摘要
目的了解社区≥65岁老年人体检参与情况及慢性病在老年人中的分布规律,以更有利于老年人的健康管理。方法对2019年3,883名≥65岁老年人集中健康体检人员的体检结果进行分析。结果65~69岁、70~74岁、≥85岁居民的体检参与率性别分布有显著性差异(P<0.05),其中65~69岁、70~74岁女性参与率明显高于男性,≥85岁老年男性参与率高于女性。BMI、血压、血糖、总胆固醇、心电图和腹部B超异常的检出率分别为50.6%、47.1%、21.2%、36.7%、52.9%和79.0%。经年龄标化后,BMI、血压、总胆固醇、心电图异常率的性别差异均有统计学意义(χ2分别为27.838、9.395、151.591和10.792,P均<0.05),其中男性BMI和心电图异常率(分别为55.2%和55.2%)高于女性(分别为47.0%和50.1%),女性血压和胆固醇异常率(分别为49.0%和45.8%)高于男性(分别为44.2%和26.4%)。血压、胆固醇和心电图的异常率随年龄变化的趋势有统计学意义(χ2 M-H分别为91.529、17.243和73.686,P均<0.05)。结论本社区老年人体检参与情况及各项指标异常率在不同性别及年龄层分布有一定的差异,因此对老年人健康可以进行有针对性的干预措施。
Objective To understand the participation in physical examination and the distribution of chronic diseases among the elderly aged 65 and above in the community to more conducive to the health management of the elderly.Methods The physical examination results of 3,883 elderly people aged 65 and above in 2019 were analyzed.Results There were significant differences in the gender distribution of the participation rate of physical examination among the residents aged 65-69,70-74 and≥85(P<0.05).The participation rates of women aged 65-69 and 70-74 were significantly higher than those of men,and the participation rate of elderly men aged≥85 was higher than that of women.The detection rates of BMI,blood pressure,blood glucose,total cholesterol,ECG and abdominal B-ultrasound abnormalities were 50.6%,47.1%,21.2%,36.7%,52.9%and 79.0%,respectively.After age standardization,the gender differences in BMI,blood pressure,total cholesterol,and ECG abnormality rates were statistically significant(χ2 were 27.838,9.395,151.591 and 10.792,respectively,and P all<0.05);the abnormal rates of BMI and ECG in male(55.2%and 55.2%)were higher than those in female(47.0%and 50.1%),and the abnormal rate of blood pressure and cholesterol in female(49.0%and 45.8%)were higher than those in male(44.2%and 26.4%).The abnormal rates of blood pressure,cholesterol,and ECG showed the significant changes with age(χ2 M-H were 91.529,17.243,and 73.686,P all<0.05).Conclusion The participation of the elderly in physical examination and the abnormal rate of various indicators in different genders and age groups have certain differences,so targeted intervention measures can be taken for the health of the elderly.
作者
江新浪
江翠云
Jiang Xinlang;Jiang Cuiyun(Kangjian Community Health Care Center,Shanghai 200233,China;Jiangning Community Health Care Center,Shanghai 200041,China)
出处
《健康教育与健康促进》
2020年第6期655-657,共3页
Health Education and Health Promotion
关键词
老年人
体检
参与率
异常率
趋势分析
Elderly
Physical examination
Participation rate
Abnormal rate
Trend analysis
