张家港市善港村老年居民慢性病共病现状及人群分布特征分析  

Analysis of the Current Situation and Population Distribution Characteristics of Chronic Comorbidities Among Elderly Residents in Shangang Village,Zhangjiagang City

作　　者：俞子静 胡佳[2,3] 代涛 YU Zijing;HU Jia;DAI Tao(Peking Union Medical College,Beijing 100730;Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing 100020;The Center for Health Policy and Management,Chinese Academy of Medical Sciences,Beijing 100020)

机构地区：[1]北京协和医学院,北京100730 [2]中国医学科学院医学信息研究所,北京100020 [3]中国医学科学院卫生政策与管理研究中心,北京100020

出　　处：《江苏卫生事业管理》2023年第6期839-844,共6页Jiangsu Health System Management

基　　金：国家卫生健康委委托项目《公立医院高质量发展新动力研究》。

摘　　要：目的:分析江苏省张家港市善港村60岁及以上老年居民慢性病共病现状及人群分布特征,为优化该地区乃至全国农村地区老年慢性病共病管理策略提供参考。方法:收集2020年该地区1849名60岁及以上老年居民健康体检数据,对其慢性病共病患病率进行描述性统计分析,运用χ^(2)检验分析不同特征老年居民的患病情况。结果:研究对象慢性病患病率为86.5%,共病率55.2%,患病率最高的慢性病共病组合为腰椎骨量减少+高血压组(14.3%),不同性别、BMI以及慢病管理情况的老年人慢性病共病情况的差异具有统计学意义。结论:张家港市农村老年居民慢性病共病问题需引起重视,高血压和腰椎骨量减少为该地应重点防治的慢性病,女性、超重或肥胖居民应作为重点防治对象,建议采取综合防治措施,优化慢病管理策略。Objective:Analyze the current situation and population distribution characteristics of chronic comorbidities among elder⁃ly residents aged 60 and above in Zhangjiagang City,to provide reference for optimizing the management strategies of elderly chronic comorbidities in the sample area and even in rural areas across the country.Methods:Collect health examination data from 1,849 el⁃derly residents aged 60 and above in the area in 2020,and conduct descriptive statistical analysis on the prevalence of chronic comor⁃bidities.Useχ^(2) test to analyze the prevalence of different characteristics of elderly residents.Results:The prevalence rate of chronic diseases among the study subjects is 86.5%,and the comorbidity rate is 55.2%.The highest comorbidity combination of chronic diseas⁃es is the lumbar osteopenia+hypertension group(14.3%).The differences in comorbidity among elderly people with different genders,BMI,and chronic disease management are statistically significant.Conclusion:The issue of chronic comorbidities among elderly rural residents in Zhangjiagang City needs to be taken seriously.Hypertension and lumbar osteopenia are key chronic diseases that should be prevented and treated in this area.Women,overweight or obese residents should be targeted for prevention and treatment.It is rec⁃ommended to take comprehensive prevention and control measures and optimize chronic disease management strategies.

关 键 词：农村 老年 慢性病共病 人群分布特征 因病返贫 

分 类 号：R197.32[医药卫生—卫生事业管理]