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河南省空巢老人慢性病患病现状及其对精神状态的影响

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目的:了解河南省空巢老人慢性病患病现状及其对精神状态的影响,为制定空巢老人慢性病防治措施提供参考.方法:采用分层抽样法抽取河南省18 个市60 岁及以上老年人进行问卷调查,采用Logistic回归分析空巢老人慢性病患病现状及对精神状态的影响.结果:3 731 名空巢老人中,慢性病患病率为 52.51%,慢性病共病(MCC)患病率为20.58%,精神状态受损率为34.09%.Logistic回归分析结果显示,与非MCC患病空巢老人相比,MCC患病空巢老人精神状态受损风险较高(OR =1.250,95%CI为 1.008~1.550),患高血压(OR =1.416,95%CI为1.198~1.674)、恶性肿瘤(OR = 0.410,95%CI 为 0.244~0.688)、脑卒中(OR = 1.593,95%CI 为 1.076~2.359)、痴呆(OR =6.344,95%CI为 4.277~9.412)、精神疾病(OR =2.161,95%CI为 1.348~3.466)、其他疾病(OR =2.040,95%CI为1.643~2.533)影响河南省空巢老人的精神状态(P<0.05).结论:河南省空巢老人精神受损状态处于较高水平,应重点关注多病共存人群,制定精准防治策略,减少慢性病对空巢老人精神状态的影响.
Current status of chronic diseases among empty nesters in Henan Prov-ince and its impact on mental status
Aim:To understand the current status of chronic diseases among empty nesters in Henan Province and its impact on mental status,and to provide reference for the development of preventive and curative measures for chronic disea-ses among empty nesters.Methods:A stratified sampling method was used to collect data from seniors(≥60 years)in 18 cities of Henan Province.Questionnaire survey was performed to understand the current status of chronic diseases among empty nesters.Logistic regression was used to analyze the impact of the current status of chronic diseases on mental status of the empty nesters.Results:Among 3 731 empty nesters,the prevalence of chronic diseases was 52.51%,the prevalence of multiple chronic conditions(MCC)was 20.58%,and the rate of impaired mental status was 34.09%.Logistic regression a-nalysis showed that MCC(OR =1.250,95%CI was 1.008-1.550),the presence of hypertension(OR =1.416,95%CI was 1.198-1.674),malignancy tumor(OR =0.410,95%CI was 0.244-0.688),cerebral stroke(OR =1.593,95%CI was 1.076-2.359),dementia(OR =6.344,95%CI was 4.277-9.412),mental illness(OR =2.161,95%CI was 1.348-3.466)and other diseases(OR =2.040,95%CI was 1.643-2.533)were factors influencing the mental status of empty nesters in Henan Province(P<0.05).Conclusions:The mental impairment status of empty nesters in Henan Province is at a relatively high level,so we should focus on the population with coexistence of multiple diseases and develop precise pre-vention and treatment strategies to reduce the impact of chronic diseases on the mental status of the empty nesters.

empty nesterchronic diseasedisease statusmental statusHenan Province

张杨洋、田庆丰、苏蕴、欧阳宗尚

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郑州大学公共卫生学院社会医学与卫生事业管理教研室 郑州 450001

空巢老人 慢性病 患病现状 精神状态 河南省

国家重点研发计划

2020YFC2006100

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(2)
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