Chinese General Practice ›› 2024, Vol. 27 ›› Issue (11): 1296-1302.DOI: 10.12114/j.issn.1007-9572.2023.0634
• Original Research • Previous Articles Next Articles
Received:
2023-09-11
Revised:
2023-12-12
Published:
2024-04-15
Online:
2024-01-23
Contact:
YU Peng, YU Ying
About author:
通讯作者:
于鹏, 虞莹
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0634
项目 | 2011年(n=7 290) | 2015年(n=9 845) | χ2值 | P值 | ||
---|---|---|---|---|---|---|
人数 | 加权后百分比(95%CI)(%) | 人数 | 加权后百分比(95%CI)(%) | |||
心血管代谢性疾病共病 | 1 332 | 19.3(17.81~20.88) | 2 454 | 25.88(24.46~27.36) | 108.16 | <0.01 |
高血压 | 2 476 | 36.02(34.13~37.95) | 3 739 | 42.50(41.03~43.99) | 82.04 | <0.01 |
心脏病 | 1 180 | 17.18(15.76~18.71) | 2 027 | 23.34(21.80~24.95) | 96.25 | <0.01 |
血脂异常 | 748 | 11.55(10.20~13.06) | 1 771 | 22.14(20.46~23.9) | 277.64 | <0.01 |
糖尿病 | 548 | 8.12(7.25~9.09) | 1 049 | 12.56(11.47~13.74) | 75.31 | <0.01 |
卒中 | 311 | 4.80(4.06~5.67) | 496 | 6.11(5.37~6.95) | 11.17 | <0.01 |
骨关节疾病共病 | 1 807 | 23.17(21.51~24.91) | 2 752 | 25.47(23.97~27.03) | 22.64 | <0.01 |
关节炎 | 2 620 | 35.31(33.33~37.34) | 4 355 | 46.58(44.47~48.70) | 230.26 | <0.01 |
疼痛 | 2 350 | 30.99(29.16~32.88) | 2 935 | 29.96(28.26~31.71) | 0.02 | 0.87 |
跌倒 | 1 294 | 18.49(16.82~20.28) | 2 027 | 19.99(18.71~21.33) | 6.73 | <0.01 |
骨折 | 139 | 2.33(1.87~2.90) | 274 | 3.52(2.79~4.44) | 9.77 | <0.01 |
消化系统疾病共病 | 362 | 5.15(4.07~6.49) | 882 | 8.85(7.77~10.07) | 103.69 | <0.01 |
胃病 | 1 548 | 20.84(19.50~22.24) | 2 899 | 30.80(29.24~32.40) | 226.80 | <0.01 |
肝病 | 255 | 3.71(2.95~4.65) | 585 | 6.97(5.69~8.51) | 71.86 | <0.01 |
口腔疾病 | 996 | 17.34(15.55~19.28) | 1 729 | 20.39(18.77~22.11) | 2.73 | 0.10 |
呼吸系统疾病共病 | 312 | 4.04(3.54~4.61) | 502 | 5.02(4.45~5.65) | 9.63 | <0.01 |
肺病 | 984 | 13.44(12.52~14.42) | 1 606 | 17.93(16.65~19.29) | 50.90 | <0.01 |
哮喘 | 474 | 6.31(5.62~7.08) | 719 | 7.85(7.12~8.65) | 11.09 | <0.01 |
神经系统疾病共病 | 22 | 0.36(0.22~0.59) | 55 | 0.52(0.39~0.70) | 5.44 | 0.02 |
记忆力减退 | 256 | 3.88(3.31~4.54) | 431 | 4.92(4.32~5.60) | 15.28 | <0.01 |
心理疾病 | 122 | 1.65(1.33~2.05) | 249 | 2.80(2.30~3.40) | 18.61 | <0.01 |
