南京市玄武区老年人慢性病共病现状及其影响因素  

Prevalence and influencing factors of comorbidity of chronic diseases among elderly People in Xuanwu District of Nanjing City

作　　者：张琪[1] 金玲玲 田秀梅[1] 吴爱玲[1] ZHANG Qi;JIN Ling-ling;TIAN Xiu-mei;WU Ai-ling(Department of Chronic and Non-communicable Disease Control and Prevention,Xuanwu District Center for Disease Control and Prevention,Nanjing Jiangsu,210042,China;School of Public Health,Nanjing Medical University,Nanjing Jiangsu,210029,China)

机构地区：[1]南京市玄武区疾病预防控制中心慢病科,江苏南京210042 [2]南京医科大学公共卫生学院,江苏南京210029

出　　处：《职业与健康》2020年第11期1496-1499,共4页Occupation and Health

摘　　要：目的了解南京市玄武区老年人慢性病共病情况及其影响因素,为慢性病共病防制提供依据。方法采用多阶段分层整群抽样的方法,于2017年3-6月选取南京市玄武区2250名≥60岁老年人进行面对面调查,采用多因素非条件logistic回归模型分析慢性病共病的影响因素。共回收有效调查问卷2222份,其中男性1099份(49.5%),女性1123份(50.5%),有效率为98.8%。结果2222名老年人中,患1种慢性病772人,患≥2种的慢性病1021人。慢性病共病率为45.9%(95%CI:0.474~0.515)。多因素分析结果显示,男性(OR=1.267)、高年龄(65~69岁:OR=1.264;70~74岁:OR=2.184;≥75岁:OR=2.581)、低文化程度(高中或中专:OR=1.604;小学及以下:OR=1.431)、高血压家族史(OR=1.542)、糖尿病家族史(OR=1.769)及中心性肥胖(OR=1.963)均是慢性病共病的危险因素(均P<0.05)。结论应重点关注男性、高年龄组、文化程度较低、有高血压家族史、糖尿病家族史、中心性肥胖人群,积极采取有效防控措施,降低慢性病共病患病风险。Objective To investigate the prevalence and influencing factors of comorbidity of chronic diseases among elderly People in Xuanwu District of Nanjing City,provide evidence for the prevention and control of comorbidities of chronic disease.Methods A stratified multistage cluster sampling method was adopted,and the face-to-face survey of 2250 adults aged≥60 years old was conducted in Xuanwu District of Nanjing City from March to June 2017.Univariate and multivariate logistic regression models were used to analyze the influencing factors of comorbidity of chronic diseases.A total of 2222 valid questionnaires were collected,of which 1099 were male(49.5%)and 1123 were female(50.5%),and the effective rate was 98.8%.Results Among 2222 old people,772 had one chronic disease and 1021 had two or more chronic diseases.The prevalence of comorbidity of chronic diseases was 45.9%(95%CI:0.474-0.515).Multivariate analysis results showed that male(OR=1.267),high age group(65-69 years old:OR=1.264;70-74 years old:OR=2.184;Above 75 years old:OR=2.581),low education level(high school or technical secondary school:OR=1.604;primary school and below:OR=1.431),family history of hypertension(OR=1.542),family history of diabetes(OR=1.769),and central obesity(OR=1.963)were risk factors for comorbidity of chronic diseases.Conclusion It is necessary to focus on men,people with higher age,low education level,family history of hypertension,family history of diabetes,central obesity,and actively take effective prevention and control measures,to reduce the risk of comorbidity of chronic diseases.

关 键 词：慢性病共病 影响因素 老年人 

分 类 号：R181.37[医药卫生—流行病学]