浙江省城乡老年人衰弱比较

Comparison of frailty among urban and rural older adults in Zhejiang Province

目的了解浙江省城乡老年人衰弱水平、分析影响因素的异同,为针对性干预提供参考。方法采用多阶段抽样法,随机抽取浙江省城市老年人482人和农村老年人719人为研究对象,采用自编老年人一般情况调查表、中文版Tilburg衰弱量表以及Barthel指数评定量表进行问卷调查,进行影响因素分析。结果城市老年人衰弱得分及衰弱发生率显著低于农村老年人(均P<0.05);logistic回归分析显示婚姻状况、三餐规律、与子女关系和日常生活活动能力是城市老年人衰弱的影响因素(均P<0.05);居住方式、家庭人均月收入、三餐规律、睡眠质量、慢性病、自评健康状况和日常生活活动能力是农村老年人衰弱的影响因素(均P<0.05)。结论浙江省老年人衰弱发生率较高,农村老年人衰弱水平高于城市老年人。应针对城乡老年人衰弱水平及不同影响因素制定干预措施,延缓衰弱的发生。

Objective To investigate the prevalence and associated factors of frailty among urban and rural older adults in Zhejiang Province,and to provide reference for targeted intervention.Methods Totally,482 urban and 719 rural elderly people in Zhejiang Province were recruited by multi-stage random sampling.They were asked to fill out a self-designed sociodemographic questionnaire,the Chinese version of the Tilburg Frailty Indicator(TFI)and Barthel Index,and the influencing factors were analyzed.Results The score and prevalence of frailty among the urban elderly were significantly lower than their counterparts(both P<0.05).The results of logistic analysis showed that marital status,regularity of meals,relations with descendant,and ability to perform activities of daily living were factors affecting frailty among the urban elderly(all P<0.05).Living style,monthly household income per person,regularity of meals,sleep quality,chronic diseases,self-rated health status,and ability to perform activities of daily living were predictors of frailty among rural elderly population(all P<0.05).Conclusion The prevalence of frailty among the elderly is relatively high in Zhejiang Province,with a higher frailty level in the rural elderly.It is suggested that specific interventions should be formulated based on different frailty level and influencing factors in urban and rural elderly population,thus to avoid or delay frailty.