| 摘要: |
| 目的 了解上海市老年人两周患病情况及其影响因素，为老年人的健康管理提供依据。方法 使用第五次国家卫生服务调查上海市数据，采用多阶段分层整群抽样的方法，共抽取上海市17个区县11 103名老年人为调查对象，调查其基本情况、一年内是否进行健康体检、两周患病情况等。采用Wilcoxon秩和检验和Kruskal-Wallis H检验进行单因素分析，采用有序logistic回归进行多因素分析，探究影响上海市60岁及以上老年人两周患病人次数的因素。结果 被调查老年人的两周患病总人次数为8 943人次，两周患病率为805.458‰。两周患病疾病构成比中，最多的是高血压和糖尿病，分别占总患病人次的59.4%（5 314/8 943）和14.9%（1 332/8 943）。经单因素和多因素分析，影响两周患病情况的主要因素为年龄、就业状况、职业类型、一年内是否进行健康体检。结论 上海市老年人两周患病率高于全国水平，应针对影响两周患病率的因素进行健康指导，实现健康老龄化。 |
| 关键词: 老年人 两周患病 影响因素 健康调查 上海 |
| DOI：10.16781/j.0258-879x.2017.01.0021 |
| 投稿时间：2016-11-22修订日期：2017-01-04 |
| 基金项目:总后优秀青年科技人才扶持对象项目，上海市循证公共卫生与卫生经济学重点学科建设项目（15GWZK0901），上海市卫生和计划生育委员会课题（20154Y0074）. |
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| Analysis of factors influencing the two-week prevalence in elderly people in Shanghai |
| TIAN Shi-yin1,CHEN Qi1,XIE Zhi-hui2,HE Jia1,WU Cheng1* |
(1. Department of Medical Statistics, Faculty of Medical Services, Second Military Medical University, Shanghai 200433, China;
2. Information Center of Shanghai Municipal Commission of Health and Family Planning, Shanghai 200125, China
*Corresponding author) |
| Abstract: |
| Objective To know about the two-week prevalence of the elderly people living in Shanghai and its influencing factors, so as to provide evidence for the health management of the elderly. Methods The data were extracted from the fifth national health services survey of Shanghai, and the data of 11 103 elderly people from 17 districts in Shanghai were investigated by multi-stage stratified cluster sampling, including the basic situation, healthy physical examination within a year and two-week prevalence. Univariate analysis was performed by Wilcoxon rank sum test and Kruskal-Wallis H test, and multivariate analysis was performed by logistic regression to explore the factors influencing the number of two-week prevalence of the elderly people aged 60 years and above in Shanghai. Results The total number of the two-week prevalence of the elderly people was 8 943, and the two-week prevalence rate was 805.458‰. The highest frequencies of two-week diseases were hypertensive and diabetes, accounting for 59.4% (5 314/8 943) and 14.9% (1 332/8 943), respectively. Results of univariate analysis and multivariate analysis showed that the main influencing factors of two-week prevalence were age, employment status, type of occupation, and physical examination within one year. Conclusion The two-week prevalence of elderly people in Shanghai is higher than the national average. Health guidance should be given to the factors influencing of the two-week prevalence in order to achieve a healthy aging. |
| Key words: aged two-week prevalence influencing factors health surveys Shanghai |
