Background With the acceleration of population aging,the health problems of middle-aged and elderly people are prominent.Multimorbidity seriously threaten the health and quality of life of middle-aged and elderly people,and hinder the progress of Healthy China Initiative.It is of positive significance to explore the relationship between multimorbidity and social determinants of health.Objective To understand the multimorbidity and social determinants of health among the middle-aged and elderly people in Ningxia,and analyze the relationship between the social determinants of health and multimorbidity,so as to provide reference for the health management and intervention strategies for middle-aged and elderly people.Methods A multi-stage stratified random sampling method was used to investigate the health related data of 1 997 middle-aged and elderly people in 10 districts/counties of Shizuishan City,Yinchuan City,and Guyuan City in Ningxia from June 27,2022 to August 27,2022.The Apriori algorithm was used to analyze the comorbidity patterns of middle-aged and elderly people in Ningxia,and unconditional Logistic regression analysis was used to explore the correlation between multimorbidity and social determinants of health among middle-aged and elderly people in Ningxia.Results There were 418 middle-aged and elderly people in Ningxia with a comorbidity rate of 20.9%;the results of association rules showed 14 comorbidity patterns,of which 11 were related to coronary heart disease,9 to hypertension,and 9 to diabetes;the results of unconditional Logistic regression analysis showed that middle-aged and elderly people aged≥60 years,with 2-3 children,established family archives,retired or unemployed work status,and resident pension insurance had a higher incidence of multimorbidity(P<0.05),while middle-aged and elderly people with nighttime sleep duration of 7-8 hours and more than 8 hours,and education level of college or above had a lower incidence of multimorbidity(P<0.05).Conclusion The factors influencing the comorbidity of chronic diseases in middle aged and elderly people involve individual,community and social aspects.It is recommended to intervene in chronic comorbidity patients from a multidimensional perspective with a view to improving the health of the population.
MultimorbidityMiddle aged and elderly peopleSocial determinants of healthAssociation rulesRoot cause analysis
维普
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