广东省老年人群多重慢病现状及相关因素分析

The Prevalence and Influencing Factors of Multiple Chronic Disease among Elderly Residents in Guangdong Province

目的研究老年人多重慢病的患病现状、健康损失及危险因素,为慢病防控与健康管理提供科学数据支撑。方法从广东省第六次卫生服务调查中提取18215名60岁及以上老年人健康调查数据,对22类133种慢病进行分析,将影响多重慢病状态的相关危险因素(是否患病、日常生活能力、精神健康损失等)纳入logistic模型。结果广东省老年人多重慢病患病率为15.90%,慢病患病率为48.46%。多重慢病是身体和心理健康损失的重要危险因素,而高龄、居住在城市、不健康的生活方式是多重慢病的主要危险因素,规律体检、锻炼是保护因素。结论应加强多重慢病的预防和管理,通过转变卫生服务重心、加强健康宣传教育、提高医疗保障水平等途径提升广东省老年多重慢病患者管理水平,保障老年人健康。

Objective To analyze the prevalence,health outcomes and influencing factors of multiple chronic disease among the elderly in Guangdong province.To provide scientific data support for chronic disease prevention,control and health management.Methods A total of 18,215 elderly people whose age above 60 were selected from the sixth health service survey in Guangdong province.Almost 133 chronic disease symptoms in 22 categories were included in the survey,multiple logistic regression were used to analyze the risk factors of multiple chronic disease,ADL,mental health status of the elderly.Results The prevalence of multiple chronic diseases,chronic diseases among the elderly in Guangdong province were 15.90%and 48.46%respectively.Multiple chronic diseases are risk factor of body and mental health.Advanced age,living in urban areas,unhealthy life styles are the risks factors of multiple chronic disease.Regular physical examination and exercise are protective factors.Conclusion The prevention and management of multiple chronic diseases should be strengthened.The management level of elderly patients with multiple chronic diseases in Guangdong province should be improved by changing the focus of health services,strengthening health publicity and education,and improving the level of medical security to ensure the health of the elderly.