健康发展与政策研究2025，Vol.28Issue(3)：268-275,8.DOI:10.12458/HDPR.202411092
我国中老年人慢性病对残疾发生的因素分解
The contribution of chronic diseases to disability among middle-aged and older adults in China
摘要
Abstract
Objective To comprehensively analyze the relationship between chronic diseases and disability from the perspective of health inequalities,providing evidence to support effective responses to population ageing.Methods This study utilized data from four waves of the China Health and Retirement Longitudinal Study(CHARLS)to examine the prevalence of disability across different chronic disease groups.A multiple cumulative risk model was employed to decompose the risk of disability.Additionally,health inequalities in chronic disease contributions were explored.Results From 2011 to 2018,the overall disability prevalence rate among the participants increased from 16.48%to 18.83%,and the difference was statistically significant(χ2=47.44,P＜0.001).Higher disease-specific disability rate and greater contributions of chronic diseases were identified among women,rural residents,and individuals with low socioeconomic status across all age groups.Among younger populations(aged 45～64),the largest relative contribution was from background factors(41.31%～58.57%),followed by arthritis(18.85%～31.28%).For populations aged 65 and above,arthritis accounted for the highest relative contribution(29.77%～40.80%).Conclusions The prevalence of disability shows inequality,particularly evident across different educational levels and between urban and rural areas.Reducing the risks associated with background factors and arthritis will help alleviate the burden of disability and promote healthy aging.关键词
慢性非传染性疾病/贡献度/残疾/中国Key words
non-communicable diseases/contribution/disability/China分类
医药卫生引用本文复制引用
王延赏,罗雅楠,石振宇,何平..我国中老年人慢性病对残疾发生的因素分解[J].健康发展与政策研究,2025,28(3):268-275,8.基金项目
国家社会科学基金重大项目(21&ZD187) （21&ZD187）
