Abstract
Objective To investigate the status of multimorbidity of chronic diseases among residents aged ≥55 and correlation among various chronic diseases. Methods A total of 4 903 residents aged ≥55 who had lived in Dandong for ≥6 months were randomly selected from 41 communities on 22 streets of 6 administrative areas which were Zhenxing District, Yuanbao District,Zhen′an District,Donggang,Fengcheng and Kuandian County in Dandong City,Liaoning Province from October to December in 2012. After the exclusion of incomplete questionnaires,collected 4 571 effective questionnaires with an effective rate of 93. 23%. Self - designed questionnaires were adopted,and the content included general demographic data such as gender and age and the detection results of chronic diseases. The 9 most common chronic diseases were hypertension,chronic neck/ lumbar disease,heart disease(coronary heart disease and arrhythmia),chronic obstructive pulmonary disease(COPD), type 2 diabetes,stroke,depression,chronic stomach/ duodenum ulcer and cancer. Results Among the 4 571 Dandong residents aged ≥55,the number of people who were detected with chronic diseases was 2 337 with a detection rate of 51. 13% . The detection rates of hypertension,chronic neck/ lumbar disease,heart disease,COPD,type 2 diabetes,stroke,depression, chronic stomach/ duodenum ulcer and cancer were 38. 63% ( 1 766 / 4 571 ),13. 08% ( 598 / 4 571 ),11. 62% ( 531/ 4 571),8. 40% (384 / 4 571),5. 82% (266 / 4 571),5. 78% (264 / 4 571),3. 13% (143 / 4 571),2. 58% (118/ 4 571)and 2. 36% (108 / 4 571)respectively. Females were higher than males in the detection rates of hypertension,heart disease and type 2 diabetes(P < 0. 05);males were higher than females in the detection rate of depression(P < 0. 05);males and females were not significantly different in the detection rates of chronic neck/ lumbar disease,COPD,stroke,chronic stomach/ duodenum ulcer and cancer(P > 0. 05). The number of subjects without chronic diseases was 2 234,accounting for 48. 87% ;the number of subjects with only one kind of chronic disease was 1 010,accounting for 22. 10% ;the number of subjects who had two kinds of chronic diseases was 880,accounting for 19. 25% ;the number of patients who had three kinds of chronic diseases was 384,accounting for 8. 40% ;the number of patients who had four kinds or more than four kinds of chronic diseases was 63,accounting for 1. 38% . There were all together 1 327 patients who had two kinds or more than two kinds of chronic diseases with a detection rate of 29. 03% ,and females were higher than males in the detection rate of multimorbidity of chronic diseases〔31. 45% (734 / 2 334)and 26. 51% (593 / 2 237),P < 0. 05〕. Correlation analysis of chronic diseases showed that hypertension was correlated with chronic neck/ lumbar disease,heart disease,type 2 diabetes,stroke,depression and chronic stomach/ duodenum ulcer( P < 0. 05);chronic neck/ lumbar disease was correlated with heart disease,type 2 diabetes,stroke and chronic stomach/ duodenum ulcer(P < 0. 05);heart disease was correlated with stroke and depression(P< 0. 05);stroke was correlated with depression( P < 0. 05);COPD was correlated with depression( P < 0. 05);type 2 diabetes was correlated with stroke and chronic neck/ lumbar disease(P < 0. 05);depression was correlated with chronic neck/lumbar disease;chronic neck/ lumbar disease was correlated with cancer( P < 0. 05). Conclusion Prevalence of chronic disease and prevalence of multimorbidity of chronic disease are both higher among residents aged ≥55 in Dandong. And there are statistically significant correlations among chronic diseases. The study of the multimorbidity of chronic diseases has guiding and practical significance in the general management of community health care. The further studies of multimordibity,aiming at the intervention of common behavioral risk factors,will improve the residents′ health level and the efficiency of community chronic disease management.关键词
慢性病/共病现象/社区卫生服务/横断面研究Key words
Chronic disease/Comorbidity/Community health services/Cross - sectional studies分类
医药卫生
