贵州省布依族地区老年人认知衰弱现况及影响因素研究  

Current situation and influencing factors of cognitive frailty in elderly residents of Bouyei nationality area in Guizhou Province

作　　者：宋文君 杨敬源 杨星[4] 周全湘[5] 陈豪 胡宇欣 杨曦 汪俊华 蒋芝月 SONG Wen-jun;YANG Jing-yuan;YANG Xing;ZHOU Quan-xiang;CHEN Hao;HU Yu-xin;YANG Xi;WANG Jun-hua;JIANG Zhi-yue(Department of Epidemiology and Health Statistics,School of Public Health,Guizhou Medical Universiy,Guiyang,Guizhou Province 550025,China;不详)

机构地区：[1]贵州医科大学公共卫生学院流行病与卫生统计学系,贵州省贵阳550025 [2]贵州医科大学环境污染与疾病监控教育部重点实验室,贵州省贵阳550025 [3]贵州医科大学贵州省卫生发展研究院,贵州省贵阳550025 [4]贵州医科大学医药管理学院 [5]贵州省黔南民族医学高等专科学校

出　　处：《中国慢性病预防与控制》2021年第3期161-166,共6页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：国家自然科学基金(81860598)。

摘　　要：目的了解贵州省布依族地区老年人认知衰弱的流行及影响因素,为预防老年人认知衰弱提供依据。方法于2019年7-8月采用多阶段整群随机抽样方法,抽取贵州省黔南州贵定县和贵阳市花溪区布依族聚居地区≥60岁的1652名老年人为研究对象,进行问卷调查、体格检查和实验室检测。使用简易精神状态检查量表和衰弱表型评估工具调查研究对象认知衰弱的患病情况。采用SPSS 17.0软件进行χ^(2)检验和趋势χ^(2)检验,采用多因素logistic回归分析认知衰弱的影响因素。结果1652名老年人中患认知衰弱为55人,患病率为3.3%。男性认知衰弱患病率(2.3%)低于女性(4.1%),差异有统计学意义(P<0.05);认知衰弱患病率随年龄增加而增加,差异有统计学意义(P<0.01)。多因素logistic回归分析结果显示,家庭年收入较高(OR=0.229,95%CI:0.086~0.614)和有兴趣爱好(OR=0.385,95%CI:0.194~0.764)与老年人认知衰弱患病低风险相关;高密度脂蛋白胆固醇水平异常(OR=2.564,95%CI:1.161~5.660)与老年人认知衰弱患病高风险相关。结论贵州省布依族老年人认知衰弱流行率不高,家庭经济状态差、无兴趣爱好和血脂异常的老年人为高危人群,老年人应积极参与社会活动和控制血脂异常以预防认知衰弱。Objective To understand the prevalence and influencing factors of cognitive frailty(CF)in elderly residents of Bouyei nationality area in Guizhou Province,and to provide the basis for the prevention of CF in elderly residents.Methods From July to August 2019,a multi-stage cluster random sampling method was used to select 1652 elderly residents(≥60 years old)from Bouyei nationality areas in Guiding county and Huaxi district of Guizhou Province as the subjects.The investigation was performed with questionnaire,physical examination and laboratory test.The mini-mental state examination scale and frailty phenotype assessment tool were used to study the cognitive frailty of subjects.Theχ^(2) test and trendχ^(2) test were used to analyze the data,the multivariate logistic regression was used to analyze the influencing factors of CF,the used software was SPSS 17.0.Results The morbidity of CF in the subjects was 3.3%(55/1652).The morbidity(2.3%)of CF in males was significantly lower than that(4.1%)in females(P<0.05);the morbidity of CF increased with age(P<0.01).The multivariate logistic regression analysis showed that the higher annual family income(OR=0.229,95%CI:0.086-0.614)and hobbies(OR=0.385,95%CI:0.194-0.764)were associated with lower risk of CF in elderly residents;abnormal high-density lipoprotein(OR=2.564,95%CI:1.161-5.660)was associated with high risk of CF in the elderly residents.Conclusion The prevalence of CF in elderly residents in Bouyei nationality area of Guizhou Province was not higher,the elderly residents with low family income,without hobby and abnormal blood lipoprotein levels were people with high risk of CF,the elderly residents should take part in social action and control the abnormal blood lipoprotein in order to prevent CF.

关 键 词：认知衰弱 影响因素 老年人 

分 类 号：R181.1[医药卫生—流行病学]