摘要
目的了解上海市奉贤区60岁以上老年人日常活动能力(activity daily living,ADL)现状及其影响因素,并计算该人群的健康期望寿命(healthy life expectancy,HALE)。方法采用两阶段分层整群抽样的方法抽取1 696名奉贤区60岁以上老人开展问卷调查,采用杜克ADL计分法评价日常活动能力,Sullivan法计算HALE。结果 2015年奉贤区老年人ADL损害率为13.50%,女性(16.32%)高于男性(10.28%),差异有统计学意义(χ~2=13.11,P<0.05),且随年龄增长,ADL损害率逐渐升高(χ~2=352.76,P<0.05),年龄大(F=50.325)、离婚/丧偶(F=17.879)、患慢性病(t=4.193)是影响奉贤区老年人ADL的危险因素,家庭月收入高(t=4.191)和体育锻炼(t=-4.742)为保护因素(均P<0.05);60岁~组老年人HALE为20.01岁,男性19.44岁、女性20.46岁,且随年龄增长而缩短。结论为提高奉贤区老年人的HALE,应提倡健康的生活方式,加强老年人的健康保健服务。
Objective To investigate activity daily living（ADL） and the influencing factors of people over 60 yeear-old in Fengxian district, and calculate their healthy life expectancy（HALE）. Methods Totally 1 696 people over 60 year-old were selected by two-stage cluster random sampling and surveyed with questionnaire. Duke ADL scoring method was taken to evaluate their ADL and Sullivan＇s method to calculate their HALE. Results The disability rate of ADL of elderly people was 13.50% in Fengxian district in 2015; the disability rate of the female（16.32%） was higher than that of the male（10.28%）with statistical difference（χ~2=13.11, P0.05）. The disability rate of ADL increased with age growth（χ~2=352.76, P0.05）.The main risks influencing ADL in Fengxian district were elder（F=50.325）, divorced or widowed（F=17.879） and suffering chronic diseases（t=4.193）. The main protective factors of ADL were high family income（t=4.191） and reasonable physical exercise（t=-4.742） with statistical differences（all P0.05）. The HALE in age group of 60 years-was 20.01 years with the male of 19.44 years and the female of 20.46 years, and decreased with age growth. Conclusions In order to extend HALE for elderly people in Fenxian district, healthy life style should be advocated, and medical care services should be improved.
作者
罗卫平
陆燕
汤海英
李敬芝
陈英
张琳
吴武鑫
徐海峰
袁媛
黄芳
LUO Wei-ping;LU Yan;TANG Hai-ying;LI Jing-zhi;CHEN Ying;ZHANG Lin;WU Wu-xin;XU Hai-feng;YUAN Yuan;HUANG Fang(The Center for Disease Control and Prevention of Fengxian District, Shanghai 201499, China)
出处
《疾病预防控制通报》
2018年第2期5-8,共4页
Bulletin of Disease Control & Prevention(China)
基金
上海市奉贤区科委资助项目(奉科20141108)
