基于健康社会决定因素的宁夏中老年人慢性病共病的影响因素研究
Influencing Factors of Chronic Comorbidities among Middle-aged and Elderly People in Ningxia based on Social Determinants of Health
背景 人口老龄化进程日益加快，中老年人健康问题突出。慢性病共病严重威胁中老年人的健康和生活质量，阻碍健康中国行动的进展，探讨其与健康社会决定因素的关系具有积极意义。目的 了解宁夏中老年人慢性病的共病情况及健康社会决定因素情况，分析中老年人健康社会决定因素与慢性病共病的关联，为中老年慢性病共病患者的健康管理和干预策略提供参考。方法 采用多阶段分层随机抽样方法于 2022-06-27——2022-08-27 调查宁夏石嘴山市、银川市、固原市的 10 个区 / 县 1 997 名中老年人健康相关数据，应用 Apriori 算法分析宁夏地区中老年人的共病模式，采用非条件 Logistic 回归分析探讨宁夏中老年人慢性病共病与健康社会决定因素的关联性。结果 宁夏地区中老年人共病人数 418 名，慢性病共病率 20.9%；关联规则结果显示有 14 条共病模式，其中 11 条与冠心病有关，9条与高血压有关，9 条与糖尿病有关；非条件 Logistic 回归分析结果显示，年龄≥ 60 岁、子女数量为 2~3 个、已建立家庭档案、工作状况为离退休和无业、养老保险为居民养老保险的中老年人发生慢性病共病率较高（P8 h、大专及以上文化水平的中老年人发生慢性病共病率较低（P<0.05）。结论 中老年慢性病共病的影响因素涉及个体、社区、社会各个方面，建议从多维度对慢性病共病患者进行干预，以期提高人群健康水平。
Background With the acceleration of population agingthe health problems of middle-aged and elderly people are prominent. Chronic comorbidities seriously threaten the health and quality of life of middle-aged and elderly peopleand hinder the progress of Healthy China Initiative. It is of positive significance to explore the relationship between chronic comorbidities and social determinants of health.?Objective To understand the chronic comorbidities and social determinants of health among the middle-aged and elderly people in Ningxiaand analyze the relationship between the social determinants of health and chronic comorbiditiesso as to provide reference for the health management and intervention strategies for middleaged and elderly people. Methods A multi-stage stratified random sampling method was used to investigate the health related data of 1997 middle-aged and elderly people in 10 districts/counties of Shizuishan CityYinchuan Cityand Guyuan City in Ningxia from June 272022 to August 272022. The Apriori algorithm was used to analyze the comorbidity patterns of middleaged and elderly people in Ningxiaand unconditional Logistic regression analysis was used to explore the correlation between chronic comorbidities and social determinants of health among middle-aged and elderly people in Ningxia. Results There were 418 middle-aged and elderly people in Ningxia with a comorbidity rate of 20.93%the results of association rules showed 14 comorbidity patternsof which 11 were related to coronary heart disease9 to hypertensionand 9 to diabetesthe results of unconditional Logistic regression analysis showed that middle-aged and elderly people aged ≥ 60 yearswith 2-3 children established family archivesretired or unemployed work statusand resident pension insurance had a higher incidence of chronic comorbiditiesP<0.05while middle-aged and elderly people with nighttime sleep duration of 7-8 hours and more than 8 hoursand education level of college or above had a lower incidence of chronic comorbiditiesP<0.05. Conclusion The factors influencing the comorbidity of chronic diseases in middle aged and elderly people involve individual, community and social aspects. It is recommended to intervene in chronic comorbidity patients from a multidimensional perspective with a view to improving the health of the population.
杨晓花、马春芳、汤榕、李月
10.12114/j.issn.1007-9572.2023.0353
医药卫生理论预防医学内科学
慢性病共病中老年人健康社会决定因素关联规则影响因素分析
Multiple chronic conditionsMiddle aged and elderly peopleSocial determinants of healthssociation RulesRoot cause analysis
杨晓花,马春芳,汤榕,李月.基于健康社会决定因素的宁夏中老年人慢性病共病的影响因素研究[EB/OL].(2023-10-24)[2025-08-02].https://chinaxiv.org/abs/202310.03390.点此复制
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