摘要
目的了解中国老年人失能现况及影响因素。方法利用2015年中国健康与养老追踪调查数据(CHARLS),选取≥60岁老年人群,采用躯体生活自理量表(PSMS)进行老年人失能状态的判定;应用logistic回归模型对老年人失能的影响因素进行分析。结果共纳入≥60岁老年人5454人,其中失能老人543人,失能率为10.0%。女性的失能率(10.5%)高于男性的失能率(9.3%);多因素分析结果显示,年龄,社交活动频率,抑郁、慢病数量、自评健康状况是老年人失能的危险因素(P<0.05)。结论本研究显示,中国老年人失能情况严峻,应加强老年人的慢性病管理,提供高质量的专业性养老服务和长期护理服务;关注老年人心理健康,鼓励其进行适量的社交活动。
Objective To explore the prevalence and influencing factors of disability among the elderly in China.Methods Valid information for a total of 5 454 urban and rural residents aged≥60 years were retrieved from the datasets of China Health and Retirement Longitudinal Study(CHARLS)2015.The disability of the elderly was assessed with Physical Self-Maintenance Scale(PSMS).Chi-square test and logistic regression were applied to analyze the differences in disability among different groups and its influencing factors.Results For all the elderly,543 were identified with disability and the prevalence rate of disability was 10.0%.The disability rate of the female elderly was higher than that of the males(10.5%vs.9.3%).The results of multivariate logistic regression analysis revealed that elder age,decrease in frequency of social activity,depression,suffering from 3 or more chronic diseases,and poor self-rated health were the main risk factors for disability in the elderly(P<0.05 for all).Conclusion The prevalence of disability was high among elderly residents in China and effective measures need to be implemented to promote healthy aging in the elderly population.
作者
朱雪雪
张玉
刘宏宇
周令
ZHU Xue-xue;ZHANG Yu;LIU Hong-yu(Department of Health Management School of Public Health,Dalian Medical University,Dalian,Liaoning Province 116044,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2019年第7期914-917,共4页
Chinese Journal of Public Health
