黔西南州长护险老年人群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 comorbidities among the elderly population under long-term care insurance in Qianxinan prefecture

作　　者：黄蓉 王忠安 朱曼华 卢安刚 李康 孙锦波 HUANG Rong;WANG Zhongan;ZHU Manhua;LU Angang;LI Kang;SUN Jinbo(Social Insurance Department of Xingyi People's Hospital,Xingyi 562499;President's Office of Xingyi People's Hospital,Xingyi 562499;Office of Director of Qianxinan Medical Security Bureau,Qianxinan 562400;Audit Department of Qianxinan Medical Security Bureau,Qianxinan 562400,China)

机构地区：[1]兴义市人民医院社会保险科,562499 [2]兴义市人民医院院长办公室,562499 [3]黔西南州医疗保障局局长办公室,562400 [4]黔西南州医疗保障局稽核科,562400

出　　处：《中国老年保健医学》2024年第5期98-102,108,共6页Chinese Journal of Geriatric Care

摘　　要：目的通过对黔西南州地区长护险老年人群慢性病共病患病率情况进行研究,分析其影响因素,为当地慢性病及共病防治政策的制定和措施的实施提供参考依据。方法采用复杂网络、单因素分析和有序多分类Logistics回归模型,描述60岁及以上长护险老年人群的共病现状,分析长护险老年人群年龄、性别、居住地区和失能程度与慢性病共病之间的相关性。结果慢性病共病患病率为72%,低老年龄段为慢性病共病患病数量增加的保护因素,居住在农村地区为危险因素。结论黔西南州长护险老年人群慢性病患病情况中,脑血管病、脑血管后遗症、高血压、高血压并发症、糖尿病、糖尿病伴有并发症的患病率较高,影响慢性病共病患病数量的独立危险因素为高龄和居住在农村地区,应加强针对危险因素的健康教育和防治工作,针对不同的危险因素进行管理和控制。Objective The study aims to investigate the prevalence of chronic diseases and comorbidities among elderly people under long-term care insurance in Qianxinan Prefecture,analyze its influencing factors,and provide reference for the formulation of local policies and implementation of measures for the prevention and control of chronic diseases and comorbidities.Methods Using complex networks,single factor analysis,and ordered multi class logistics regression models,describe the comorbidity status of elderly people aged 60 and above in long-term care insurance,and analyze the correlation between age,gender,residential area,and disability level of elderly people in long-term care insurance and chronic disease comorbidities.Results The prevalence of chronic disease comorbidities is 72%,with low elderly age being a protective factor for the increase in the number of chronic disease comorbidities,and living in rural areas being a risk factor.Conclusion Among the chronic diseases of the elderly population in Qianxinan Prefecture,the prevalence of cerebrovascular diseases,cerebrovascular sequelae,hypertension,hypertension complications,diabetes,and diabetes complications is high.The independent risk factors affecting the number of chronic diseases are the elderly and living in rural areas.We should strengthen health education and prevention work for risk factors,and manage and control different risk factors.

关 键 词：黔西南州 长护险 老年人 慢性病 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理] F842.6[医药卫生—公共卫生与预防医学]