| 锦州市老年人群共病疾病负担研究 |
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| 引用本文： | 金丹,李珂,柳晓琳.锦州市老年人群共病疾病负担研究[J].现代预防医学,2020,0(16):2990-2993. |
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| 作者姓名： | 金丹 李珂 柳晓琳 |
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| 作者单位： | 1.锦州医科大学公共卫生学院, 辽宁 锦州 121000；2.锦州市中医院, 辽宁 锦州 121000 |
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| 摘 要： | 目的 了解锦州市65岁及以上人群共病及疾病负担现状，为完善老年人群共病的管理提供理论依据。方法 采用分层整群随机抽样方法，抽取锦州市65岁及以上老年人群为研究对象，描述老年人群共病的流行病学分布特征，采用疾病负担分析指标——伤残调整寿命年（disability adjusted of life years, DALY），伤残损失寿命年（years lived with disability, YLD）和早逝损失寿命年（years of life lost due to premature death, YLL）计算共病的疾病负担。结果 锦州市65岁及以上的老年人群共病患病率为19.66%，死亡率为14.12%；DALY为3 970.779人年，YLD为1 680.120人年，YLL为2290.695人年；其最主要的共病模式为高血压+冠心病，DALY为968.200人年；各年龄组间共病模式与DALY的差异均具有统计学意义（F = 90.498,P＜0.001），男性和女性的DALY差异无统计学意义（t = 0.817,P = 0.414）。结论 锦州市老年人群共病模式为冠心病、高血压、脑卒中、糖尿病和肿瘤等疾病中某两种组合；老年人群共病疾病负担以死亡所造成的生命损失为主；共病的疾病负担在85岁及以上的年龄段最高。
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| 关 键 词： | 老年人群 共病 疾病负担 伤残调整生命年（DALY） |
Burden of multimorbidity among the elderly,Jinzhou |
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| JIN Dan,LI Ke,LIU Xiao-lin.Burden of multimorbidity among the elderly,Jinzhou[J].Modern Preventive Medicine,2020,0(16):2990-2993. |
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| Authors: | JIN Dan LI Ke LIU Xiao-lin |
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| Affiliation: | *Jinzhou Medical University School of Public Health, Jinzhou, Liaoning 121000, China |
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| Abstract: | To understand the current status of multimorbidity and disease burden among people aged 65 and over inJinzhou, and to provide a theoretical basis for improving the management of multimorbidity among the elderly. Methods Thestratified cluster random sampling method was used to select the elderly population of 65 years and over in Jinzhou as theresearch object. Describing the epidemiological characteristics of multimorbidity in the elderly population, and using the diseaseburden analysis disability adjusted of life years (DALY), years lived with disability (YLD) and years of life lost due to prematuredeath (YLL) to calculate the disease burden of multimorbidity. Results The prevalence and mortality of multimorbidity amongelderly residents aged 65 and over in Jinzhou were 19.66% and 14.12%, respectively. The total burden of disease was 3970.779person-years, with the years of life with disability of 1680.120 person-years, and the years of life lost due to premature death of2290.695 person-years. The most prevalent multimorbidity model was hypertension and coronary heart disease, with a DALY of968.200 person-years. The DALY amongst multimorbidity models and age groups showed significant differences (F=90.498, P<0.001). However, there was no significant difference in the DALY between male and female (t=0.817, P=0.414). Conclusion Themultimorbidity pattern of the elderly population in Jinzhou is a combination of two types of diseases such as coronary heartdisease, hypertension, stroke, diabetes and tumors. The burden of multimorbidity in the elderly group is mainly due to the loss oflife caused by death and the highest DALY is the 85 and above age group. |
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| Keywords: | The elderly Multimorbidity Burden of disease Disability adjusted of life years (DALY) |
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