苏州市老年人慢性病共病现状及影响因素分析  

Analysis of the current status and influencing factors of chronic disease comorbidity among the elderly in Suzhou

作　　者：张鸣庆 范伟 金玲玲 陆艳 韦晓淋[2] 张钧[1,3] ZHANG Ming-qing;FAN Wei;JIN Ling-ling;LU Yan;WEI Xiao-lin;ZHANG Jun(School of Public Health,Nanjing Medical University,Nanjing,Jiangsu 211166,China;不详)

机构地区：[1]南京医科大学公共卫生学院,江苏南京211166 [2]苏州市疾病预防控制中心慢病科,江苏苏州215131 [3]苏州市第五人民医院,江苏苏州215131

出　　处：《现代预防医学》2024年第17期3151-3156,共6页Modern Preventive Medicine

基　　金：江苏省卫生健康委员会预防医学科研课题(Ym2023017);江苏省卫生健康委员会老年健康科研项目(LKM2023038);苏州市姑苏卫生人才科研项目(GSWS2023066);南京医科大学姑苏学院公共卫生专项重点项目(GSKY20230103)。

摘　　要：目的了解苏州市老年人慢性病共病现状及相关影响因素,为制定相应的共病防制策略提供依据。方法利用苏州老年队列基线调查数据,以≥65岁的人群为研究对象,采用多因素logistic回归模型对慢性病共病的影响因素进行分析。结果8782名调查对象中,慢性病患病率为94.01%,慢性病共病患病率为73.23%。多因素logistic回归分析结果显示,女性(OR=0.862,95%CI:0.756~0.981)、吸烟(OR=0.572,95%CI:0.497~0.659)是老年人患慢性病共病的保护因素;70~<75岁(OR=1.171,95%CI:1.044~1.315)、75~<80岁(OR=1.503,95%CI:1.297~1.745)、80岁及以上(OR=1.518,95%CI:1.271~1.817)、初中及高中学历(OR=1.211,95%CI:1.064~1.380)、超重(OR=1.694,95%CI:1.521~1.887)及肥胖(OR=2.655,95%CI:2.189~3.242)、有慢性病家族史(OR=1.707,95%CI:1.523~1.914)、中等体力活动水平(OR=1.288,95%CI:1.124~1.476)、低体力活动水平(OR=1.271,95%CI:1.114~1.450)、睡眠质量差(OR=1.407,95%CI:1.097~1.824)是老年人患慢性病共病的危险因素。结论苏州市老年人慢性病患病率及共病率较高,要关注重点人群,及时采取有效防控措施,降低慢性病共病患病风险。Objective To understand the current status of chronic disease comorbidity among the elderly in Suzhou and its related influencing factors,to provide a basis for formulating corresponding comorbidity prevention and control strategies.Methods Utilizing baseline survey data from the Suzhou Elderly Cohort,individuals aged≥65 years were investigated,and multifactorial logistic regression models were employed to analyze the influencing factors of chronic disease comorbidity.Results Among 8782 surveyed individuals,the prevalence of chronic diseases was 94.01%,and the prevalence of chronic disease comorbidity was 73.23%.The results of the multifactorial logistic regression analysis indicated that female(OR=0.862,95%CI:0.756-0.981)and smoking(OR=0.572,95%CI:0.497-0.659)were protective factors for chronic disease comorbidity in the elderly.Conversely,age groups of 70 to<75 years(OR=1.171,95%CI:1.044-1.315),75 to<80 years(OR=1.503,95%CI:1.297-1.745),and 80 years and above(OR=1.518,95%CI:1.271-1.817),education levels of junior high and high school(OR=1.211,95%CI:1.064-1.380),overweight(OR=1.694,95%CI:1.521-1.887)and obesity(OR=2.655,95%CI:2.189-3.242),family history of chronic diseases(OR=1.707,95%CI:1.523-1.914),moderate physical activity levels(OR=1.288,95%CI:1.124-1.476),low physical activity levels(OR=1.271,95%CI:1.114-1.450),and poor sleep quality(OR=1.407,95%CI:1.097-1.824)were identified as risk factors for chronic disease comorbidity in the elderly.Conclusion The prevalence of chronic diseases and comorbidity among the elderly in Suzhou is high.It is essential to focus on key populations and implement effective prevention and control measures promptly to reduce the risk of chronic disease comorbidity.

关 键 词：老年人 慢性病共病 影响因素 

分 类 号：R592[医药卫生—老年医学]