Prevalence and influential factors of chronic diseases among commumity elderly people in Hebei province

Objective To examine the prevalence and influential factors of chronic diseases among community elderly people in urban and rural Hebei,and to provide suggestions for care services of the elderly and efficient allocation of health resources.Methods Questionnaire surveys were carried out among 6 173 elderly people aged 60 years and above in three municipal regions of Hebei province selected with multi-stage stratified cluster sampling.Results Among the elderly people,the prevalence of chronic diseases was 75.1% and the ratios of the elderly people having one,two,three,four,and five or more chronic diseases were 35.4%,26.0%,15.8%,8.0%,and 14.7%,respectively.The top five chronic diseases among the elderly people were hypertension(41.7%),heart disease(22.8%),rheumatoid arthritis(18.2%),diabetes(17.2%),and osteoporosis(15.4);the top five chronic diseases among the urban elderly were hypertension(43.2%),heart disease(25.6%),diabetes(19.6%),rheumatoid arthritis(15.1%),and osteoporosis(13.7%)and those among the rural elderly were hypertension(40.2%),cerebrovascular disease(28.1%),rheumatoid arthritis(21.3%),heart disease(19.9%),and osteoporosis(17.2%).There were signiflcant differences between the urban and rural elderly in the prevalences of hypertension,heart disease,diabetes,cardiovascular disease,osteoporosis,rheumatoid arthritis,respiratory system disease,malignant tumor,glaucoma,bedsore,anemia,muscular dystrophy,gout,thyroid disease,skin disorders,anxiety,and depression (P< 0.05 for all).The results of multiple regression analysis showed that at the age of 70-84 years,with social health or rural cooperative medical insurance were risk factors of suffering chronic diseases.With sufficient income,being employed or never being employed,with normal sleeping status,having a good quality of life,with normal activity of daily living,without psychological symptoms were protective factors of suffering from chronic disease among the community elderly.Conclusion The prevalence of chronic diseases among community elderly in Hebei privubce is high and gae,type of medical insurance,income,work status,sleep,quality of life,activities of daily living,and psychological symptoms are main factors of chronic diseases in the urban and rural community elderly.