摘要
目的了解中国老年人慢性病共病患病情况及共病模式,并探索慢性病间的关联性,为我国慢性病筛查和老年人慢性病共病管理提供数据支撑。方法利用2015年中国健康与养老追踪调查(CHARLS)中9 936名≥60岁老年人的数据,分析老年人慢性病共病患病现状。采用R 4.0.0统计软件进行χ^(2)检验,采用Apriori算法挖掘老年人慢性病强关联规则,探索慢性病共病模式。结果老年人慢性病患病率为71.18%,慢性病共病率为45.92%。患病率最高的前3位慢性病分别为关节炎或风湿病(39.81%)、高血压(28.32%)和消化系统疾病(24.75%)。最常见的二元共病模式为消化系统疾病和关节炎或风湿病(1 477例,20.88%),最常见的三元共病模式为消化系统疾病、高血压和关节炎或风湿病(483例,6.83%)。关联规则的Apriori算法共筛选出37条强关联规则,右侧项集包括高血压(19条)、慢性肺部疾病(7条)、消化系统疾病(6条)、心脏病(3条)和血脂异常(2条)。结论中国老年人慢性病患病率及共病率高,指向高血压、慢性肺部疾病、消化系统疾病、血脂异常和心脏病的强关联规则较多,应针对慢性病的患病特点加强对其的筛查与预防,提高慢性病防治及管理的成效。
Objective To understand the prevalence and model of chronic disease comorbidities in the elderly of China,explore the correlation between chronic diseases,and provide the data support for chronic diseases screening and the management of chronic diseases comorbidity among the elderly in China. Methods The data of 9 936 residents (≥ 60 years old) from 2015 China health and retirement longitudinal study(CHARLS) were used to analyze the current status of chronic disease comorbidity in the elderly.Apriori algorithm was used to explore the strong association rules of chronic disease and the chronic disease comorbidity model in the elderly. The χ^(2) test was used to analyze the data,the used software was R 4.0.0. Results The morbidity of chronic diseases in the elderly was 71.18%,the morbidity of chronic diseases comorbidities was 45.92%. The top three chronic diseases with the highest morbidity were arthritis or rheumatism(39.81%),hypertension(28.32%) and digestive system disease(24.75%). The most common binary comorbidity model was digestive system disease plue arthritis or rheumatism(1 477 cases,20.88%),the most common ternary comorbidity model was digestive system disease plus hypertension plus arthritis or rheumatism(483 cases,6.83%).Apriori algorithm of association rules screened out 37 strong association rules,the results pointed to hypertension(19 rules),chronic lung disease(7 rules),digestive system disease(6 rules),heart disease(3 rules) and dyslipidemia(2 rules). Conclusion The mobidity and comorbidity of chronic diseases in the elderly of China are high,and there are many strong association rules that point to hypertension,chronic lung disease,digestive system disease,dyslipidemia and heart disease. The screening and prevention of chronic diseases should be strengthened to improve the effectiveness of prevention and management of chronic diseases.
作者
徐小兵
李迪
孙扬
舒琴
肖涟
徐守荣
胡赛
姜垚松
辛艳姣
XU Xiao-bing;LI Di;SUN Yang;SHU Qin;XIAO Lian;XU Shou-rong;HU Sai;JIANG Yao-song;XIN Yan-jiao(Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei Province 430022,China)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2021年第11期808-812,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
老年人
关联规则
慢性病共病
Elderly
Association rules
Chronic disease comorbidity
