宜宾市老年人慢性病共病的影响因素分析  

Influencing Factors of Multimorbidity in Older Adults in Yibin City

作　　者：张华敏 于力力[2] 刘瑞峰 王玉龙 陈建 Zhang Huamin;Yu Lili;Liu Ruifeng;Wang Yulong;Chen Jian(School of Public Health,Chengdu Medical College,Chengdu 610500,China;Yibin Center for Disease Control and Prevention,Yibin 644100,China)

机构地区：[1]成都医学院公共卫生学院,成都610500 [2]宜宾市疾病预防控制中心,宜宾644100

出　　处：《成都医学院学报》2024年第5期881-885,共5页Journal of Chengdu Medical College

基　　金：成都医学院-宜宾市疾病预防控制中心联合科研基金项目(No:2021LHYB-03)。

摘　　要：目的了解宜宾市老年人慢性病共病现状,分析其影响因素。方法于2022年4-7月,采用多阶段分层抽样选取宜宾市60岁及以上常住居民作为调查对象,问卷调查收集慢性病患病及其影响因素情况,采用无序多分类Logistic回归模型探索慢性病共病的影响因素。结果宜宾市老年人慢性病患病率为76.19%,共病率为53.63%。多因素分析结果显示为年龄、性别、体重指数(偏胖/肥胖)、吸烟情况、牛奶摄入(≥250 mL/d)、睡眠时间、婚姻状况、职业(离退休)、常居地、人均年收入(2~5万)、慢性病示范区可能是慢性病共病的影响因素。结论宜宾市老年人慢性病共病率较高,影响因素较多。建议慢性病的防控工作从政策环境到个体多角度、多水平展开,以提高老年人群健康水平。Objective To investigate the prevalence of multimorbidity among the older adults in Yibin city and analyze the influencing factors.Methods From April to July 2022,the permanent residents aged 60 years and above in Yibin city were selected as the survey subjects by multi-stage stratified sampling method.The prevalence of chronic diseases and its influencing factors were collected by a questionnaire survey.The multinomial Logistic regression model was used to explore the influencing factors of multimorbidity.Results The prevalence of chronic diseases was 76.19%and the multimorbidity rate was 53.63%among the elderly in Yibin City.Multivariate analysis showed that age,gender,body mass index(overweight/obesity),smoking status,milk intake(≥250 mL/d),sleep time,marital status,occupation(retired),habitual residence,per capita annual income(20000-50000),and whether living in the demonstration zone for comprehensive prevention and control of chronic diseases might be the influencing factors for multimorbidity.Conclusion The prevalence of multimorbidity among the elderly in Yibin City was high,which was affected by many factors.It was suggested that the prevention and control of chronic diseases should be carried out from multiple perspectives and levels of policy,environment,and individual,so as to improve the health of the elderly.

关 键 词：老年人 慢性病共病 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]