摘要
目的 了解贫困地区高龄老人四种常见慢性病与危险因素流行特征,为相关疾病的防控工作提供科学依据。方法根据2018年中国慢性病及危险因素监测177个县级监测点(54个贫困县与123个非贫困县)高龄老人(80岁及以上)资料,使用SAS 9.4统计软件,采用χ2检验与Wilcoxon秩和检验进行单因素组间比较,采用多因素logistic回归分析慢性病与影响因素关系。结果 贫困地区研究对象高血压、糖尿病、血脂异常、慢性肾病患病率分别为61.41%、22.10%、29.53%和43.12%,非贫困地区分别为68.42%、25.96%、32.12%和43.61%,贫困地区与非贫困地区仅高血压患病率差异有统计学意义(χ^(2)=8.873,P<0.01)。共患病比例最高为高血压、慢性肾病共患(15.21%),其次为高血压、血脂异常共患(8.37%),高血压、糖尿病和慢性肾病共患(6.20%),高血压、血脂异常和慢性肾病共患(6.06%),高血压、糖尿病共患(4.48%)。贫困地区研究对象中,超重(OR=2.76,95%CI:1.68~4.55)与高血压患病高风险相关;超重(OR=1.76,95%CI:1.07~2.90)、肥胖(OR=2.83,95%CI:1.24~6.42)与糖尿病患病高风险相关;身体活动不足(OR=1.73,95%CI:1.14~2.61)、超重(OR=2.82,95%CI:1.77~4.49)、肥胖(OR=3.42,95%CI:1.56~7.52)与血脂异常患病高风险相关;高血压(OR=1.83,95%CI:1.25~2.69)与慢性肾病患病高风险相关。结论 高龄老人的慢性病患病率高且存在共患病问题,贫困与非贫困地区慢性病与影响因素分布存在差异。
Objective To understand the epidemic characteristics and risk factors of four common chronic diseases among the oldestold in poverty areas,and provide the scientific evidence for the prevention and control of related diseases.Methods According to the data of the oldest-old(≥80 year old)in 177 county monitoring sites(54 poverty counties and 123 non-poverty counties)of chronic disease risk factor surveillance in China in 2018.Thex test χ^(2) and Wilcoxon test were used to compare the differences among single factor groups,the multivariate logistic regression was used to analyze the relationship between chronic diseases and influencing factors.The used software was SAS 9.4.Results The prevalence of hypertension,diabetes,dyslipidemia and chronic kidney disease among subjects in poverty area were 61.41%,22.10%,29.53%and 43.12%,respectively;but the prevalence of hypertension,diabetes,dyslipidemia and chronic kidney disease among subjects in non-poverty area were 68.42%,25.96%,32.12%and 43.61%,respectively.There was significant difference of hypertension prevalence between poverty area and nonpoverty area(P<0.01).The highest comorbidity proportion was hypertension and chronic kidney disease(15.21%),followed by hypertension and dyslipidemia(8.37%),hypertension and diabetes and chronic kidney disease(6.20%),hypertension and dyslipidemia and chronic kidney disease(6.06%),hypertension and diabetes(4.48%).In the subjects of poverty areas,overweight(OR=2.76,95%CI:1.68-4.55)had the higher risk for hypertension;overweight(OR=1.76,95%CI:1.07-2.90)and obesity(OR=2.83,95%CI:1.24-6.42)had the higher risk for diabetes;insufficient physical activity(0R=1.73,95%CI:1.14-2.61),overweight(OR=2.82,95%CI:1.77-4.49),obesity(OR=3.42,95%CI:1.56-7.52)had the higher risk for dyslipidemia;hypertension(OR=1.83,95%CI:1.25-2.69)had the higher risk for chronic kidney disease.Conclusion The prevalence of chronic diseases and comorbidity in the oldest-old are high.There are differences in the distribution among influencing factors of chronic diseas
作者
姜博
王丽敏
张梅
赵振平
张笑
黄正京
李纯
周脉耕
JIANG Bo;WANG Limin;ZHANG Mei;ZHAO Zhenping;ZHANG Xiao;HUANG Zhengjing;LI Chun;ZHOU Maigeng(National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control a Prevention,Bejing 100050,China)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2023年第4期251-255,261,共6页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
国家自然科学基金(81941025)。
关键词
高龄老人
贫困地区
慢性病
危险因素
Oldest-old
Poverty areas
Chronic disease
Risk factor
