Abstract
Objective To explore the effects of number and types of chronic diseases on activities of daily living (ADL)abilities among the elderly in China. Methods From November 2015 to March 2016,7 970 respondents aged 60 or over who received ADL survey were analyzed by adopting the trace data in China Health and Retirement Longitudinal Study in 2013. According to the sickness status of chronic diseases of respondents and situations of ADL and instrumental activities of daily living(IADL)disability,the effects of number and types of chronic diseases on ADL and IADL of the elderly were analyzed by Logistic regression analysis. Results Of the 7 970 research objects,1 762 (22. 1% ) with no chronic diseases,5 061 (63. 5% )with 1 to 3 types of chronic diseases,1 059(13. 3% )with 4 to 6 types,and 88(1. 1% ) with at least 7 types;chronic diseases with the top three prevalence were arthritis/ rheumatism(37. 6% ,2 999 / 7 970),hypertension(35. 8% , 2 857 / 7 970)and stomach diseases(24. 2% ,1 928 / 7 970);rates of ADL and IADL disability were 23. 8% (1 898 / 7 970) and 35. 4% (2 822 / 7 970)respectively. There were significant difference in rates of ADL and IADL disability between subjects with different number of chronic diseases(P < 0. 01);the rate of ADL disability of patients with hypertension,dyslipidemia, diabetes,chronic lung diseases,heart diseases,stroke,kidney diseases,stomach diseases,mentally emotional problems, memory - related diseases,arthritis/ rheumatism and asthma was higher than that of patients without corresponding chronic diseases(P < 0. 05);the rate of IADL disability of patients with hypertension,malignant tumor,chronic lung diseases,heart diseases,stroke,kidney diseases,stomach diseases,mentally emotional problems,memory - related diseases,arthritis/rheumatism and asthma was higher than that of patients without corresponding chronic diseases(P < 0. 05). Multivariate Logistic regression analysis showed that the number people suffering from chronic diseases was the influence factor of ADL and IADL disability on condition that the specific chronic diseases were not taken as independent variables(P < 0. 001);when the specific chronic diseases were taken as independent variables,hypertension,dyslipidemia,diabetes,chronic lung diseases,heart diseases,stroke,kidney diseases,stomach diseases,memory - related diseases,arthritis/ rheumatism were the influence factors of ADL disability( P < 0. 05);1 to 3 types of chronic diseases,4 to 6 types of chronic diseases,malignant tumor, chronic lung diseases, heart diseases, stroke, mentally emotional problems, memory - related diseases, and arthritis/rheumatism were the influence factors of IADL disability(P < 0. 05). Conclusion The number of chronic diseases is not the most important influencing factor of ADL among the elderly. Attention should be paid to specific chronic diseases,including stroke and memory - related diseases.关键词
慢性病/老年人/日常生活活动Key words
Chronic disease/Aged/Activities of daily living分类
医药卫生