泌尿系统疾病 | 442 | 6.20(5.13~7.49) | 971 | 10.82(9.77~11.98) | 109.23 | <0.01 |
肿瘤性疾病 | 70 | 0.98(0.73~1.33) | 164 | 1.91(1.56~2.35) | 19.21 | <0.01 |
共病患病 | 4 418 | 59.76(58.05~61.44) | 6 727 | 66.90(65.03~68.72) | 109.65 | <0.01 |
Table 1 Comparison of self-reported disease prevalence in the population aged ≥60 years in the CHARLS Database,2011 and 2015 wave
项目 | 2011年(n=7 290) | 2015年(n=9 845) | χ2值 | P值 | ||
---|---|---|---|---|---|---|
人数 | 加权后百分比(95%CI)(%) | 人数 | 加权后百分比(95%CI)(%) | |||
心血管代谢性疾病共病 | 1 332 | 19.3(17.81~20.88) | 2 454 | 25.88(24.46~27.36) | 108.16 | <0.01 |
高血压 | 2 476 | 36.02(34.13~37.95) | 3 739 | 42.50(41.03~43.99) | 82.04 | <0.01 |
心脏病 | 1 180 | 17.18(15.76~18.71) | 2 027 | 23.34(21.80~24.95) | 96.25 | <0.01 |
血脂异常 | 748 | 11.55(10.20~13.06) | 1 771 | 22.14(20.46~23.9) | 277.64 | <0.01 |
糖尿病 | 548 | 8.12(7.25~9.09) | 1 049 | 12.56(11.47~13.74) | 75.31 | <0.01 |
卒中 | 311 | 4.80(4.06~5.67) | 496 | 6.11(5.37~6.95) | 11.17 | <0.01 |
骨关节疾病共病 | 1 807 | 23.17(21.51~24.91) | 2 752 | 25.47(23.97~27.03) | 22.64 | <0.01 |
关节炎 | 2 620 | 35.31(33.33~37.34) | 4 355 | 46.58(44.47~48.70) | 230.26 | <0.01 |
疼痛 | 2 350 | 30.99(29.16~32.88) | 2 935 | 29.96(28.26~31.71) | 0.02 | 0.87 |
跌倒 | 1 294 | 18.49(16.82~20.28) | 2 027 | 19.99(18.71~21.33) | 6.73 | <0.01 |
骨折 | 139 | 2.33(1.87~2.90) | 274 | 3.52(2.79~4.44) | 9.77 | <0.01 |
消化系统疾病共病 | 362 | 5.15(4.07~6.49) | 882 | 8.85(7.77~10.07) | 103.69 | <0.01 |
胃病 | 1 548 | 20.84(19.50~22.24) | 2 899 | 30.80(29.24~32.40) | 226.80 | <0.01 |
肝病 | 255 | 3.71(2.95~4.65) | 585 | 6.97(5.69~8.51) | 71.86 | <0.01 |
口腔疾病 | 996 | 17.34(15.55~19.28) | 1 729 | 20.39(18.77~22.11) | 2.73 | 0.10 |
呼吸系统疾病共病 | 312 | 4.04(3.54~4.61) | 502 | 5.02(4.45~5.65) | 9.63 | <0.01 |
肺病 | 984 | 13.44(12.52~14.42) | 1 606 | 17.93(16.65~19.29) | 50.90 | <0.01 |
哮喘 | 474 | 6.31(5.62~7.08) | 719 | 7.85(7.12~8.65) | 11.09 | <0.01 |
神经系统疾病共病 | 22 | 0.36(0.22~0.59) | 55 | 0.52(0.39~0.70) | 5.44 | 0.02 |
记忆力减退 | 256 | 3.88(3.31~4.54) | 431 | 4.92(4.32~5.60) | 15.28 | <0.01 |
心理疾病 | 122 | 1.65(1.33~2.05) | 249 | 2.80(2.30~3.40) | 18.61 | <0.01 |
泌尿系统疾病 | 442 | 6.20(5.13~7.49) | 971 | 10.82(9.77~11.98) | 109.23 | <0.01 |
