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侯宜坦, 江冬冬, 刘晓君, 何美坤, 毛宗福. 武汉市社区老年人慢性病共病现状及相关因素分析[J]. 中国公共卫生, 2020, 36(11): 1604-1607. DOI: 10.11847/zgggws1122572
引用本文: 侯宜坦, 江冬冬, 刘晓君, 何美坤, 毛宗福. 武汉市社区老年人慢性病共病现状及相关因素分析[J]. 中国公共卫生, 2020, 36(11): 1604-1607. DOI: 10.11847/zgggws1122572
HOU Yi-tan, JIANG Dong-dong, LIU Xiao-jun, . Prevalence and related factors of comorbidity of chronic diseases among community elderly in Wuhan city[J]. Chinese Journal of Public Health, 2020, 36(11): 1604-1607. DOI: 10.11847/zgggws1122572
Citation: HOU Yi-tan, JIANG Dong-dong, LIU Xiao-jun, . Prevalence and related factors of comorbidity of chronic diseases among community elderly in Wuhan city[J]. Chinese Journal of Public Health, 2020, 36(11): 1604-1607. DOI: 10.11847/zgggws1122572

武汉市社区老年人慢性病共病现状及相关因素分析

Prevalence and related factors of comorbidity of chronic diseases among community elderly in Wuhan city

  • 摘要:
      目的  了解武汉市社区老年人慢性病的患病现状,并分析其相关因素。
      方法  采用多阶段随机抽样法抽取武汉市4个社区,于2016年8月对社区中628名老年人进行一般人口学特征和慢性病情况的问卷调查,采用logistic回归模型分析老年人慢性病共病的相关因素。
      结果  有效调查622名 ≥ 65岁老年人,其中男性264人,女性358人;武汉市社区老年人慢性病患病率为78.62 %,慢性病共病率为50.96 %;logistic回归模型显示,年龄80~84岁(OR = 1.828,95 % CI = 1.026~3.258),BMI(24~27.9 )kg/m2OR = 2.434,95 % CI = 1.321~4.483)和BMI ≥ 28 kg/m2OR = 4.014,95 % CI = 1.826~8.826),高中或中专学历(OR = 0.559,95 % CI = 0.301~0.093)、独居(OR = 2.452,95 % CI = 1.458~4.123)是影响老年人患有慢性病共病的相关因素。
      结论  患有慢性病共病的老人主要特征为年龄在80~84岁、BMI ≥ 24 kg/m2、学历较低、独居;政府、社会,尤其是家庭应重点关注这类人群,并采取相关干预措施,减少慢性病共病带来的危害。

     

    Abstract:
      Objective  To examine the prevalence and related factors of comorbidity of chronic diseases among community elderly in Wuhan communities.
      Methods  Using multistage random sampling, we conducted a face-to-face questionnaire survey among 628 residents aged ≥ 65 years in four communities of Wuhan city in August 2018. We adopted logistic regression model to analyze related factors of comorbidity of chronic diseases among the elderly.
      Results  The prevalence of chronic diseases and comorbidity of chronic diseases were 78.62% and 50.96% among the 622 valid respondents (264 males and 358 females). The results of logistic regression model indicated that aged 80 – 84 years (odds ratio OR = 1.828, 95% confidence interval 95% CI: 1.026 – 3.258), with a body mass index (BMI) of 24.0 to 27.9 (OR = 2.434, 95% CI: 1.321 – 4.483), with BMI of ≥ 28 (OR = 4.014, 95% CI: 1.826 – 8.826), having an education of high school or technical secondary school (OR = 0.559, 95% CI: 0.301 – 0.093), and living alone (OR = 2.452, 95% CI: 1.458 – 4.123) were related factors of comorbidity of chronic diseases among the respondents.
      Conclusion  Aged 80 – 84 years, with the BMI of ≥ 24, having low education, and living alone are risk factors of comorbidity of chronic diseases among community elderly in Wuhan city and the elderly with those characteristics should be concerned and intervened by relevant agencies and their family members.

     

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