宁夏回族自治区老年人健康促进行为与慢性病共病的关联分析

Background In the context of increasing population agingmaintaining the health of the elderly is the key to successful aging. Multimorbidity is an important factor threatening the health of the elderlyand its relationship with thehealth promotion behaviors of the elderly has been rarely reported. ObjectiveTo understand the multimorbidity patterns and distribution of health promotion behaviors among the elderly in Ningxiaanalyze the relationship between multimorbidity patterns and health promotion behaviors in the elderlyso as to provide a reference for the development of management and intervention strategies for the health of elderly. MethodsThe population aged 65 years and above in Ningxia were selected as study subjects by using random cluster sampling method from January 2021 to July 2021and surveyed by self-designed questionnaireincluding general information questionnairepatient health questionnaire-9PHQ-9mini-mental state examinationMMSEhealth promoting lifestyle profile-Chinese versionHPLP-C. Multimorbidity patterns of the elderly was analyzed by association rules of Apriori algorithmthe correlation between multimorbidity and health promotion behaviors of the elderly was analyzed by multivariable Logistic regression analysis. ResultsA total of 2 010 older adults aged 65 years and above were includedwith the multimorbidity rate of 31.00%623/2 010. The most common binary multimorbidity pattern was coronary heart disease and hypertension25.36%158/623the most common ternary multimorbidity pattern was hypertensioncoronary heart disease and stroke4.49%28/623. The association rules revealed 16 patterns of multimorbidity15 of which were related to hypertension10 were related to coronary heart diseaseand 7 were related to asthma. The multivariate Logistic regression analysis showed that compared with older adults with poor health promotion behaviors, those with generalOR95%CI=0.3640.1850.714goodOR95%CI=0.4880.2510.948excellentOR95%CI=0.4260.2130.853health promotion behaviors had a lower risk of multimorbidityP<0.05. HPLP-C physical activityOR95%CI=0.9600.9250.997and stress managementOR95%CI=0.9630.9380.989dimension scores in older adults were negatively associated with the occurrence of multimorbidityHPLP-C health responsibilityOR95%CI=1.0381.0131.063dimension score was positively associated with the occurrence of multimorbidity. ConclusionThe multimorbidity patterns of the elderly in Ningxia are complexand there is an association between health promotion behaviors and occurrence of multimorbidity. The risk of multimorbidity can be reduced by interventions such as encouraging the elderly to practice health promotion behaviors and improve their lifestyles.