摘要
目的 了解海南省老年人"三高"共病流行现状并分析其影响因素,为制定和优化海南省老年人"三高共管"策略提供依据.方法 收集海南省基本公共卫生服务项目信息系统中2022年1-12月老年人健康管理服务记录,了解老年人"三高"共病现状,采用检验和二分类logistic回归分析探讨"三高"共病的影响因素.结果 共有383 607名老年人纳入研究,高血压、糖尿病、血脂异常患病率分别为50.95％、22.84％、38.35％,其中"三高"共病率为6.65％.二分类logistic回归结果显示:女性(OR=1.105)、高年龄组(与65～69岁相比,70～74岁OR=1.114;75～79岁OR=1.367;≥80岁OR=1.410)、丧偶(OR=1.079)、戒烟(OR=1.269)、锻炼频率低(与不锻炼相比,偶尔锻炼OR=1.125;经常锻炼OR=1.370)、以荤为主(OR=1.157)、嗜盐(OR=1.292)、嗜糖(OR=1.903)、中心性肥胖(OR=1.506)、BMI 超重(OR=1.339)和肥胖(OR=1.598)均是"三高"共病的危险因素(P＜0.05).结论 海南省老年人的"三高"共病率较高,相关部门应多措并举,强化"三高共管"力度,促进健康老龄化,助力"健康海南"建设.
Abstract
Objective To investigate the prevalence of comorbidities of hypertension,diabetes,and dyslipidemia among the el-derly population in Hainan Province and analyze the influencing factors,providing basis for formulating and optimizing the strategies for managing these comorbidities among the elderly in Hainan Province.Methods The health management service records of the elderly population from January to December 2022 in the Basic Public Health Service Information System of Hainan Province were collected.The prevalence of comorbidities of hypertension,diabetes,and dyslipidemia among the elderly was analyzed using chi-square test,and binary logistic regression was used to explore the influencing factors.Results A total of 383 607 elderly individuals were included in the study.The prevalence rates of hypertension,diabetes,and dyslipidemia were 50.95％,22.84％,and 38.35％,respectively.The overall comorbidity rate of these three conditions was 6.65％.The binary logis-tic regression analysis showed that being female(OR=1.105),older age groups(compared with 65 to 69 years,70 to 74 years:OR=1.114;75-79 years:OR=1.367;≥80 years:OR=1.410),widowhood(OR=1.079),smoking cessation(OR=1.269),low exer-cise frequency(compared with no exercise,occasional exercise:OR=1.125;frequent exercise:OR=1.370),preference for meat-based diet(OR=1.157),salt preference(OR=1.292),sugar preference(OR=1.903),central obesity(OR=1.506),overweight BMI(OR=1.339),and obesity(OR=1.598)were all risk factors for comorbidities of hypertension,diabetes,and dyslipidemia(P＜0.05).Conclusion The prevalence of comorbidities of hypertension,diabetes,and dyslipidemia among the elderly population in Hainan Province is relatively high.Relevant departments should take comprehensive measures to strengthen the management of these comorbidities and promote healthy aging,contributing to the construction of a"Healthy Hainan".
基金项目
2024年海南省卫生健康统计专题揭榜项目(A2024010104)
2023年海南省基本公共卫生服务项目(RZ2300001012)
NETL
NSTL
万方数据