社会经济地位对河南省中老年人慢性病及共病患病情况的影响

Impact of Socioeconomic Status on Prevalence of Chronic Diseases and Comorbidities in Middle-aged and Older Adults in Henan Province

吴晓漫 ¹蒋小彬 ²赵蔚嘉 ¹贾诗宇 ¹苗豫东 ¹曹志辉 ³吴建¹

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作者信息

1. 郑州大学公共卫生学院,河南郑州,450000
2. 郑州大学附属郑州中心医院,河南郑州,450000
3. 华北理工大学经济管理学院,河北唐山,063210
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摘要

目的:探讨社会经济地位对河南省中老年人慢性病及共病患病情况的影响,为制定慢性病预防干预策略提供参考依据.方法:于2022 年8 月,通过分层随机整群抽样方法收集河南省中老年人的人口学特征、社会经济地位、慢性病患病等信息.按受教育程度、家庭收入、职业赋分将社会经济地位分级,采用二分类logistic回归分析社会经济地位对中老年人慢性病及共病患病情况的影响.结果:共16233 名中老年人被纳入分析.与家庭人均年收入在(0,12000]元相比,收入在(12000,60000]元的中老年人慢性病共病风险较低;与初中及以下学历相比,受教育程度为本科或大专的中老年人慢性病共病风险较低;与无业人群相比,从事体力劳动的中老年人慢性病共病风险较低.社会经济地位综合得分≥9 分、7-8 分、6 分的中老年人患脑卒中的风险是得分<6 分者的0.568-0.787 倍;社会经济地位综合得分 6 分的中老年人慢性病共病风险是综合得分<6分者的0.849 倍.结论:不同社会经济地位的中老年人慢性病及共病患病情况存在差异,家庭人均年收入水平较低、受教育水平较低以及无业的中老年人共病患病的风险较高.应针对不同的社会经济地位指标与疾病分布特点,对不同群体采取针对性的干预措施.

Abstract

Objective:To explore the influence of socioeconomic status on the prevalence of chronic diseases and comorbidi-ties in middle-aged and older adults in Henan province,and to provide references for policy makers to formulate prevention and in-tervention strategies for chronic diseases.Methods:This survey used cluster random stratified sampling in August 2022.Self-de-signed questionnaires were used to collect the demographic information,socioeconomic status and the prevalence of chronic diseases in middle-aged and older adults in Henan province.Socioeconomic status was assessed by education level,family income,and oc-cupation.The effects of socioeconomic status on the prevalence of chronic diseases and comorbidities were analyzed by binary logis-tic regression.Results:A total of 16233 middle-aged and older adults were included in this study.Compared with the annual household income per capita of(0,12000],the risk of comorbidity of people with annual household income(12000,60000]was lower.Compared to junior high school and below,the risk of comorbidity of undergraduate or junior college population was lower.Compared to unemployed people,the risk of comorbidity in people engaged in manual labor was lower.Compared to socioeconomic status score below 6,the risk of stroke in those with socioeconomic status score of≥9,7-8 and 6 was 0.568-0.787 times.Com-pared to socioeconomic status score below 6,the risk of comorbidities in those with socioeconomic status score of 6 was 0.849 times.Conclusion:There are differences among middle-aged and older adults with different socioeconomic status on the prevalence of chronic diseases and comorbidities.Middle-aged and older adults with lower per capita annual household income level,lower edu-cation level,and unemployed status have higher risk of comorbidities.Targeted intervention measures should be taken according to different socioeconomic status indicators and disease distribution among different population.

关键词

慢性病防控/慢性病共病/社会经济地位/河南

Key words

Prevention and Control of Chronic Disease/Chronic Disease Comorbidity/Socioeconomic Status/Henan

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基金项目

整合型医疗卫生服务体系交易费用测度与应对策略研究(21BGL222)

健康中原行动动态监测与综合评价平台项目(20220134B)

2023年郑州大学研究生自主创新项目(20230440)

郑州大学 2023年大学生创新创业训练计划项目(2023CXCY131)

河北省自然科学基金项目(G2020209002)

出版年

2024

医学与社会

华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心

影响因子：1.178

ISSN：1006-5563

参考文献量27

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