中国≥45岁人群患恶性肿瘤的影响因素分析:基于2020年CHARLS数据  

Analysis of influencing factors for suffering from malignant tumors in people aged≥45 years in China:based on the 2020 CHARLS data

作　　者：乔楠 张静[1] 马朝辉[1] Qiao Nan;Zhang Jing;Ma Zhaohui(Cancer Prevention and Control Office,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China)

机构地区：[1]山西省肿瘤医院、中国医学科学院肿瘤医院山西医院、山西医科大学附属肿瘤医院肿瘤防控办公室,太原030013

出　　处：《肿瘤研究与临床》2024年第10期767-772,共6页Cancer Research and Clinic

摘　　要：目的探讨我国≥45岁人群患恶性肿瘤的影响因素。方法横断面研究。基于2020年中国健康与养老追踪调查(CHARLS)数据,对我国≥45岁中老年人群患恶性肿瘤的影响因素进行单因素分析。采用复杂抽样下的logistic回归模型进行多因素分析。结果2020年CHARLS数据中≥45岁中老年人群为15923人,年龄(64±10)岁,范围:45.0~120.5岁,包括男性7473人(46.93%),女性8450人(53.07%),其中患恶性肿瘤451人(2.83%)。我国≥45岁中老年人群中患恶性肿瘤与非恶性肿瘤人群间年龄、性别、城乡分布情况、午间睡眠时间、身体活动评分、低强度体力活动、癌症共病情况、非肿瘤慢性病、自评健康状况、社交和饮酒情况差异均有统计学意义(均P<0.05),而晚间睡眠时间、全天睡眠时间、中高强度体力活动、社交活跃度、婚姻状态、受教育程度、户口、养老医疗保险、吸烟情况差异均无统计学意义(均P>0.05)。复杂抽样多因素logistic回归分析结果显示,年龄越大(OR=1.033,95%CI:1.001~1.067,P=0.042)、健康状况自评差(很不好比不好比一般比好比很好:OR=1.710,95%CI:1.183~2.471,P=0.004)是我国≥45岁人群患恶性肿瘤的独立危险因素。结论基于2020年CHARLS数据,关注老龄化、重视中老年人自身感受可能降低我国≥45岁中老年人群患恶性肿瘤的风险。Objective To explore the influencing factors for suffering from malignant tumors in people aged≥45 years in China.Methods A cross-sectional study was conducted.Based on data of China Health and Retirement Follow-up Survey(CHARLS)in 2020,univarite analysis of the influencing factors for suffering from malignant tumors in people aged≥45 years was performed.Logistic regression model under complex sampling was used to perform multivariate analysis.Results In 2020 CHARLS data,there were 15923 middle-aged and elderly people aged≥45 years,and the age of them was(64±10)years old,ranging from 45.0 to 120.5 years old,including 7473 males(46.93%)and 8450 females(53.07%),of which 451(2.83%)people had malignant tumors.The differences in age,gender,urban and rural distribution,noon sleep time,physical activity score,low-intensity physical activity,cancer comorbidity,non-tumor chronic diseases,self-rated health status,social interaction and alcohol consumption between middle-aged and elderly people aged≥45 years with and without malignant tumors were statistically significant(all P<0.05).However,the differences in night sleep time,whole day sleep time,moderate-to-vigorous physical activity,social activity,marital status,education level,household registration,pension and medical insurance,and smoking status were not statistically significant(all P>0.05).Multivariate logistic regression analysis of complex sampling showed that old age(OR=1.033,95%CI:1.001-1.067,P=0.042)and bed self-rated health status(very bad vs.not good vs.average vs.good vs.very good:OR=1.710,95%CI:1.183-2.471,P=0.004)were the independent risk factors for suffering from malignant tumors in Chinese people aged≥45 years.Conclusions Based on the 2020 CHARLS data,much attention should be paid to aging and own feelings of middle-aged and elderly people,which may reduce the risk of suffering from malignant tumors among middle-aged and elderly people aged≥45 years in China.

关 键 词：肿瘤 中年人(45~64) 老年人 中国健康与养老追踪调查 慢性病 

分 类 号：R73-31[医药卫生—肿瘤]