水族、布依族、毛南族农村老年人慢性病流行病学调查  

Epidemiological investigation of chronic disease among rural elderly of the Shui, Bouyei, and Maonan ethnic groups

作　　者：林先燕[1] 杨胜文[1] 韦亚丽[1] 周全湘 何绍前 韦学团 莫晓刚 杨香秀 陆兴斌 

机构地区：[1]黔南民族医学高等专科学校,贵州都匀558000 [2]三都水族自治县塘州水族乡卫生院,贵州都匀558000 [3]平塘县苗二河乡卫生院,贵州都匀558000 [4]平塘县者密毛南族镇中心卫生院,贵州都匀558000 [5]都匀市小围社区卫生服务中心,贵州都匀558000

出　　处：《现代预防医学》2014年第18期3350-3352,共3页Modern Preventive Medicine

基　　金：贵州省卫生厅科研基金项目(gzwkj20101067)

摘　　要：目的了解少数民族地区农村老年人慢性病患病的流行现状,为农村民族地区老年人慢性病防治提供科学依据。方法采用整群抽样抽取2个县3个乡镇8个村的60岁以上老年人作为调查研究对象。结果农村老年人慢性病患病率为72.27%,男女间差异无统计学意义(χ2=1.107,P>0.05);毛南族、布依族、水族间差异有统计学意义(χ2=7.138,P<0.05);不同性别、民族、文化程度、空巢老人、婚姻属性、年均经济收入的老年人的多种慢性病患病率差异有统计学意义(P<0.05或P<0.01)。结论慢性病是影响农村老年人健康的主要疾病之一。加强基层卫生队伍的慢性病宣教水平与指导能力,提高老年人对慢性病的防治知晓率,对保护和促进老年人的健康水平和生存质量,减少过早死亡和致残将起到积极推动作用。Objective The study was conducted to assess the prevalence of chronic diseases among elderly in rural minority areas, so to provide a scientific reference for the prevention of chronic diseases among rural minority elderly. Methods Elderly over the age of 60 from 8 villages of 3 towns in 2 counties were selected by cluster sampling as the research subjects. Results The prevalence of chronic diseases among the rural dderly was 72.27%, and had no statistically significant gender difference （χ2=1.107, P〉0.05）. Statistically significant differences in chronic diseases prevalence were observed between the Maonan, Bouyei, and Shui ethnic groups （χ2=7.138, P〈0.05）, as well as between different genders, ethnics, education level, empty nest, marriage status, and annual average income （P〈0.05 or P〈0.01）. Conclusion Chronic disease is among one of the main illnesses impacting the health of rural elderly. Enhancing the capability of community-based health workforces in providing education and guidance on the prevention of chronic disease and improving the awareness rate of elderly on the prevention and control of chronic diseases is expected to effectively protect and promote the levels of health and quality of life of elderly, as well as reduce the incidence of premature death and disease-caused disability.

关 键 词：老年人 慢性病 流行病学调查 民族地区 

分 类 号：R195.4[医药卫生—卫生统计学]