上海市闵行区老年人健康状况及卫生服务利用

Health Status and Health Service Utilization of the Elderly People in Minhang District of Shanghai

目的:了解闵行区老年人健康状况、卫生服务利用和行为危险因素情况,为促进健康老龄化提供依据。方法:采用多阶段分层随机抽样方法,于2018年1—7月对闵行区4个街道镇的922名60岁以上常住老年人进行问卷调查、体格检查和实验室检测。结果:闵行区老年人慢性病患病率为79.1%,超重肥胖率、目前吸烟率、目前饮酒率、体育锻炼不足率、高盐饮食占比和高脂饮食占比分别为61.0%、18.0%、14.8%、89.5%、32.7%和48.6%,就诊和住院医疗机构分别以社区卫生服务中心和二级及以上综合医院为主。除高血脂和糖尿病外,老年人慢性病患病率依然会随年龄增加而增加。结论:闵行区老年人慢性病患病率较高,已形成“小病进社区,大病进医院”的就医模式,但超重肥胖、不良生活方式和行为习惯普遍存在。

OBJECTIVE To investigate the health status,health service utilization and behavioral risk factors of the elderly peo⁃ple and to provide reference for promoting healthy aging.METHODS A multi-stage stratified random sampling method was used to recruit 922 participants aged over 60 years old in four towns of Minhang District from January to July,2018.A questionnaire survey was conducted with physical examination and laboratory test.RESULTS The prevalence of chronic diseases was 79.1%.The rates of overweight and obesity,smoking,drinking,lack of physical exercise,high salt diet and high fat diet were 61.0%,18.0%,14.8%,89.5%,32.7%and 48.6%,respectively.The treatment institutions were mainly community health service centers and the hospitaliza⁃tion institutions were mainly secondary and above general hospitals.The prevalence of chronic diseases would increase with the in⁃crease of age except hyperlipidemia and diabetes.CONCLUSION In Minhang District,the prevalence of chronic diseases was high in the elderly poeple.It had formed medical mode of“minor disease into the community,serious disease into the hospital”.However,the overweight and obesity,the unhealthy lifestyle and the behavior habits were common.