肿瘤性疾病 | 70 | 0.98(0.73~1.33) | 164 | 1.91(1.56~2.35) | 19.21 | <0.01 |
共病患病 | 4 418 | 59.76(58.05~61.44) | 6 727 | 66.90(65.03~68.72) | 109.65 | <0.01 |
项目 | 2011年(n=5 946) | 2015年(n=8 006) | χ2值 | P值 | ||
---|---|---|---|---|---|---|
人数 | 加权后百分比(95%CI)(%) | 人数 | 加权后百分比(95%CI)(%) | |||
心血管代谢性疾病 | ||||||
腹型肥胖 | 2 486 | 45.37(43.02~47.74) | 3 565 | 47.99(45.99~50.00) | 18.09 | <0.01 |
超重或肥胖 | 2 127 | 39.53(37.28~41.82) | 3 218 | 42.88(40.79~44.99) | 35.12 | <0.01 |
血脂异常 | 1 408 | 34.68(31.87~37.6) | 1 300 | 26.15(24.39~28.00) | 60.03 | <0.01 |
高血压 | 1 143 | 30.56(28.04~33.20) | 1 152 | 24.16(22.42~25.99) | 37.39 | <0.01 |
糖尿病 | 611 | 14.25(12.49~16.23) | 931 | 17.68(16.05~19.43) | 14.10 | <0.01 |
神经系统疾病 | ||||||
抑郁(CES-D≥16分) | 1 833 | 25.52(23.85~27.26) | 1 537 | 22.44(21.33~23.60) | 10.26 | <0.01 |
认知障碍(TICS<6分) | 367 | 6.61(5.60~7.78) | 448 | 6.79(6.02~7.64) | 0.02 | 0.90 |
通气功能降低(PEF<80%) | 3 252 | 53.92(50.85~56.95) | 3 543 | 41.24(39.33~43.18) | 203.37 | <0.01 |
肾功能降低[eGFR<60 mL·min-1·(1.73 m2)-1] | 147 | 3.04(2.46~3.76) | 323 | 5.32(4.05~6.95) | 24.57 | <0.01 |
Table 2 Comparison of disease prevalence based on self-report and objective examination analysis in the population aged ≥60 years in the CHARLS Database,2011 and 2015 wave
项目 | 2011年(n=5 946) | 2015年(n=8 006) | χ2值 | P值 | ||
---|---|---|---|---|---|---|
人数 | 加权后百分比(95%CI)(%) | 人数 | 加权后百分比(95%CI)(%) | |||
心血管代谢性疾病 | ||||||
腹型肥胖 | 2 486 | 45.37(43.02~47.74) | 3 565 | 47.99(45.99~50.00) | 18.09 | <0.01 |
超重或肥胖 | 2 127 | 39.53(37.28~41.82) | 3 218 | 42.88(40.79~44.99) | 35.12 | <0.01 |
血脂异常 | 1 408 | 34.68(31.87~37.6) | 1 300 | 26.15(24.39~28.00) | 60.03 | <0.01 |
高血压 | 1 143 | 30.56(28.04~33.20) | 1 152 | 24.16(22.42~25.99) | 37.39 | <0.01 |
糖尿病 | 611 | 14.25(12.49~16.23) | 931 | 17.68(16.05~19.43) | 14.10 | <0.01 |
神经系统疾病 | ||||||
抑郁(CES-D≥16分) | 1 833 | 25.52(23.85~27.26) | 1 537 | 22.44(21.33~23.60) | 10.26 | <0.01 |
认知障碍(TICS<6分) | 367 | 6.61(5.60~7.78) | 448 | 6.79(6.02~7.64) | 0.02 | 0.90 |
通气功能降低(PEF<80%) | 3 252 | 53.92(50.85~56.95) | 3 543 | 41.24(39.33~43.18) | 203.37 | <0.01 |
