基于CHARLS数据分析的我国老年人共病现状研究

闫伟; 路云; 张冉; 常峰

doi:10.16462/j.cnki.zhjbkz.2019.04.012

基于CHARLS数据分析的我国老年人共病现状研究

doi: 10.16462/j.cnki.zhjbkz.2019.04.012

211198 南京, 中国药科大学国际医药商学院社会与管理药学专业

基金项目:

国家自然科学基金 7167030838

详细信息

通讯作者:
常峰, E-mail: cfcpu@163.com

中图分类号: R181
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出版历程
- 收稿日期: 2018-06-13
- 修回日期: 2018-11-02
- 刊出日期: 2019-04-10

Multimorbidity status of the elderly in China-research based on CHARLS data

Social and Managerial Pharmacy, International School of Medicine, China Pharmaceutical University, Nanjing 211198, China

Funds:

National Natural Science Foundation of China 7167030838

More Information

Corresponding author: CHANG Feng, E-mail: cfcpu@163.com

摘要

摘要: 目的了解我国老年人慢性病患病率、共病患病及共病组合情况。方法采用中国健康与养老追踪调查(china health and retirement longitudinal study，CHARLS)于2015年发布的数据，对选取的11 698个60岁以上老年人样本进行慢性病患病现状、共病患病现状的描述性统计分析。结果我国60岁及以上老年人的慢性病患病率为69.13%，其中，患病率排名前三位的依次为关节炎或风湿病(38.50%)，高血压(26.42%)，胃部或消化道系统疾病(24.53%)。共病患病率为43.65%，共病率排在前三位的顺次为关节炎或风湿病(28.78%)、高血压(21.29%)、胃部或消化系统疾病(20.01%)；常见的二元疾病组合为胃部或消化道系统疾病+关节炎或风湿病、高血压+关节炎或风湿病、慢性肺部疾患+关节炎或风湿病等模式；常见的三元疾病组合为高血压+胃部或消化道系统疾病+关节炎或风湿病、胃部或消化道系统疾病+慢性肺部疾患+关节炎或风湿病、高血压+心脏病+关节炎或风湿病等模式。结论我国老年人慢性病患病率、共病率较高，慢性病患病、共病患病情况较为严重。卫生行政部门应提高对慢性病共病的管理意识，采取相应措施以提升老年人健康水平。
- 老年人 /
- 慢性病 /
- 共病 /
- CHARLS数据
Abstract: Objective To invistigate the prevalence of chronic diseases, the conditions and patterns of multimorbidity in elderly people of China. Methods A total of 11 698 samples aged over 60 years were selected from 2015 data of china health and retirement longitudinal study(CHARLS) for descriptive statistics analysis of chronic disease and multimorbidity status. Results The prevalence of chronic diseases was 69.13%. Top three diseases of prevalence were arthritis or rheumatism (38.50%), hypertension (26.42%), stomach or Gastrointestinal system diseases (24.53%). The prevalence of multimorbidity was 43.65%, and top three diseases of multimorbidity were arthritis or rheumatism (28.78%), hypertension (21.29%), stomach or digestive system disease (20.01%); Common dual disease combinations were gastric or digestive tract disease+arthritis or rheumatism, hypertension + arthritis or rheumatism, chronic lung disease + arthritis or rheumatism; common three disease combinations were hypertension+stomach or digestive tract disease + arthritis or rheumatism, stomach or digestive system disease + chronic lung disease + arthritis or rheumatism, hypertension+heart disease+joints inflammation or rheumatism. Conclusions The prevalence of chronic diseases and multimorbidity among elderly people are high in China and conditions of chronic diseases and multimorbidity are not optimistic. The health administrative department should raise awareness of management in chronic diseases and multimorbidity, and take actions to improve the health status of the elderly.
- Elderly people /
- Chronic diseases /
- Multimorbidity /
- CHARLS data

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图 1 各慢性病患病率

Figure 1. The prevalence of chronic diseases

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图 2 各慢性病疾病共病率

Figure 2. The prevalence of multimorbidity

下载: 全尺寸图片幻灯片

表 1 样本基本情况

Table 1. Basic situation of sample

特征	人数	年龄(x±s)	不患慢性病	患一种	患两种及以上
性别
男	5 705	69.97±7.58	1 893	1 485	2 327
女	5 993	70.39±8.19	1 718	1 496	2 779
年龄(岁)
60~	6 504	64.34±2.79	2 118	1 737	2 649
70~	3 413	73.87±2.80	893	813	1 707
80~	1 648	83.78±2.34	561	391	696
≥90	130	93.02±3.37	38	38	54

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表 2 慢性病患病人数统计表

Table 2. The number of chronic disease patients

慢性病种类	患病人数	慢性病种类	患病人数
关节炎或风湿病	4 504	糖尿病或血糖升高	777
高血压	3 091	哮喘	574
胃部或消化道系统疾病	2 870	肝脏疾病	508
心脏病	1 604	中风	339
慢性肺部疾患	1 442	与记忆相关的疾病	255
血脂异常	1 235	情感及精神方面问题	182
肾脏疾病	816	癌症等恶性肿瘤	129

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表 3 慢性病患病数量基本情况

Table 3. The number of patients in different disease number

患病数量	人数	患病数量	人数
0	3 611	6	166
1	2 981	7	65
2	2 374	8	25
3	1371	9	8
4	734	10	2
5	361

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