、整合睡眠行为及睡眠问题变量,识别典型... 目的 识别婴儿期睡眠模式并探讨其影响因素,为健康睡眠模式的形成及干预提供科学依据。方法 纳入上海优生儿童队列中1 483名12月龄婴儿,通过简明婴幼儿睡眠问卷评估其睡眠状况。采用潜在类别分析、整合睡眠行为及睡眠问题变量,识别典型睡眠模式。采用二分类logistic回归模型分析其影响因素。结果 共识别出两类睡眠模式:睡眠模式良好组,其特征为睡眠习惯好、睡眠问题少;睡眠模式较差组,表现为睡眠习惯差、睡眠问题多。Logistic回归结果显示,与已停止母乳喂养的儿童相比,12月龄仍在母乳喂养(OR=1.725,P<0.001)的儿童更易形成较差的睡眠模式;与家庭经济状况良好及以上儿童相比,经济拮据(OR=1.638,P=0.003)儿童形成较差睡眠模式的可能性也更高;户外活动时间>1 h/d(OR=0.633,P<0.001)与较好的睡眠模式显著相关。屏幕暴露增加较差睡眠模式形成的风险(OR=1.887,P<0.001)。结论 婴儿睡眠模式受多种因素影响,增加户外活动、限制屏幕使用有助于婴儿形成良好的睡眠模式。 展开更多
关键词 睡眠 潜在类别分析 影响因素 婴儿
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阿尔茨海默病患者主要照顾者照护负荷轨迹及影响因素分析
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作者 潘莉 郭慧鑫 +3 位作者 蔡景曦 蔡佳佳 许佳丽 沈校康 《中国护理管理》 北大核心 2026年第1期50-55,共6页
目的:分析老年阿尔茨海默病患者的主要照顾者照护负荷的异质性轨迹变化及其影响因素,旨在为优化照护管理、制定针对性干预措施提供参考。方法:采用一般资料调查表、照护者负荷量表、广泛性焦虑障碍量表、家庭抗逆力评定量表和照顾者获... 目的:分析老年阿尔茨海默病患者的主要照顾者照护负荷的异质性轨迹变化及其影响因素,旨在为优化照护管理、制定针对性干预措施提供参考。方法:采用一般资料调查表、照护者负荷量表、广泛性焦虑障碍量表、家庭抗逆力评定量表和照顾者获益感问卷,对便利选取的2022年1月至2024年1月在浙江省某三级甲等医院就诊的222例老年阿尔茨海默病患者的主要照顾者进行问卷调查,在开始照护后的第1个月、3个月、6个月和9个月进行随访调查。采用潜类别增长分析方法拟合照护负荷轨迹类别,采用Logistic回归分析影响因素。结果:198例照顾者完成全部随访,拟合出3条异质性轨迹,分别为照护负荷缓慢增长组(41.92%)、照护负荷快速增长组(35.35%)和照护负荷稳定组(22.73%)。患者病程,照顾者年龄、焦虑情况、家庭抗逆力以及获益感水平是影响其轨迹分类的因素(P<0.05)。结论:老年阿尔茨海默病患者的主要照顾者照护负荷呈现不同的异质性轨迹变化,可根据影响因素进行早期识别及干预。 展开更多
关键词 阿尔茨海默病 照护负荷 轨迹 潜类别增长
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老年人内在能力潜在类别分析及与口腔衰弱的相关性研究
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作者 纪丹 曾莉 +4 位作者 唐兰凤 茅艇华 张欣宇 俞佳 王思桦 《军事护理》 北大核心 2026年第4期43-47,共5页
目的分析老年人内在能力(intrinsic capacity,IC)的潜在类别与口腔衰弱(oral frailty,OF)的相关性,为护理人员开展早期筛查、风险评估和个体化干预提供依据。方法2024年11-12月,便利抽样法选取在上海市某社区医院参加体检的482例老年人... 目的分析老年人内在能力(intrinsic capacity,IC)的潜在类别与口腔衰弱(oral frailty,OF)的相关性,为护理人员开展早期筛查、风险评估和个体化干预提供依据。方法2024年11-12月,便利抽样法选取在上海市某社区医院参加体检的482例老年人为研究对象,采用一般资料调查表、IC评估工具、口腔衰弱指数-8量表对其进行调查。采用Mplus 8.3软件进行潜在类别分析,采用Logistic回归分析老年人IC潜在类别与OF的相关性。结果老年人IC分出3个潜在类别:运动受损严重组(35.68%)、感觉受损严重组(22.82%)、多维功能受损组(41.49%)。结果显示,OF发生风险在多维功能受损组是运动受损严重组的1.739倍(95%CI:1.129~2.678)。结论老年人OF的发生率较高,IC多维功能受损与OF呈显著相关,提示两者可能存在密切联系,建议医护人员关注存在IC多维度受损的老年人,采取针对性措施预防OF的发生。 展开更多
关键词 老年人 内在能力 口腔衰弱 潜在类别分析
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我国老年人健康关注度变化轨迹及影响因素
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作者 苏晨之 苑秋辰 姚秀钰 《护理研究》 北大核心 2026年第2期227-235,共9页
目的:探究我国老年人健康关注度变化轨迹,分析其影响因素。方法:基于中国健康与养老追踪调查(CHARLS)2013年、2015年、2018年和2020年数据,采用潜变量增长混合模型(LGMM)对老年人健康关注度变化轨迹进行分类。采用多分类Logistic回归模... 目的:探究我国老年人健康关注度变化轨迹,分析其影响因素。方法:基于中国健康与养老追踪调查(CHARLS)2013年、2015年、2018年和2020年数据,采用潜变量增长混合模型(LGMM)对老年人健康关注度变化轨迹进行分类。采用多分类Logistic回归模型分析其变化轨迹影响因素。结果:我国老年人健康关注度变化轨迹可分为上升波动组(567人,占32.5%)、稳定居中组(741人,占42.5%)和下降波动组(436人,占25.0%)。回归分析显示,年龄、性别、慢性病种数、社会医疗保险、是否退休和社交活动频率是老年人健康关注度变化轨迹分类的影响因素(均P<0.05)。结论:我国老年人健康关注度具有群体异质性,未来应关注不同轨迹的变化趋势,根据其影响因素制定长效干预措施,为有效促进老年人主动健康提供依据。 展开更多
关键词 老年人 健康关注度 变化轨迹 影响因素 潜类别增长混合模型
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