南京医科大学学报（社会科学版）2026，Vol.26Issue(1)：78-84,7.DOI:10.7655/NYDXBSSS250360
更年期女性慢性病发展轨迹及其影响因素追踪研究
Longitudinal study on the development trajectory and influencing factors of chronic diseases among menopausal women
摘要
Abstract
To identify the development trajectory of chronic diseases among menopausal women and its influencing factors,and to provide a reference basis for the health management of menopausal women,this study utilized five waves of data spanning 2011-2020 from the China Health and Retirement Longitudinal Study(CHARLS).A total of 3 508 women aged 40-54 at baseline were selected as subjects.Group-based trajectory modeling(GBTM)was employed to identify their chronic disease developmental trajectories,with further subgroup analysis conducted by birth cohort.Results indicated three types of developmental trajectories of chronic diseases among menopausal women:low-level slow growth(21.3%),moderate-level steady growth(60.6%),and high-level rapid growth(18.1%).Trajectory analysis classified by birth cohort further revealed the same three categories.Compared to the 1957-1961 birth cohort,the 1962-1971 cohort had a higher proportion in the low-level group and a lower proportion in the high-level group.Logistic regression analysis indicated that menopausal status,sleep,smoking,and employment status were the main influencing factors for trajectory classification.These findings revealed heterogeneity in the developmental trajectories of chronic diseases among menopausal women.Therefore,the study proposes implementing stratified interventions alongside strengthening health education on chronic disease prevention and control,and providing personalized health services to facilitate a smooth menopausal transition.关键词
更年期女性/慢性病/影响因素/组基轨迹模型Key words
menopausal women/chronic diseases/influencing factors/group-based trajectory model分类
医药卫生引用本文复制引用
陈小婷,温勇,宗占红..更年期女性慢性病发展轨迹及其影响因素追踪研究[J].南京医科大学学报（社会科学版）,2026,26(1):78-84,7.基金项目
国家社会科学基金"积极老龄化视角下老年友好型社区构建研究"(20BRK030) （20BRK030）
