资中县中老年人慢性病共病模式及影响因素分析

doi:10.3969/j.issn.1001-8131.2025.02.013

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Abstract Objective To understand the comorbidity pattern of chronic diseases in a certain area of Sichuan,and to explore the influencing factors of chronic comorbidities in middle-aged and elderly people,so as to provide a reference for the prevention and control of comorbidities.Methods In 2023,a multi-stage stratified random sampling method was used to recruit 4521 middle-aged and elderly residents in the area for a household survey on social determinants of health for chronic diseases.The number of chronic diseases in different gender,age,marital status,educational level,occupation,drinking habits,and types of medical insurance was compared.The comorbidity pattern of chronic diseases in the area was analyzed by potential class analysis,and the influencing factors of chronic disease comorbidity were analyzed by multiple linear regression.Results A total of 4521 middle-aged and elderly people were included,of which 886 were chronic disease comorbidity patients,with a comorbidity rate of 19.60%（886/4521）.Among the non-chronic disease patients,3635 were non-chronic disease patients,Three category model was selected as the optimal model after considering the potential class analysis comprehensively.The results of multivariate linear regression analysis showed that middle-aged and elderly individuals who drink alcohol,have lost a spouse,and have urban employee medical insurance were positively associated with the co-morbidity of chronic diseases（P<0.05）,while those aged 45-59 and in employment were negatively associated with the co-morbidity of chronic diseases（P<0.05）.Conclusion The chronic disease co-morbidity pattern in the study area is mainly composed of three types of "multiple system disease type""relatively healthy type",and "cardiovascular disease type".In daily health management,attention should be paid to middle-aged and elderly individuals who drink alcohol,have lost a spouse,and have urban employee medical insurance,and targeted health management should be carried out.Reduce the incidence of chronic comorbidities.

Key words： chronic disease co-morbidities potential category analysis chronic disease

Received: 18 February 2025

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	Shu Huiyu
	Yuan Yining
	Feng Xixi

Cite this article:

Shu Huiyu,Yuan Yining,Feng Xixi. Analysis of Chronic Disease Co-morbidity Patterns and Influencing Factors among Middle-aged and Elderly People in Zizhong County[J]. journal1, 2025, 45(2): 44-48.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2025.02.013 OR http://www.hrbyybjb.org.cn/EN/Y2025/V45/I2/44

[1] 穆滢潭,龙飞,原新.中国老年人健康老龄化的城乡差异及其变迁趋势——基于生命历程和健康公平视角的分析[J].人口研究,2023,47(04):82-97.
[2] 李雨晴,张艳,景丽伟,等.老年慢性病共病病人治疗负担现状和影响因素分析[J].循证护理,2024,10(04):700-704.
[3] 杨中婷,杜兴梅,叶卿云,等.健康社会决定因素对恶性肿瘤死亡人群总生存时间的影响[J].昆明医科大学学报,2022,43(07):97-104.
[4] 马春芳,汤榕,杨晓花,等.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[J].中国全科医学,2024,27(04):447-453.
[5] 闫妍,剌媛媛,贺鹭,等.潜在类别分析在探究60岁以上老年人的多病模式和相关因素的应用[J].中国卫生统计,2022,39(05):702-706.
[6] 王梅杰,周翔,李亚杰,等.2010—2019年中国中老年人慢性病共病患病率的Meta分析[J].中国全科医学,2021,24(16):2085-2091.
[7] 杨林. 基于潜在类别分析的山西省慢性病患者生命质量研究[D].山西医科大学,2019.
[8] ZHANG Q,HAN X,ZHAO X,et al.Multimorbidity patterns and associated factors in older Chinese:results from the China health and retirement longitudinal study[J].BMC Geriatr,2022,22(1):470.
[9] 刘贝贝,田庆丰,郭金玲.我国中老年人群慢性病患病现状及共病模式分析[J].医学与社会,2022,35(08):58-61.
[10] 孙艳格,张李松.更年期妇女健康管理专家共识(基层版)[J].中国全科医学,2021,24(11):1317-1324.
[11] 赵子寅,张佳军,孙文俊,等.中国老年人躯体慢性病共病的复杂模式及其对卫生服务利用影响研究[J].中国全科医学,2024,27(20):2498-2504.
[12] 贺家. 西安市退休后再就业与不就业老人心理健康状况的比较研究[D].延安大学,2020.
[13] 唐静梅,刘鑫,莫秋燕,等.广西壮族人群慢性病共病影响因素和模式分析[J].广西医科大学学报,2023,40(12):2084-2092.
[14] 刘佳宁. 我国养老保险制度发展浅析[J].合作经济与科技,2023(01):173-175.
[15] 柯心雨. 全民健身视角下离退休老年人心理困境的广场舞介入效果研究[D].成都医学院,2023.
[16] 李改云. 我国慢性病共病老年人的健康相关生命质量及医疗服务利用状况研究[D].兰州大学,2023.