基于健康社会决定因素的宁夏中老年人慢性病共病的影响因素研究  

Influencing Factors of Multimorbidity among Middle-aged and Elderly People in Ningxia Based on Social Determinants of Health

作　　者：马春芳[1] 汤榕[1] 杨晓花 李月 MA Chunfang;TANG Rong;YANG Xiaohua;LI Yue(School of Humanities and Management,Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学人文与管理学院,宁夏回族自治区银川市750004

出　　处：《中国全科医学》2024年第4期447-453,共7页Chinese General Practice

基　　金：宁夏自然科学基金资助项目(2022AAC03212)。

摘　　要：背景人口老龄化进程日益加快,中老年人健康问题突出。慢性病共病严重威胁中老年人的健康和生活质量,阻碍健康中国行动的进展,探讨其与健康社会决定因素的关系具有积极意义。目的了解宁夏中老年人慢性病共病情况及健康社会决定因素情况,分析中老年人健康社会决定因素与慢性病共病的关联,为中老年慢性病共病患者的健康管理和干预策略制定提供参考。方法采用多阶段分层随机抽样方法于2022-06-27—08-27调查宁夏石嘴山市、银川市、固原市的10个区/县1997名中老年人的健康相关数据,应用Apriori算法分析宁夏地区中老年人的共病模式,采用非条件Logistic回归分析探讨宁夏中老年人慢性病共病与健康社会决定因素的关联性。结果宁夏地区中老年人慢性病共病人数418例,慢性病共病率20.9%;关联规则结果显示有14条共病模式,其中11条与冠心病有关,9条与高血压有关,9条与糖尿病有关;非条件Logistic回归分析结果显示,年龄≥60岁、子女数量为2~3个、已建立健康档案、工作状况为离退休和无业、养老保险为城乡居民基本养老保险的中老年人慢性病共病率较高(P<0.05),夜间睡眠时长为7~8 h和>8 h、大专及以上文化水平的中老年人慢性病共病率较低(P<0.05)。结论中老年慢性病共病的影响因素涉及个体、社区、社会各个方面,建议从多维度对慢性病共病患者进行干预,以期提高其健康水平。Background With the acceleration of population aging,the health problems of middle-aged and elderly people are prominent.Multimorbidity seriously threaten the health and quality of life of middle-aged and elderly people,and hinder the progress of Healthy China Initiative.It is of positive significance to explore the relationship between multimorbidity and social determinants of health.Objective To understand the multimorbidity and social determinants of health among the middle-aged and elderly people in Ningxia,and analyze the relationship between the social determinants of health and multimorbidity,so as to provide reference for the health management and intervention strategies for middle-aged and elderly people.Methods A multi-stage stratified random sampling method was used to investigate the health related data of 1997 middle-aged and elderly people in 10 districts/counties of Shizuishan City,Yinchuan City,and Guyuan City in Ningxia from June 27,2022 to August 27,2022.The Apriori algorithm was used to analyze the comorbidity patterns of middle-aged and elderly people in Ningxia,and unconditional Logistic regression analysis was used to explore the correlation between multimorbidity and social determinants of health among middle-aged and elderly people in Ningxia.Results There were 418 middle-aged and elderly people in Ningxia with a comorbidity rate of 20.9%;the results of association rules showed 14 comorbidity patterns,of which 11 were related to coronary heart disease,9 to hypertension,and 9 to diabetes;the results of unconditional Logistic regression analysis showed that middle-aged and elderly people aged≥60 years,with 2-3 children,established family archives,retired or unemployed work status,and resident pension insurance had a higher incidence of multimorbidity(P<0.05),while middle-aged and elderly people with nighttime sleep duration of 7-8 hours and more than 8 hours,and education level of college or above had a lower incidence of multimorbidity(P<0.05).Conclusion The factors influencing the comorb

关 键 词：慢性病共病 中老年人 健康社会决定因素 关联规则 影响因素分析 

分 类 号：R36[医药卫生—病理学]