目的:探讨中国失能老年人的疼痛现状并分析其影响因素.方法:数据来源于2020年中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS),选取其中≥65岁的2591名失能老年人作为研究对象,探究老年人失能和疼痛的关系,分析比较不同特征的失能老年人是否罹患疼痛,探讨失能老年人罹患疼痛的影响因素.结果:老年人罹患疼痛与失能密切相关,失能老年人疼痛罹患率远高于非失能老年人(80.08%vs.50.91%).失能老年人是否罹患疼痛在年龄、性别、受教育水平、居住地、健康自评情况、慢性病患病情况、抑郁情况、每年医疗支出的比较差异有统计学意义(P<0.05).二元logistic回归分析结果显示,女性、健康自评为不健康、存在慢性病、存在抑郁、每年医疗支出1000～4999元是失能老年人罹患疼痛的危险因素(P<0.05).结论:中国失能老年人疼痛现况不容乐观,性别、健康自评情况、慢性病、抑郁、每年医疗费用支出金额是失能老年人是否罹患疼痛的重要影响因素.应尽早识别和干预相关影响因素,加强失能老年人的疼痛管理,制定相关公共卫生政策,以推动健康老龄化的实现.
Pain and its influencing factors in the disabled elderly in China
Objective:To investigate the current situation and influencing factors of pain in the disabled elderly in China.Methods:Using 2020 China Health and Retirement Longitudinal Study(CHARLS 2020),we selected 2591 disabled elderly individuals aged≥65 as the study subjects to explore the relationship between disability and pain,analyze and compare whether disabled elderly people with different characteristics suffering from pain,and explore the influencing factors of disabled elderly people with or without pain.Results:Elderly people's suffering from pain was closely related to disability,and the prevalence of pain in disabled elderly people was much higher than that in non-disabled elderly people(80.08%vs.50.91%).Disabled elderly people suffering from pain was significantly different in age,gender,education level,residence,self-assessment of health,chronic disease,depression,and annual medical expenses(P<0.05).Binary logistic regression analysis showed that women,unhealthy,presence of chronic diseases,depression,and annual medical expenses of 1000-4999 yuan are risk factors for disabled elderly suffering from pain(P<0.05).Conclusion:The current situation of pain in disabled elderly people in China was not optimistic.Gender,health status,presence of chronic diseases,depression,and annual medical expenditure amount were significant influencing factors for disabled elderly people suffering from pain.Relevant influencing factors should be identified and intervened as early as possible,pain management for disabled elderly people should be strengthened,and relevant public health policies should be formulated to promote the realization of healthy aging.
elderlydisabilitypainChina Health and Retirement Longitudinal Study(CHARLS)
万方数据
维普
