协同理论视角下基于CHARLS数据库的农村中老年慢性病共病研究  

Study of chronic disease co-morbidity in rural middle-aged and elderly people based on the China health and retirement longitudinal study database from the perspective of synergy theory

作　　者：饶菲菲 汪慧 彭拯 雷威 刘亚清 RAO Feifei;WANG Hui;PENG Zheng;LEI Wei;LIU Yaqing(School of Medicine and Health Management,Huazhong University of Science and Technology,Hubei Province,Wuhan430030,China;Department of Cardiovascular Internal Medicine,Huanggang Luotian County People’s Hospital,Hubei Province,Luotian438600,China;Office of the President,Huanggang Luotian Wanmizai Hospital,Hubei Province,Luotian438600,China)

机构地区：[1]华中科技大学医药卫生管理学院,湖北武汉430030 [2]湖北省黄冈市罗田县人民医院心血管内科,湖北罗田438600 [3]湖北省黄冈市罗田县万密斋医院院长办公室,湖北罗田438600

出　　处：《中国医药导报》2025年第1期98-103,共6页China Medical Herald

基　　金：教育部人文社会科学研究规划基金项目(21YJA 630062)。

摘　　要：目的探讨我国农村中老年人群慢性病共病患病率及相关影响因素,以期为共病的有效预防和管理提供科学决策依据。方法利用中国健康与养老追踪调查第5次追访数据,共纳入10384名农村中老年个体,进行慢性病共病患病现状分析,并采用有序多分类逻辑回归模型来验证农村中老年患慢性病共病的影响因素。结果我国农村中老年群体慢性病患病率高达81.16%,共病患病率达57.61%,患病率高的慢性病依次为关节炎或风湿病(42.18%)、高血压病(39.24%)、胃病或消化系统疾病(33.77%),且性别、年龄、家庭人均年消费、医疗保险、自评健康水平和地区均是农村中老年人慢性病共病罹患的影响因素(P<0.05)。结论我国农村中老年慢性病及共病患病率较高且受多因素影响,应在制定公共卫生政策和干预措施时充分考虑各因素的协同效应,发挥个人、家庭、社会的健康促进效能,根据个体差异提供个性化的健康管理指导,构建生物-心理-社会多维度降低农村中老年人群共病的发生。Objective To explore the prevalence of chronic disease co-morbidities and related influencing factors among rural middle-aged and elderly people in China,and to provide scientific decision-making basis for the effective prevention and management of co-morbidities.Methods A total of 10384 rural middle-aged and elderly individuals were enrolled in the fifth follow-up survey of the China health and retirement longitudinal survey,the status quo of chronic disease co-morbidities was analyzed and the factors influencing the comorbidities of chronic diseases in rural middle and old age were verified by using the ordered multiple classification logistic regression model.Results The prevalence of chronic diseases in the rural middle-aged and elderly population in China was as high as 81.16%,and the prevalence of co-morbidities reached 57.61%,with arthritis or rheumatism(42.18%),hypertension(39.24%),and gastric or digestive diseases(33.77%)in the order of prevalence,and the age,annual per capita household consumption,medical insurance,self-assessment of health level,and region were influencing factors for co-morbidities among middle-aged and elderly people(P<0.05).Conclusion The prevalence of chronic diseases and co-morbidities among rural middle-aged and elderly people in China is high and affected by multiple factors,so it should fully consider the synergistic effect of various factors when formulating public health policies and interventions,give full play to the efficacy of health promotion of the individual,the family,and the society,and provide personalised health management guidance according to individual differences,so as to build a biopsychosocial multi-dimensional structure to reduce the incidence of co-morbidities among the rural middle-aged and elderly population.

关 键 词：慢性病共病 中老年人 农村 中国健康与养老追踪调查数据 协同理论 

分 类 号：R19[医药卫生—卫生事业管理]