摘要
目的 了解河北省居家老年人慢性疾病患病现状及其影响因素,为进一步开展老年人保健服务、合理有效地分配卫生资源的政策制定提供切实可行的建议。方法 采用多阶段分层整群抽样方法对在河北省唐山、石家庄、张家口市抽取的6 173名≥60岁城乡居家老年人进行问卷调查。结果 河北省城乡居家老年人慢性病患病率为75.1%,其中患1、2、3、4和≥5种慢性病者分别占患慢性病者总数的35.4%、26.0%、15.8%、8.0%和14.7%;总患病率居于前5位的慢性病分别为高血压（41.7%）、心脏病（22.8%）、风湿性关节炎（18.2%）、糖尿病（17.2%）、骨质疏松（15.4%）,居于城市前5位的慢性病分别为高血压（43.2%）、心脏病（25.6%）、糖尿病（19.6%）、风湿性关节炎（15.1%）、骨质疏松（13.7%）,居于农村前5位的慢性病分别为高血压（40.2%）、脑血管疾病（28.1%）、风湿性关节炎（21.3%）、心脏病（19.9%）、骨质疏松（17.2%）;城乡居家老年人不同慢性病患病情况比较,高血压、心脏病、糖尿病、脑血管疾病、骨质疏松、风湿性关节炎、呼吸系统疾病、恶性肿瘤、青光眼、褥疮、贫血、肌肉萎缩症、痛风、甲状腺疾病、皮肤疾患、焦虑症、抑郁症患病差异均有统计学意义（P〈0.05）;多因素logistic回归分析结果显示,年龄70~84岁、有公费医疗和农村合作医疗保险是河北省居家老年人慢性病患病的危险因素,收入足够满足需要、工作现状为在职和未工作过、睡眠正常、生存质量良好、日常生活能力正常、心理症状指数正常是河北省居家老年人慢性病患病的保护因素。结论 河北省城乡居家老年人慢性病患病率较高;年龄、医保类型、收入满足需要、工作现状、睡眠情况、生存质量、日常生活能力、心理症状指数是城乡居家老年人慢性病患病的主要影响因素。
Objective To examine the prevalence and influential factors of chronic diseases among community eld- erly 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 carded 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 chro- nic 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 hy- pertension（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 significant differences between the ur- ban and rural elderly in the prevalences of hypertension, heart disease, diabetes, cardiovascular disease, osteoporosis, rheu- matoid arthritis, respiratory system disease, malignant tumor, glaucoma, bedsore, anemia, muscular dystrophy, gout, thy- roid 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 suf- fering 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 dally living, without psychol
出处
《中国公共卫生》
CAS
CSCD
北大核心
2015年第2期132-136,共5页
Chinese Journal of Public Health
基金
国家社会科学基金(12BRK017)
关键词
慢性病
患病现状
影响因素
城乡
居家老年人
chronic disease
prevalence
influential factor
urban and rural area
community elderly people
