内蒙古东部牧区中老年蒙古族居民慢性病共病现状及影响因素研究  

Current status and related factors of chronic diseases and co-morbidities among middle-aged and old Mongolian residents in eastern pastoral areas of Inner Mongolia

作　　者：刘培艳 何金鑫[1] 刘铮然[1] 毕海涛 刘敏[1] 龚亮亮 何晴 石越 王晓敏 高静 田峻玮 贾莹 LIU Pei-yan;HE Jin-xin;LIU Zheng-ran;BI Hai-tao;LIU Min;GONG Liang-liang;HE Qing;SHI Yue;WANG Xiao-min;GAO Jing;TIAN Jun-wei;JIA Ying(School of Public Health,Baotou Medical Collge Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia 014060,China)

机构地区：[1]内蒙古科技大学包头医学院公共卫生学院,内蒙古包头014060

出　　处：《现代预防医学》2020年第23期4303-4306,4316,共5页Modern Preventive Medicine

基　　金：内蒙古自治区科技计划项目(201702101)。

摘　　要：目的了解内蒙古东部牧区中老年蒙古族居民慢性病共病现状及影响因素。方法按照地区经济和蒙古族人口分布,采用随机抽样的方法,最终有效人数3 327人;采用自报和生化检测两种方式确诊慢性病;统计方法采用卡方检验和二元logistic回归分析。结果慢性病共病患病率为45.72%;单因素结果显示:性别(X^2=16.221,P<0.001)、年龄(X^2=87.116,P<0.001)、吸烟(X^2=6.337,P=0.042)、饮酒(X^2=8.375,P=0.004)、农牧业活动(X^2=73.011,P<0.001)、睡眠情况(X^2=60.751,P<0.001)、随访服务(X^2=52.911,P<0.001)、慢性病支出(X^2=309.323,P<0.001)和心理因素(X^2=6.493,P=0.011)等因素与慢性病共病情况有统计学意义;二元logistic回归分析显示:性别(P=0.026,OR=0.841)、年龄(P<0.001,OR=0.600;P<0.001,OR=0.591)、农牧业活动(P<0.001,OR=0.738)、睡眠情况(P<0.001,OR=1.522)、慢性病支出(P<0.001,OR=0.295)、随访服务(P<0.001,OR=1.465)和心理因素(P=0.012,OR=0.599)是慢性病共病的影响因素。结论中老年蒙古族居民慢性病共病患病率较高,健康意识较差,应加强对居民的健康教育,积极开展健康促进活动,从而降低居民患病风险,提高居民生活质量。Objective Tounderstand the current status and influencing factors of chronic diseases and comorbidities among middle-aged and old Mongolian residents in eastern pastoral areas of Inner Mongolia.Methods According to the regional economy and Mongolian population distribution,the random sampling method was adopted.The final effective number was 3327.The chronic disease was diagnosed by self-reported and biochemical tests.Chi-square Test and Binary Logistic Regression Analysis were used as statistical methods.Results The prevalence of comorbidities of chronic diseases was 45.72%.Univariate results showed that factors such as gender(X^2=16.221,P<0.001),age(X^2=87.116,P<0.001),alcohol consumption(X^2=8.375,P=0.004),agricultural and animal husbandry activities(X^2=73.011,P<0.001),sleep conditions(X^2=60.751,P<0.001),follow-up services(X^2=52.911,P<0.001),chronic disease expenditure(X^2=309.323,P<0.001),and psychological factors(X^2=6.493,P=0.011)were statistically significant with chronic disease comorbidities.Binary Logistics Regression Analysis showed that gender(P=0.026,OR=0.841),age(P<0.001,OR=0.600;P<0.001,OR=0.591),agricultural and animal husbandry activities(P<0.001,OR=0.738),sleep conditions(P<0.001,OR=1.522),chronic disease expenditure(P<0.001,OR=0.295),follow-up services(P<0.001,OR=1.465)and psychological factors(P=0.012,OR=0.599)were the influencing factors of chronic disease comorbidities.Conclusion Middle-aged and old Mongolian residents have a higher prevalence of chronic diseases and poor health awareness.Health education for residents should be strengthened and health promotion activities should be actively carried out to reduce the risk of disease and improve the quality of life of residents.

关 键 词：慢性病共病 蒙古族 相关因素 

分 类 号：R195[医药卫生—卫生统计学]