太原市老年人多重慢病患病现状及影响因素

  目的  了解太原市老年人多重慢病患病现状及其影响因素，为提升老年人健康水平、优化慢性病防治和管理提供参考。  方法  采用多阶段整群随机抽样的方法，在山西省太原市抽取3 637名年龄≥60岁的老年人，进行面对面问卷调查。采用χ2检验进行组间比较、多分类Logistic回归分析模型分析影响因素。  结果  3 637名调查对象中，慢性病患病率为68.8%，多重慢病患病率为21.0%；常见的二元疾病组合为:高血压+糖尿病、高血压+冠心病、高血压+类风湿性关节炎；常见的三元疾病组合为:高血压+糖尿病+冠心病、高血压+糖尿病+类风湿性关节炎、高血压+糖尿病+眼病。高龄、常住地为农村、低强度体力活动、有家族病史、超重或肥胖、饮食不规律(均有P < 0.05)的老年人是多重慢病高发人群。  结论  60岁及以上老年人慢性病患病率较高，多重慢病患病情况不容乐观，应针对患病特点和危险因素采取综合性的干预措施。

The prevalence and influencing factors of multiple chronic diseases in the elderly in Taiyuan

Objective To investigate the prevalence and influencing factors of multiple chronic diseases in the elderly in Taiyuan, so as to provide references for improving the health level of the elderly and optimizing the prevention and management of chronic diseases. Methods Using multi-stage cluster random sampling method, 3 637 elderly persons aged 60 years or older were selected from Taiyuan City, Shanxi Province for face-to-face questionnaire survey. Chi-square test was used for comparison between groups and multinomial Logistic regression model was used to analyze the influencing factors. Results Among the 3 637 respondents, the prevalence of chronic diseases was 68.8%, and the prevalence of multiple chronic diseases was 21.0%;common dual disease combinations are: hypertension + diabetes, hypertension + coronary heart disease, hypertension + rheumatoid;common three disease combinations are: hypertension + diabetes + coronary heart disease, hypertension + diabetes + rheumatoid, hypertension + diabetes + eye disease. The elderly, who live in rural areas, with a family history, overweight or obesity, and an irregular diet(all P<0.05), have a high incidence of multiple chronic diseases. Conclusions The prevalence of chronic diseases in the elderly aged 60 and above is relatively high, and the prevalence of multiple chronic diseases is not optimistic. Comprehensive intervention measures should be taken according to the characteristics of the disease and risk factors.