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目的了解湖北省宜昌市夷陵山区≥65岁老年人慢性病患病现状及其影响因素,为政府制定公共卫生政策、采取干预措施提供参考依据。方法采取分层整群抽样方式对宜昌市夷陵山区抽取的4 002名≥65岁老年人进行问卷调查和体格检查。结果宜昌市夷陵山区≥65岁老年人慢性病患病率为61.7%,其中患1种疾慢性病者占36.5%,患2种者占16.9%,患≥3种者占8.3%;患病率居于夷陵山区≥65岁老年人前5位的慢性病分别为高血压(38.6%)、心脏病(11.1%)、骨关节疾病(10.4%)、咳喘病(7.3%)、胃肠疾病(6.0%);多因素非条件logistic回归分析结果显示,年龄≥75岁、家庭关系不好、睡眠差和体质指数≥24.0 kg/m2是夷陵山区≥65岁老年人慢性病患病的危险因素,男性、文化程度小学及以下和家庭年均收入<10 000元是夷陵山区≥65岁老年人慢性病患病的保护因素。结论夷陵山区≥65岁老年人慢性病患病率较高,性别、年龄、文化程度、家庭年均收入、家庭关系、睡眠情况、体质指数是夷陵山区老年人慢性病患病主要影响因素。
Objective To understand the prevalence and influencing factors of chronic diseases of ≥65 years old in Yiling Mountain, Yichang City, Hubei Province, and to provide reference for government to formulate public health policies and take intervention measures. Methods A stratified cluster sampling method was used to conduct questionnaire and physical examination of 4 002 elderly people aged ≥65 years in Yiling Mountain, Yichang City. Results The prevalence of chronic diseases ≥65 years old in Yiling Mountain area of Yichang City was 61.7%, of which 36.5% were suffering from one chronic disease, 16.9% from two kinds and 8.3% from ≥3 kinds. The prevalence The top five chronic diseases aged ≥65 years old living in Yiling Mountain Region were hypertension (38.6%), heart disease (11.1%), bone and joint disease (10.4%), cough and asthma (7.3% %); Multivariate non-conditional logistic regression analysis showed that age ≥75 years old, poor family relationships, poor sleep and body mass index ≥24.0 kg / m2 risk factors for chronic diseases of ≥65 years old in Yiling District, male , Primary and secondary education level and below and family average annual income <10,000 yuan is Yiling Mountain area ≥65 years old chronic disease protection factor. Conclusion The prevalence of chronic diseases of ≥65 years old is high in Yiling Mountain area. Sex, age, educational level, family annual income, family relationship, sleep status and body mass index are the main influencing factors of chronic diseases in elderly people in Yiling Mountain area.