城乡慢性病共病中老年人健康相关生命质量和共病组合现状研究  

Study on the status quo of co-morbid disease combinations and health-related quality of life in urban and rural chronic diseases in middle-aged and elderly people

作　　者：童迁 潘晨靖 徐芳芳 苏丹 TONG Qian;PAN Chen-jing;XU Fang-fang;SU Dan(School of Medical Economics and Management,Anhui University of Traditional Chinese Medicine,Hefei,Anhui 230001,China;不详)

机构地区：[1]安徽中医药大学医药经济管理学院,安徽合肥230001 [2]中国科学技术大学附属第一医院(安徽省立医院)药学部 [3]中国科学技术大学附属第一医院(安徽省立医院)健康管理中心

出　　处：《现代预防医学》2024年第20期3793-3798,共6页Modern Preventive Medicine

基　　金：国家自然科学基金资助项目(82204381);安徽省高等学校省级质量工程项目(2021jyxm1799)。

摘　　要：目的探究城乡中老年人共病组合现状和健康相关生命质量的差异,为提升慢性病共病组合中老年人的健康水平提供参考。方法选取6481名中国健康养老与追踪(CHARLS)2020年≧50岁至少患两种慢性病中老年人。对城乡慢性病共病中老年人的基本特征进行描述,采用EQ-5D-3L的健康效用值评价健康相关生命质量,运用关联网络图和Apriori关联规则对城乡慢性病共病组合进行分析。结果城市慢性病共病中老年人健康效用值为0.8532±0.2400,高于农村慢性病共病中老年人健康效用值(0.8409±0.1952)。城市强链接慢性病共病组合权重占比前五的有:高血压+血脂异常;高血压+心脏病;高血压+关节炎;胃病+关节炎;血脂异常+心脏病。农村有:胃病+关节炎;高血压+关节炎;高血压+血脂异常;高血压+胃病。农村中老年人慢性病共病产生105种关联规则,城市产生86条关联规则,关联规则强度前10位的关联规则中,农村后项为高血压9条,为慢性病肺部疾病1条,而城市后项为高血压6条,为血脂异常3条,慢性肺部疾病的为1条。结论城市慢性病共病中老年人健康相关生命质量高于农村,重视慢性病共病中老年人的疼痛管理和抑郁焦虑管理。城乡慢性病共病组合存在差异,常见的慢性病疾病之间的二元、三元、四元共病关联性较高,高血压和其他慢性病并共病率最高,应关注高血压的预防治疗。Objective To explore the differences in the status of co-morbid combinations and health-related quality of life between urban and rural middle-aged and elderly people,and to provide a reference for improving the health of middle-aged and elderly people with co-morbid combinations of chronic diseases.Methods A total of 6481 middle-aged and elderly people aged≥50 years with at least two chronic diseases in China Healthy Aging and Reproductive Lifestyle Survey(CHARLS)2020 were selected.The basic characteristics of urban and rural chronic disease co-morbid middle-aged and elderly people were described,the health-related quality of life was evaluated using the health utility value of EQ-5D-3L,and the combination of urban and rural chronic disease co-morbid combinations was analyzed using the association network diagram and Apriori association rule.Results The health utility value of the elderly in urban chronic disease co-morbidities was 0.8532±0.2400,which was higher than that of the elderly in rural chronic disease co-morbidities(0.8409±0.1952).The top five urban strong link chronic disease co-morbidity combination weights were:hypertension+dyslipidemia;hypertension+heart disease;hypertension+arthritis;gastric disease+arthritis;dyslipidemia+heart disease.In rural areas,there were:gastric disease+arthritis;hypertension+arthritis;hypertension+dyslipidemia;and hypertension+gastric disease.Chronic disease co-morbidities in rural middle-aged and elderly people produced 105 association rules and 86 association rules in urban.Among the top 10 association rules in terms of strength of association rules,there were 9 association rules for hypertension and 1 association rule for chronic lung disease in the rural posterior,while there were 6 association rules for hypertension,3 association rules for dyslipidemia and 1 association rule for chronic lung disease in the urban posterior.Conclusion Health related quality of life of elderly people with chronic disease co-morbidities was higher in urban than in rural areas,with emp

关 键 词：城乡 慢性病共病 中老年人 共病组合 健康相关生命质量 

分 类 号：R195.4[医药卫生—卫生统计学]