山东省农村老年人多重慢性病患病对自评健康影响  

Effect of chronic disease multimorbidity on self-rated health among rural elderly in Shandong province

作　　者：胡芳芳 张娇 江帆[1,2,3] 高兆溶 洪壮[1,2,3] 张玲 王迎美 周金玲[1,2,3] 徐凌忠 HU Fang-fang;ZHANG Jiao;JIANG Fan(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Ji’nan,Shandong Province 250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学) [3]山东大学卫生经济实验与公共政策研究中心 [4]山东大学数学学院

出　　处：《中国公共卫生》2021年第11期1594-1596,共3页Chinese Journal of Public Health

基　　金：国家自然科学基金(71673169,71974118)。

摘　　要：目的了解山东省农村老年人多重慢性病患病对自评健康的影响,为老年慢性病防治工作提供参考依据。方法于2017年8—9月采用多阶段分层随机抽样方法在山东省菏泽、潍坊、威海3个地级市抽取7070名≥60岁常住老年人进行问卷调查,分析其中5514名农村老年人的多重慢性病患病情况及其对自评健康的影响。结果山东省5514名农村老年人中,多重慢性病患者1902例,多重慢性病患病比例为34.5%;自评健康者2878人,自评健康率为52.19%。多因素非条件logistic回归分析结果显示,在调整了性别、年龄、文化程度、家庭年均收入、吸烟情况和饮酒情况等混杂因素后,山东省患1种慢性病农村老年人自评不健康的风险为未患慢性病老年人的2.947倍(OR=2.947,95%CI=2.547~3.404),患多重慢性病老年人自评不健康的风险为未患慢性病老年人的6.675倍(OR=6.675,95%CI=5.735~7.746)。结论山东省农村老年人多重慢性病患病比例较高,多重慢性病患病会对老年人自评健康产生消极影响。Objective To examine the effect of chronic disease multimorbidity on self-rated health among rural elderly,and to provide references for chronic disease prevention and treatment in aging populations.Methods Using stratified multistage random sampling,we recruited 7070 permanent residents aged≥60 years in 108 villages of three prefectures across Shandong province.A face-to-face questionnaire survey was conducted among all the residents during August-September 2017 and the data on 5514 residents were analyzed to explore the effect of multimorbidity on self-rated health.Results Of the 5514 participants,2878(52.19%)reported a self-rated good health and 1902 reported suffering from more than one chronic disease,with a multimorbidity prevalence rate of 34.5%.The results of unconditional multivariate logistic regression analysis demonstrated that compared to the residents without chronic disease,the residents suffering from a chronic disease were more likely to report a self-rated poor health(odds ratio[OR]=2.947,95%confidence interval 95%CI:2.547-3.404)and the residents with chronic disease multimorbidity were much more likely to report a self-rated poor health(OR=6.675,95%CI:5.735-7.746)after adjusting for gender,age,education,family annual income,residence region,smoking,and alcohol drinking.Conclusion The prevalence of chronic disease multimorbidity was high and the multimorbidity had a negative impact on self-rated health among the rural elderly in Shandong province.

关 键 词：多重慢性病 自评健康 影响 老年人 农村 

分 类 号：R195.4[医药卫生—卫生统计学]