保定市城乡老年人虚弱水平调查  

Frailty level among the elderlies in urban and rural areas of Baoding city

作　　者：左群[1] 石玥[2] 刘芳[3] 李翠[3] 李叶桐 纪爱兵[5] 张辉[6] 

机构地区：[1]河北大学公共卫生学院流行病学教研室,河北保定071000 [2]河北大学公共卫生学院医学心理学教研室 [3]河北大学公共卫生学院卫生管理学教研室 [4]河北大学 [5]河北大学公共卫生学院卫生管理基础教研室 [6]河北大学数学与计算机学院

出　　处：《中国公共卫生》2016年第2期148-151,共4页Chinese Journal of Public Health

基　　金：河北省社会科学基金(HB15TY029);河北省保定市哲学社会科学规划研究项目(201302020);河北大学医学学科专项基金建设项目(2013A2003)

摘　　要：目的分析河北省保定市不同年龄城乡老年人健康状况差异。方法在保定市区和农村抽取1 049名≥65岁老年人进行问卷调查。结果 65岁~、70岁~、75岁~和80岁~组市区老年人平均躯体虚弱指数分别为0.345、0.379、0.448和0.552,农村为0.448、0.483、0.517和0.552;城市平均精神虚弱指数分别为0.200、0.400、0.400和0.500,农村为0.200、0.300、0.300和0.300;城市平均虚弱指数依次为0.282、0.384、0.462和0.538,农村为0.385、0.436、0.462和0.462;均呈现随年龄增大而增高趋势。在市区,65岁~、75岁~组男性躯体虚弱指数均低于女性,精神虚弱指数均高于女性。在农村,65岁~、80岁~组男性躯体虚弱指数低于女性;65岁~组男性精神虚弱指数低于女性。65岁~、70岁~组城市男性躯体虚弱指数均低于农村;75岁~、80岁~组城市男性精神虚弱指数高于农村。65岁~、70岁~组城市女性躯体虚弱指数均低于农村;65岁~组城市女性精神虚弱指数低于农村,80岁~组则高于农村。结论保定市城乡老年人躯体健康和精神健康呈现显著年龄别差异。Objective To explore the prevalence and difference of frailty among urban and rural elderlies of various age in Baoding municipality. Methods A total of 1 049 residents aged 65 years or above were selected from urban and rural areas of Baoding city for a questionnaire survey. Results The average physical frailty index（ PFI） for the elderly aged 65- 69,70- 74,75- 79,and ≥80 years were 0. 345,0. 379,0. 448,and 0. 552 in the urban area and 0. 448,0. 483,0. 517,and 0. 552 in the rural area,respectively; the indexes demonstrated an increasing trend with the increment of age in the elderly. For the elderly aged 65- 69,70- 74,75- 79,and ≥80 years in the urban and rural area,the average mental frailty indexes（ MFI） were 0. 200,0. 400,0. 400,and 0. 500 and 0. 200,0. 300,0. 300,and 0. 300,and the overall frailty indexes were 0. 282,0. 384,0. 462,and 0. 538 and 0. 385,0. 436,0. 462,and 0. 462,respectively; the overall frailty indexes also showed an increasing trend with the increment of age. For the urban elderly aged 65- 69 and 75- 79 years,the PFI was lower in the males than in the females but the MFI was higher in the males than in the females; for the rural elderly aged 65- 69 and ≥80 years,the PFI was lower in the males than in the females and the MFI was lower in the males aged 65- 69 years than in the females of the same ages. Compared to the rural elderly of the same gender and age groups,both the urban males and females aged 65- 69 and 70- 74 years had a lower PFI; the urban males aged 75- 79 and ≥80 years had a higher MFI than the rural elderly of same age and the urban females aged ≥80 years had a higher MFI than the rural females of the same age. Conclusion There are age differences in physical and mental frailty among urban and rural elderly in Baoding city.

关 键 词：虚弱指数 老年人群 流行特征 城乡差别 

分 类 号：R181.2[医药卫生—流行病学]