摘要
目的基于性别视角分析我国高龄老年人衰弱患病率的差异,为缩小高龄老年人衰弱的性别差异、促进健康公平提供参考依据。方法应用中国老年健康影响因素跟踪调查(CLHLS)数据库2014年的数据进行分析,应用多因素非条件Logistic回归分析和Fairlie分解法,分析男、女性高龄老年人衰弱患病率的差异及影响因素。结果女性高龄老年人衰弱患病率为52.8%(860/1628)、男性高龄老年人衰弱患病率为35.0%(460/1314),不同性别差异有统计学意义(χ^2=93.322,P<0.001)。Fairlie分解结果显示,54.3%(0.097/0.178)的差异是可解释的,45.7%(0.081/0.178)的差异是不可解释的,不可解释的差异表明男性和女性高龄老年人的性别差异与男性和女性高龄老年人衰弱水平的差异相关。结论男性高龄老年人的衰弱患病率显著低于女性高龄老年人,婚姻状况、生活方式与高龄老年人衰弱患病率的性别差异显著相关。
Objective To analyze gender-based differences in frailty in the oldest-old in China,in order to provide empirical evidence for reducing differences due to gender in frail oldest-old and promoting health equity.Methods A retrospective analysis was performed using data from the 2014 Chinese Longitudinal Healthy Longevity Survey(CLHLS)database.Multivariate unconditional Logistic regression analysis and the Fairlie decomposition method were used to analyze the differences and influencing factors between oldest-old males and females.Results The frailty rates for oldest-old females and males were 52.8%(860/1628)and 35.0%(460/1314),respectively,and the difference was statistically significant(χ^2=93.322,P<0.001).Fairlie decomposition results showed that 54.3%(0.097/0.178)of the difference was interpretable,and 45.7%(0.081/0.178)of difference was unexplained.Conclusions The frailty rate for oldest-old males is significantly lower than that for oldest-old females.Marital status and lifestyle are significantly correlated with the gender-based difference in frailty rate in the oldest-old.
作者
高杰
张晓
魏超
Gao Jie;Zhang Xiao;Wei Chao(Department of Medical Insurance,School of Public Health,Southeast University,Nanjing 210009,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2020年第11期1335-1339,共5页
Chinese Journal of Geriatrics
基金
国家自然科学基金(71373042)。
关键词
衰弱
性别因素
Frailty
Sex factors
