广东省老年人慢性病共病现状及影响因素研究  

Current status and influencing factors of multimorbidities of elderly people in Guangdong Province

作　　者：刘贵浩[1] 薛允莲[1] Liu Guihao;Xue Yunlian(Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences), Guangzhou 510080, China)

机构地区：[1]广东省人民医院(广东省医学科学院),广东广州510080

出　　处：《中国医院统计》2022年第2期103-107,共5页Chinese Journal of Hospital Statistics

基　　金：广州市科技计划项目(202102080206);广东省医学科研基金项目(A2020008);广东省卫生经济学会课题(2021-WJZD-08,2021-WJMZ-30,2022-WJMZ-08)。

摘　　要：目的分析广东省老年人慢性病共病现状及影响因素。方法资料来源于2018年中国健康与养老追踪调查(CHARLS)的广东省老年人随访数据。采用logistic回归分析60岁及以上老年人慢性病共病的影响因素。结果广东省71.6%的老年人患有慢性病,其中2种以上疾病共病率为43.7%。高血压和关节风湿病的共病是老年人最常见的共病形式。与不患慢性病或患有单一慢性病的老年人相比,宗教信仰是老年人口仅患2种慢性病共病的影响因素(OR=3.120,95%CI:1.095~8.888);年龄(OR=1.043,95%CI:1.015~1.072)、晚上睡眠时间(OR=0.897,95%CI:0.815~0.987)、午睡时间(OR=1.006,95%CI:1.002~1.010)、戒烟(OR=2.058,95%CI:1.106~3.830)和抑郁得分(OR=1.023,95%CI:1.006~1.040)是老年人慢性病共病(慢性病病种数≥2)的影响因素。结论重视医疗、保证充足夜间睡眠、保持适量的午睡时间、保持心情舒畅对广东省老年共病人口维持健康有积极的意义。Objective To analyze the current status and influencing factors of multimorbidities of elderly people in Guangdong Province.Methods Data were collected from the follow-up data of the elderly in Guangdong of China Health and Retirement Longitudinal Study(CHARLS)in 2018.Logisitic regression was used to analyze the influencing factors of two or more multimorbidities and the influencing factors of two multimorbidities of the elderly over 60 years old.Results Seventy-one point six percent of the elderly had chronic diseases,among which the rate of two or more multimorbidities was 43.7%.Multimorbidities of hypertension and rheumarthrosis were the most common forms of multimorbidity in the elderly.Religious belief was an independent factor affecting the multimorbidity of the two chronic diseases in the elderly population(OR=3.120,95%CI:1.095-8.888).Age(OR=1.043,95%CI:1.015-1.072),evening sleep time(OR=0.897,95%CI:0.815-0.987),nap time(OR=1.006,95%CI:1.002-1.010),smoking cessation(OR=2.058,95%CI:1.106-3.830)and depression score(OR=1.023,95%CI:1.006-1.040)were the influencing factors for two or more multimorbidities.Conclusion It is of positive significance to pay attention to medical treatment,ensure adequate night sleep,maintain proper nap time and keep comfortable mood are important for the health of the elderly in Guangdong Province.

关 键 词：慢性病共病 老年人 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]