老年人便秘流行病学特点的初步分析

目的 探讨老年人便秘患病现状和分布特点。方法 采用多级、整群抽样的方法，对6个城市8252名≥岁的常住老年人进行横断面流行病学调查。结果 老年人便秘总患病率为11．5％，随着年龄的增长患病率增加，60－、65－、70－、75－、80－和85＋年龄组的患病率分别为8．7％、9．6％、11．7％、15．3％、17．1％、19．4％（P＜0．01）；老年人便秘城市患病率为10．9％，农村为12．3％，农村高于城市（P＜0．01），且地区差异明显（P＜0．01），北方地区患病率较高，为17．5％；老年人便秘患病率存在职业差别（P＜0．01），从事家务、行政管理、科教文卫职业者患病率较高，分别为性别、年龄、城乡和地区与便秘患病率密切相关。结论 随年龄增长老年人便秘的患病率增加，北方高于南方，女性高于男性，除年龄因素外，老年人便秘还可能与气候、膳食结构、体力活动量等因素有关。

The survey of the current status and distribution of elderly constipation in China

Objective　To survey the current status and distribution of constipation in Chinese old population. 　Methods　The 8 252 elderly, aged　≥60 years,in the urban and rural areas of 6 cites were investigated using a cluster random sampling methods. 　Results　The rude prevalence of constipation was 11.5%. The prevaleme increased with ageing 〔8.7%,9.6%,11.7%,15.3%,17.2% and 19.5% respectively in the age groups of 60-,65-,70-,75-,80-,85- years old 〕.The rude prevalence was higher in north of China (17.5%) than that in south of China. It was relatively higher in female (9.98%) than that in male (8.39%) and different by house worker (15.6%), managers (13.4%), workers and business (10.1%) and other profession (8.3%,P＜0.01).Logistic regression analysis also showed the rude prevalence was related with gender, ageing and area (P＜0.01).　Conclusions　The rude constipation prevalence of Chinese elderly population increased with ageing. Beside the ageing factor, it was also related with gender, area and profession.