Effect of chronic disease multimorbidity on self-rated health among rural elderly in Shandong province
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摘要:
目的 了解山东省农村老年人多重慢性病患病对自评健康的影响,为老年慢性病防治工作提供参考依据。 方法 于2017年8 — 9月采用多阶段分层随机抽样方法在山东省菏泽、潍坊、威海3个地级市抽取7070名 ≥ 60岁常住老年人进行问卷调查,分析其中5514名农村老年人的多重慢性病患病情况及其对自评健康的影响。 结果 山东省5514名农村老年人中,多重慢性病患者1 902例,多重慢性病患病比例为34.5 %;自评健康者2878人,自评健康率为52.19 %。多因素非条件logistic回归分析结果显示,在调整了性别、年龄、文化程度、家庭年均收入、吸烟情况和饮酒情况等混杂因素后,山东省患1种慢性病农村老年人自评不健康的风险为未患慢性病老年人的2.947倍(OR = 2.947,95 % CI = 2.547~3.404),患多重慢性病老年人自评不健康的风险为未患慢性病老年人的6.675倍(OR = 6.675,95 % CI = 5.735~7.746)。 结论 山东省农村老年人多重慢性病患病比例较高,多重慢性病患病会对老年人自评健康产生消极影响。 Abstract:Objective To examine the effect of chronic disease multimorbidity on self-rated health among rural elderly, and to provide references for chronic disease prevention and treatment in aging populations. Methods Using stratified multistage random sampling, we recruited 7 070 permanent residents aged ≥ 60 years in 108 villages of three prefectures across Shandong province. A face-to-face questionnaire survey was conducted among all the residents during August – September 2017 and the data on 5 514 residents were analyzed to explore the effect of multimorbidity on self-rated health. Results Of the 5 514 participants, 2 878 (52.19%) reported a self-rated good health and 1 902 reported suffering from more than one chronic disease, with a multimorbidity prevalence rate of 34.5%. The results of unconditional multivariate logistic regression analysis demonstrated that compared to the residents without chronic disease, the residents suffering from a chronic disease were more likely to report a self-rated poor health (odds ratio [OR] = 2.947, 95% confidence interval 95% CI: 2.547 – 3.404) and the residents with chronic disease multimorbidity were much more likely to report a self-rated poor health (OR = 6.675, 95% CI: 5.735 – 7.746) after adjusting for gender, age, education, family annual income, residence region, smoking, and alcohol drinking. Conclusion The prevalence of chronic disease multimorbidity was high and the multimorbidity had a negative impact on self-rated health among the rural elderly in Shandong province. -
Key words:
- chronic disease multimorbidity /
- self-rated health /
- influence /
- the elderly /
- rural region
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表 1 山东省不同特征农村老年人自评健康情况比较
特征 调查数 自评健康数 自评健康率(%) χ2 值 P 值 性别 男性 2366 1317 55.66 19.99 < 0.001 女性 3148 1561 49.59 年龄(岁) 60~69 2964 1604 54.12 10.65 0.005 70~79 2063 1020 49.44 ≥80 487 254 52.16 文化程度 文盲/半文盲 2164 1036 47.87 33.38 < 0.001 小学 2277 1217 53.45 初中及以上 1073 625 58.25 婚姻状况 非在婚 1060 535 50.47 1.56 0.212 在婚 4454 2343 52.60 家庭年均收入(元) < 3000 1794 877 48.89 14.66 0.001 3000~6000 1653 863 52.21 > 6000 2067 1138 55.06 吸烟情况 从不吸烟 3752 1911 50.93 53.21 < 0.001 已戒烟 736 334 45.38 目前吸烟 1026 633 61.70 饮酒情况 从不饮酒 4128 2084 50.48 96.50 < 0.001 已戒酒 474 194 40.93 目前饮酒 912 600 65.79 患慢性病情况 未患慢性病 1726 1316 76.25 732.52 < 0.001 患1种慢性病 1886 966 51.22 患多重慢性病 1902 596 31.34 -
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