我国中老年人慢性病共病模式及性别差异分析  

Analysis of chronic comorbidities patterns and gender differences among middle-aged and elderly people in China

作　　者：张浩 赵歌 刘安琪 原田甜 田庆丰[1] HANG Hao;ZHAO Ge;LIU Anqi;YUAN Tiantian;TIAN Qingfeng(Department of Social Medicine and Health Service Management,College of Public Health,Zhengzhou University,Zhengzhou 450001;College of Economics and Management,Henan Agricultural University,Zhengzhou 450046)

机构地区：[1]郑州大学公共卫生学院社会医学与卫生事业管理教研室,郑州450001 [2]河南农业大学经济与管理学院,郑州450046

出　　处：《郑州大学学报(医学版)》2025年第2期186-189,共4页Journal of Zhengzhou University(Medical Sciences)

基　　金：国家重点研发计划项目(2020YFC2006100)。

摘　　要：目的:了解我国中老年人慢性病共病现状,分析不同性别下常见慢性病共病模式。方法:选用中国健康与养老追踪调查项目最新发布的2020年数据分析中老年人(≥45岁)慢性病患病及共病情况,使用关联规则分析中的Apriori算法挖掘慢性病共病模式。结果:我国中老年人慢性病患病率达80.9%、共病患病率达58.1%;男性和女性共病模式排名第一的均为“胃部疾病或消化系统疾病+关节炎或风湿病”,但女性共病模式较男性更复杂,且男性更易出现包含慢性肺部疾患的共病模式。结论:我国中老年人慢性病共病患病率处于较高水平;男女共病模式存在差异,应制定针对性慢性病共病管理策略,对重点人群进行科学干预。Aim:To understand the current situation of chronic comorbidities among middle-aged and elderly people in China,and to analyze the common chronic comorbidities patterns between different genders.Methods:The latest 2020 data released by the China Health and Elderly Care Tracking Survey Program were used to analyze the current situation of chronic disease and chronic comorbidities in middle-aged and elderly people(≥45 years old)in China,and chronic comorbidities patterns was mined by the Apriori algorithm in the association rule analysis.Results:The prevalence of chronic diseases and chronic comorbidities among middle-aged and elderly people in China reached 80.9%and 58.1%,and the chronic comorbidities patterns in men and women ranked first as gastric or digestive diseases+arthritis or rheumatism,but women′s chronic comorbidities patterns were more complex than men′s,and men had a higher probability of developing comorbidities patterns related to chronic lung diseases than women.Conclusion:The prevalence of chronic comorbidities among middle-aged and elderly people in China is at a high level;there are differences in chronic comorbidities patterns between genders,and targeted chronic comorbidities management strategies should be formulated for scientific interventions in key populations.

关 键 词：慢性病 共病 患病率 中老年人 

分 类 号：R195[医药卫生—卫生统计学]