中国全科医学2025，Vol.28Issue(32)：4009-4014,4023,7.DOI:10.12114/j.issn.1007-9572.2024.0403
中老年人慢性病共病对健康受损的影响研究
Influence of Multiple Chronic Conditions on Health Impairment in Middle-aged and Elderly People
摘要
Abstract
Background China's population aging intensifies,and the prevalence rate of chronic diseases among middle-aged and old people is rising sharply.The comorbidities of chronic diseases are closely related to the impaired health of middle-aged and elderly people,threatening the health of middle-aged and elderly people.However,at present,there are few relevant studies on the middle-aged and elderly groups in Ningxia.Objective To explore the relationship between multiple chronic conditions and health impairment in middle-aged and elderly people in Ningxia.Methods From June to August 2022,a multi-stage stratified random sampling method was used to select 2 000 middle-aged and elderly people from 10 districts(counties)in Yinchuan City,Shizuishan City and Guyuan City of Ningxia Hui Autonomous Region for a questionnaire survey.The questionnaire covered three parts:basic information of middle-aged and elderly people,the prevalence of chronic diseases,and the situation of health impairment.The Logit model and propensity score matching(PSM)were used to analyze the impact of chronic disease comorbidity on health impairment among middle-aged and elderly people in Ningxia region.Results A total of 1 997 valid questionnaires were collected,with an effective recovery rate of 99.85%.The prevalence of multimorbidity among middle-aged and elderly people in Ningxia was 20.93%(418/1 997),and the prevalence of health impairment was 12.52%(250/1 997).There were statistically significant differences in the prevalence of health impairment among middle-aged and elderly people with different genders,ages,marital statuses,educational levels,living alone status,smoking history,weekly exercise frequency,per capita annual household income,and whether they had received economic support from their children(P<0.05).The Logit model results showed that gender,age,educational level,drinking history,weekly exercise frequency,and multimorbidity were the influencing factors of health impairment among middle-aged and elderly people(P<0.05).Compared with non-multimorbid individuals,the probability of health impairment among multimorbid middle-aged and elderly people was 6.6%higher.After controlling for other factors that could affect the health impairment of middle-aged and elderly people,the average treatment effect of multimorbidity on health impairment was 0.246.Conclusion The coexistence of chronic diseases among middle-aged and elderly people increases the risk of health impairment.To reduce the risk of health impairment among middle-aged and elderly people,efforts should be made to enhance the prevention,treatment and publicity of chronic disease coexistence,and raise their awareness of self-management of chronic disease coexistence.关键词
慢性病共病/日常生活活动能力/中老年人/Logit模型/倾向得分匹配/宁夏Key words
Multiple chronic conditions/Activities of daily living/Middle-aged and elderly people/Logit model/Propensity score matching/Ningxia分类
医药卫生引用本文复制引用
史晓洁,杨晓花,马春芳,汤榕..中老年人慢性病共病对健康受损的影响研究[J].中国全科医学,2025,28(32):4009-4014,4023,7.基金项目
宁夏自然科学基金资助项目(2023AAC03233) （2023AAC03233）
宁夏医科大学校级科学研究重点项目(XE2024022) （XE2024022）