肾功能降低[eGFR<60 mL·min-1·(1.73 m2)-1] | 147 | 3.04(2.46~3.76) | 323 | 5.32(4.05~6.95) | 24.57 | <0.01 |
项目 | 2011年(n=5 946) | 2015年(n=8 006) | χ2值 | P值 | ||
---|---|---|---|---|---|---|
人数 | 加权后百分比(95%CI)(%) | 人数 | 加权后百分比(95%CI)(%) | |||
心血管代谢性疾病共病 | 2 357 | 52.75(49.99~55.49) | 3 769 | 60.49(58.56~62.40) | 64.39 | <0.01 |
骨关节疾病共病 | 1 564 | 23.17(21.51~24.91) | 2 295 | 25.47(23.97~27.03) | 22.64 | <0.01 |
呼吸系统疾病共病 | 703 | 12.56(11.31~13.93) | 1 019 | 12.12(11.16~13.16) | 0.39 | 0.53 |
消化系统疾病共病 | 298 | 5.15(4.07~6.49) | 726 | 8.85(7.77~10.07) | 103.69 | <0.01 |
神经系统疾病共病 | 131 | 2.65(2.14~3.28) | 223 | 3.37(2.89~3.92) | 4.15 | 0.04 |
共病患病 | 4 409 | 85.96(84.34~87.43) | 6 087 | 92.24(91.19~93.17) | 71.66 | <0.01 |
Table 3 Comparison of comorbidity prevalence based on self-report combined with objective examination analysis in the population aged ≥60 years in the CHARLS Database,2011 and 2015 wave
项目 | 2011年(n=5 946) | 2015年(n=8 006) | χ2值 | P值 | ||
---|---|---|---|---|---|---|
人数 | 加权后百分比(95%CI)(%) | 人数 | 加权后百分比(95%CI)(%) | |||
心血管代谢性疾病共病 | 2 357 | 52.75(49.99~55.49) | 3 769 | 60.49(58.56~62.40) | 64.39 | <0.01 |
骨关节疾病共病 | 1 564 | 23.17(21.51~24.91) | 2 295 | 25.47(23.97~27.03) | 22.64 | <0.01 |
呼吸系统疾病共病 | 703 | 12.56(11.31~13.93) | 1 019 | 12.12(11.16~13.16) | 0.39 | 0.53 |
消化系统疾病共病 | 298 | 5.15(4.07~6.49) | 726 | 8.85(7.77~10.07) | 103.69 | <0.01 |
神经系统疾病共病 | 131 | 2.65(2.14~3.28) | 223 | 3.37(2.89~3.92) | 4.15 | 0.04 |
共病患病 | 4 409 | 85.96(84.34~87.43) | 6 087 | 92.24(91.19~93.17) | 71.66 | <0.01 |
共病模式 | 例数 | ADL评分 |
---|---|---|
心血管代谢性疾病+骨关节疾病共病 | 785 | 8.90±3.92ab |
骨关节疾病共病 | 1 760 | 7.65±2.98ab |
心血管代谢性疾病共病 | 1 946 | 7.06±2.34 |
呼吸系统疾病共病 | 714 | 6.95±1.99 |
非特异性共病 | 2 795 | 6.40±1.19ab |
F值 | 178.44 | |
P值 | <0.001 |
Table 4 Comparison of ADL scores among patients with different comorbidity patterns
共病模式 | 例数 | ADL评分 |
---|---|---|
心血管代谢性疾病+骨关节疾病共病 | 785 | 8.90±3.92ab |
骨关节疾病共病 | 1 760 | 7.65±2.98ab |
心血管代谢性疾病共病 | 1 946 | 7.06±2.34 |
呼吸系统疾病共病 | 714 | 6.95±1.99 |
非特异性共病 | 2 795 | 6.40±1.19ab |
F值 | 178.44 | |
P值 | <0.001 |
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