基于倾向性评分匹配法的慢性病共病对我国老年人多维健康状况的影响研究
Research on Impact of Multiple Chronic Conditions on Multidimensional Health Status of Elderly People in China Based on Propensity Score Matching
李岩静 1郝晓宁2
作者信息
- 1. 南京医科大学医政学院, 江苏南京, 211166
- 2. 南京医科大学医政学院, 江苏南京, 211166;国家卫生健康委卫生发展研究中心, 北京, 100044
- 折叠
摘要
目的:分析慢性病共病对我国老年人多维健康状况的影响,为改善老年人多维健康状况提供参考.方法:选取2021 年中国综合社会调查数据库中60 岁及以上老年人为研究对象.在描述我国老年人慢性病共病现状与多维健康状况的基础上,利用倾向性评分匹配法将有慢性病共病与无慢性病共病的老年人进行匹配,并进行单因素和多重线性回归分析,探究慢性病共病对老年人多维健康状况的影响.结果:1004 例研究对象中,慢性病共病的发生率为30.3%,多维健康状况得分均值为(11.11±2.93),生理健康状况得分明显低于心理和社会健康状况.倾向性评分匹配后,共匹配到无慢性病共病和慢性病共病老年人300 对,共 600 例.回归结果显示,慢性病共病是我国老年人多维健康状况的重要危险因素(β=-0.277,P<0.001).此外,居住地、婚姻状况、饮酒史、睡眠质量、是否定期体检也是老年人多维健康状况的影响因素(P<0.05).结论:我国老年人心理健康和社会健康状况优于生理健康状况,慢性病共病是老年人多维健康状况的重要危险因素.应进一步提升老年人多维健康状况认知水平,加快构建医防融合慢性病管理创新模式,培养老年人健康生活方式与行为,同时关注老年人心理健康,鼓励老年人社会参与.
Abstract
Objective:To analyze the influence of multiple chronic conditions on the multidimensional health status of elderly people in China,so as to provide references for improving their multidimensional health status.Methods:The elderly(≥60 years old)from the Chinese general social survey in 2021 as the research subjects were selected.On the basis of describing the current status and multidimensional health status of chronic disease comorbidities among elderly people in China,the propensity score matc-hing(PSM)was used to match individuals with and without multimorbidity.The association of multimorbidity with multidimensional health was analyzed by univariate and suffering from multiple linear regression analyses.Results:Among the 1004 cases,the preva-lence of multimorbidity was 30.3%and the average score of multidimensional health status was(11.11±2.93),and the physical health status was significantly lower than the psychological and social health status.A total of 300 pairs(600 cases)of multimorbidi-ty and non-multimorbidity were obtained after PSM.Multiple linear regression analysis showed that multimorbidity was the risk fac-tor of multidimensional health status of elderly people in China(β=-0.277,P<0.001).In addition,place of residence,marital sta-tus,drinking history,sleep quality,and whether regular physical examinations were also influencing factors for the multidimensional health status of the elderly(P<0.05).Conclusion:The psychological and social health status of elderly people in China is superior to their physical health status,and suffering from multiple chronic conditions is an important risk factor for multidimensional health status in elderly people.We should further enhance the cognitive level of multidimensional health among the elderly,accelerate the construction of an innovative model for integrating medical prevention and chronic disease management,cultivate healthy lifestyles and behaviors for the elderly,and pay attention to their mental health and encouraging their social participation.
关键词
慢性病管理/慢性病共病/多维健康/老年人Key words
Chronic Disease Management/Multiple Chronic Conditions/Multidimensional Health/Older Adult引用本文复制引用
基金项目
国家自然科学基金(71774034)
国家重点研发计划重点专项(2018YFC2002600)
江苏省高等学校哲学社会科学优秀创新团队"公共健康政策与管理创新研究团队"资助项目()
出版年
2024
NETL
NSTL
维普
万方数据