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预防医学  2022, Vol. 34 Issue (10): 1038-1042    DOI: 10.19485/j.cnki.issn2096-5087.2022.10.013
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
鄂伦春自治旗男性老年人群生活方式危险因素与慢性病共病的关系
张紫薇1, 花语蒙1, 陈阳阳1, 马晓川1, 韩冰洁2, 刘爱萍1
1.北京大学公共卫生学院社会医学与健康教育系,北京 100191;
2.鄂伦春自治旗大杨树社区卫生服务中心,内蒙古 呼伦贝尔 165456
Relationship between lifestyle risk factors and comorbidity of chronic diseases among male elderly populations in Oroqen Autonomous Banner
ZHANG Ziwei1, HUA Yumeng1, CHEN Yangyang1, MA Xiaochuan1, HAN Bingjie2, LIU Aiping1
1. Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China;
2. Dayangshu Community Health Service Center of Oroqen Autonomous Banner, Hulun Buir, Inner Mongolia 165456, China
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摘要 目的 了解内蒙古鄂伦春自治旗男性老年人群生活方式危险因素与慢性病共病的关系,为改善男性老年人群生活方式和预防慢性病共病提供依据。方法 于2020年7—12月,采用多阶段整群随机抽样方法抽取鄂伦春自治旗2个乡镇16个村(居委会)参加社区体检的≥65岁男性居民为调查对象。通过问卷调查收集人口学信息、生活方式危险因素和疾病史,通过社区卫生服务中心基层医疗卫生服务信息系统收集体检信息,包括腰围、血压、空腹血糖和血脂等。采用多因素有序logistic回归模型分析≥65岁男性生活方式危险因素与慢性病共病的关系。结果 纳入调查761人,年龄为(73.61±6.74)岁。中心性肥胖216例,占28.38%;吸烟179人,占23.52%;饮酒194人,占25.49%;身体活动频率低412人,占54.14%;有1种和≥2种生活方式危险因素分别347人和268人,占45.60%和35.22%。高血压404例,糖尿病170例,血脂异常321例;患1、2、3种慢性病分别347、199和50例,占45.60%、26.15%和6.57%;慢性病共病患病率为32.72%。多因素有序logistic回归分析结果显示,中心性肥胖者慢性病共病风险升高(OR=2.442,95%CI:1.804~3.307);<2种生活方式危险因素(1种,OR=0.607,95%CI:0.451~0.820;0种,OR=0.675,95%CI:0.460~0.990)者慢性病共病风险降低。结论 中心性肥胖和生活方式危险因素数量是鄂伦春自治旗≥65岁男性群慢性病共病的影响因素。
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张紫薇
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陈阳阳
马晓川
韩冰洁
刘爱萍
关键词 慢性病共病生活方式老年人    
AbstractObjective To investigate the association between lifestyle risk factors and comorbidity of chronic diseases among male elderly populations in Oroqen Autonomous Banner, Inner Mongolia Autonomous Region, so as to provide insights into improvements of lifestyles and prevention of comorbidity of chronic diseases among male elderly populations. Methods Male residents at ages of 65 years and older that participated in community healthy examinations were sampled from 16 villages (communities) in Oroqen Autonomous Banner using a multi-stage cluster random sampling method from July to December, 2020. Participants' demographic data, lifestyle risk factors and disease history were collected using questionnaire surveys, and healthy examinations data were collected through the grassroots healthcare service information system for community health service centers, including waist circumference, blood pressure, fasting blood glucose and blood lipid. The correlation between lifestyle risk factors and comorbidity of chronic diseases were examined among males at ages of 65 years and older using a multivariable ordered logistic regression model. Results Totally 761 male elderly populations were included, with a mean age of (73.61±6.74) years. There were 216 participants with central obesity (28.38%), 179 with smoking (23.52%), 194 with alcohol consumption (25.49%), 412 with a low frequency of physical activities (54.14%), 347 with one type of lifestyle risk factor (45.60%) and 268 with two and more types of lifestyle risk factors (35.22%), 404 with hypertension, 170 with diabetes and 321 with dyslipidemia. There were 347 participants with one type of chronic disease (45.60%), 199 with two types of chronic diseases (26.15%) and 50 with three types of chronic diseases (6.57%), and the prevalence of comorbidity of chronic diseases was 32.72% among the participants. Multivariable ordered logistic regression analysis showed an increased risk of developing comorbidity of chronic diseases among participants with central obesity (OR=2.442, 95%CI: 1.804-3.307), and a reduced risk of comorbidity of chronic diseases among participants with less than two types of lifestyle risk factors (one type, OR=0.607, 95%CI: 0.451-0.820; none, OR=0.675, 95%CI: 0.460-0.990). Conclusions Central obesity and number of lifestyle risk factors are factors affecting comorbidity of chronic diseases among the male elderly populations at ages of 65 years and older in Oroqen Autonomous Banner.
Key wordschronic disease    comorbidity    lifestyle    elderly population
收稿日期: 2022-06-17      出版日期: 2022-09-30
中图分类号:  R195.4  
通信作者: 刘爱萍,E-mail:apingliu@bjmu.edu.cn   
作者简介: 张紫薇,硕士研究生在读
引用本文:   
张紫薇, 花语蒙, 陈阳阳, 马晓川, 韩冰洁, 刘爱萍. 鄂伦春自治旗男性老年人群生活方式危险因素与慢性病共病的关系[J]. 预防医学, 2022, 34(10): 1038-1042.
ZHANG Ziwei, HUA Yumeng, CHEN Yangyang, MA Xiaochuan, HAN Bingjie, LIU Aiping. Relationship between lifestyle risk factors and comorbidity of chronic diseases among male elderly populations in Oroqen Autonomous Banner. Preventive Medicine, 2022, 34(10): 1038-1042.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.10.013      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I10/1038
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