2021年江苏省老年人慢性病共病患病情况分析  

Prevalence of chronic disease comorbidity among the elderly population in Jiangsu province,2021:a cross-sectional survey

作　　者：王炜豪 嵇达康 薛承浩 郭海健[2] 徐金水[2] 吴雨萱 祖力皮喀尔·肉孜 王蓓[1] WANG Weihao;JI Dakang;XUE Chenghao;GUO Haijian;XU jinshui;WU Yuxuan;Zulipikaer Rouzi;WANG Bei(Department of Epidemiology and Health Statistics,School of Public Health,Southeast University,Nanjing 210009,China;Office of Professional Affairs,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;Department of Infectious Disease Prevention,Xinwu District Center for Disease Control and Prevention,Wuxi 214002,China)

机构地区：[1]东南大学公共卫生学院流行病与卫生统计学系,南京210009 [2]江苏省疾病预防控制中心综合业务办公室,南京210009 [3]无锡市新吴区疾病预防控制中心传染病防制科,无锡214002

出　　处：《中国公共卫生》2024年第4期450-455,共6页Chinese Journal of Public Health

基　　金：江苏基层卫生发展与全科医学教育研究中心2022年度开放课题(2022A02)。

摘　　要：目的了解江苏省老年人的慢性病共病患病情况,为老年人慢性病共病管理策略提供科学依据。方法于2021年6—12月采用多阶段分层整群抽样方法在江苏省无锡市、常州市、连云港市、盐城市、泰州市和宿迁市6个地级市的12个区(县)抽取21344名≥65岁老年人进行问卷调查,分析江苏省老年人的慢性病共病患病情况、常见共病类型和关联规律。结果江苏省最终纳入分析的20724名老年人中,患慢性病共病者9759例,慢性病共病患病率为47.1%;9759例老年共病患者中,患2、3和≥4种慢性病者分别为3947例(40.4%)、2731例(28.0%)和3081例(31.6%);慢性病共病患病率居于前3位的二元共病组合分别为高血压+认知功能障碍(19.69%)、高血压+关节炎(16.57%)和高血压+脑血管疾病(12.20%),慢性病共病患病率居于前3位的三元共病组合分别为高血压+关节炎+认知功能障碍(8.05%)、高血压+脑血管疾病+认知功能障碍(6.48%)和高血压+心脏病+认知功能障碍(5.63%);共病关联规则分析共产生强关联规则325条(二元共病关联规则53条、三元共病关联规则137条、四元共病关联规则135条),其中心脏病与脑血管疾病、肾功能不全、慢性肺部疾病和高血压关联密切,脑血管疾病与肾功能不全、认知功能障碍和高血压关联密切,肾功能不全与糖尿病、关节炎和高血压关联密切,慢性肺部疾病与认知功能障碍和脑血管疾病关联密切。结论江苏省老年人慢性病共病患病率较高,高血压合并关节炎、脑血管疾病、认知功能障碍等是该地区老年人最常见的共病模式。Objective To investigate the prevalence of chronic disease comorbidity among the elderly population in Jiangsu province to provide evidence for the development of chronic disease management strategies.Methods A face-toface survey was conducted among 21344 residents aged≥65 years recruited using stratified multistage cluster sampling from June to December 2021 in 12 districts/counties of six prefectures in Jiangsu province.A self-designed questionnaire and a brief cognitive impairment rating scale(Cog-12)developed by Chinese researchers were used in the survey.We analyzed the prevalence,prevalent types,and association rules of chronic comorbidity in the province's elderly population.Results Of the 20724 participants with valid responses,9759(47.1%)were identified as having a chronic comorbidity.Of the observed cases of comorbidity,3947(40.4%),2731(28.0%),and 3081(31.6%)had two,three,and four or more chronic conditions,respectively.The top three binary chronic disease comorbidity patterns were hypertension combined with cognitive impairment(19.69%),arthritis(16.57%),and cerebrovascular disease(12.20%).In addition,the top three chronic disease comorbidity patterns were hypertension combined with arthritis and cognitive impairment(8.05%),cerebrovascular disease and cognitive impairment(6.48%),and heart disease and cognitive impairment(5.63%).The analysis of comorbidity association rules yielded 325 strong association rules(53 binary comorbidity association rules,137 ternary comorbidity association rules,and 135 quaternary comorbidity association rules).Among these,heart disease was strongly associated with cerebrovascular disease,renal insufficiency,chronic lung disease,and hypertension.Cerebrovascular disease was strongly associated with renal insufficiency,cognitive impairment,and hypertension.Renal insufficiency was strongly associated with diabetes,arthritis,and hypertension.Chronic pulmonary disease was strongly associated with cognitive impairment and cerebrovascular disease.Conclusion The prevalence of chron

关 键 词：慢性病共病 患病情况 老年人 江苏省 

分 类 号：R195.4[医药卫生—卫生统计学]