Prevalence and influencing factors of chronic diseases among the elderly in Southwest China: A cross-sectional study based on community in urban and rural areas

IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Wenqian Su , Yan Lin , Lingli Yang , Wenyang Zhang , Zhengjiao Dong , Jingjing Zhang
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Abstract

Objective

To explore the influencing factors affecting chronic diseases of elderly in Kunming.

Methods

Data were collected from November 2020 to August 2021.The crosssectional study based on community was adopted. And hierarchical random sampling was used. A face to face questionnaire survey was conducted among the respondents or family caregivers. The contents we collected mainly include general demographic characteristics and other related influencing factors, self-reported chronic diseases and disability status.

Results

1161 elderly were investigated in total. The percentage of non-communicable chronic disease among the rural elderly was higher than that of urban elderly. Binary logistic regression analysis showed that in urban areas, female (OR: 0.592;95 %CI:0.396 ∼ 0.885), not in marriage (OR:1.643;95 %CI:1.093 ∼ 2.470)and not very satisfied with family support (OR:1.858;95 %CI:1.115 ∼ 3.096) are the influencing factors of chronic disease, while in rural areas are not in marriage (OR:1.961;95 %CI:1.021 ∼ 3.763), more health-promoting behavior (OR:0.582;95%CI:0.350 ∼ 0.970), not very satisfied with family support (OR:1.858;95 %CI:1.115 ∼ 3.096), age 70–79 (OR:1.805;95 %CI:1.705 ∼ 3.031), age 80 and above (OR:2.081;95 %CI:1.010 ∼ 4.288), empty nest family (OR:0.389;95 %CI:0.186 ∼ 0.811)and personal monthly income 2001-3000 (OR:0.353;95CI%:0.180 ∼ 0.693). The influencing factors of urban-rural multimorbidity and non-communicable chronic disease with disability also exist differences at individual, family and social levels.

Conclusions

The prevalence rate of non-communicable chronic diseases among the elderly in Yunnan Province is not optimistic. Personal, family and social factors would affect the non-communicable chronic diseases of the elderly and there exist difference in influencing factor of non-communicable chronic disease between urban and rural areas.

中国西南地区老年人慢性病患病率及影响因素:基于城乡社区的横断面研究
方法 收集 2020 年 11 月至 2021 年 8 月的数据,以社区为单位进行横断面研究。数据收集时间为 2020 年 11 月至 2021 年 8 月。对被调查者或家庭照顾者进行面对面的问卷调查。我们收集的内容主要包括一般人口学特征及其他相关影响因素、自我报告的慢性病和失能状况。农村老年人患非传染性慢性病的比例高于城市老年人。二元逻辑回归分析表明,在城市地区,女性(OR: 0.592;95 %CI:0.396 ∼ 0.885)、未结婚(OR:1.643;95 %CI:1.093 ∼ 2.470)和对家庭支持不非常满意(OR:1.858;95 %CI:1.115 ∼ 3.096)是慢性病的影响因素,而在农村地区,未结婚(OR:1.961;95 %CI:1.021 ∼ 3.763)、有更多促进健康的行为(OR:0.582;95%CI:0.350 ∼ 0.970)、对家庭支持不太满意(OR:1.858;95 %CI:1.115 ∼ 3.096)、年龄在 70-79 岁(OR:1.805;95 %CI:1.705 ∼ 3.031)、80 岁及以上(OR:2.081;95 %CI:1.010 ∼ 4.288)、空巢家庭(OR:0.389;95 %CI:0.186 ∼ 0.811)和个人月收入 2001-3000 (OR:0.353;95CI%:0.180 ∼ 0.693)。结论 云南省老年人非传染性慢性病患病率不容乐观。个人、家庭和社会因素会影响老年人的非传染性慢性病,且城乡之间非传染性慢性病的影响因素存在差异。
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来源期刊
Preventive Medicine Reports
Preventive Medicine Reports Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.90
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0.00%
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353
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