摘要
目的:了解河南省空巢老人慢性病患病现状及其对精神状态的影响,为制定空巢老人慢性病防治措施提供参考。方法:采用分层抽样法抽取河南省18个市60岁及以上老年人进行问卷调查,采用Logistic回归分析空巢老人慢性病患病现状及对精神状态的影响。结果:3 731名空巢老人中,慢性病患病率为52.51%,慢性病共病(MCC)患病率为20.58%,精神状态受损率为34.09%。Logistic回归分析结果显示,与非MCC患病空巢老人相比,MCC患病空巢老人精神状态受损风险较高(OR=1.250,95%CI为1.008~1.550),患高血压(OR=1.416,95%CI为1.198~1.674)、恶性肿瘤(OR=0.410,95%CI为0.244~0.688)、脑卒中(OR=1.593,95%CI为1.076~2.359)、痴呆(OR=6.344,95%CI为4.277~9.412)、精神疾病(OR=2.161,95%CI为1.348~3.466)、其他疾病(OR=2.040,95%CI为1.643~2.533)影响河南省空巢老人的精神状态(P<0.05)。结论:河南省空巢老人精神受损状态处于较高水平,应重点关注多病共存人群,制定精准防治策略,减少慢性病对空巢老人精神状态的影响。
Aim:To understand the current status of chronic diseases among empty nesters in Henan Province and its impact on mental status,and to provide reference for the development of preventive and curative measures for chronic diseases among empty nesters.Methods:A stratified sampling method was used to collect data from seniors(≥60 years)in 18 cities of Henan Province.Questionnaire survey was performed to understand the current status of chronic diseases among empty nesters.Logistic regression was used to analyze the impact of the current status of chronic diseases on mental status of the empty nesters.Results:Among 3731 empty nesters,the prevalence of chronic diseases was 52.51%,the prevalence of multiple chronic conditions(MCC)was 20.58%,and the rate of impaired mental status was 34.09%.Logistic regression analysis showed that MCC(OR=1.250,95%CI was 1.008-1.550),the presence of hypertension(OR=1.416,95%CI was 1.198-1.674),malignancy tumor(OR=0.410,95%CI was 0.244-0.688),cerebral stroke(OR=1.593,95%CI was 1.076-2.359),dementia(OR=6.344,95%CI was 4.277-9.412),mental illness(OR=2.161,95%CI was 1.348-3.466)and other diseases(OR=2.040,95%CI was 1.643-2.533)were factors influencing the mental status of empty nesters in Henan Province(P<0.05).Conclusions:The mental impairment status of empty nesters in Henan Province is at a relatively high level,so we should focus on the population with coexistence of multiple diseases and develop precise prevention and treatment strategies to reduce the impact of chronic diseases on the mental status of the empty nesters.
作者
张杨洋
田庆丰
苏蕴
欧阳宗尚
ZHANG Yangyang;TIAN Qingfeng;SU Yun;OUYANG Zongshang(Department of Social Medicine and Health Service Management,College of Public Health,Zhengzhou University,Zhengzhou 450001)
出处
《郑州大学学报（医学版）》
CAS
北大核心
2024年第2期242-246,共5页
Journal of Zhengzhou University(Medical Sciences)
基金
国家重点研发计划项目(2020YFC2006100)。
关键词
空巢老人
慢性病
患病现状
精神状态
河南省
empty nester
chronic disease
disease status
mental status
Henan Province
