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|本期目录/Table of Contents|

我国中老年人健康危险行为的聚集性研究(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年14期
页码:
2640-2645
栏目:
健康与社会行为
出版日期:
2022-07-30

文章信息/Info

Title:
Study on the cluster health risk behaviors of middle-aged and elderly in China
作者:
曹熙; 蔡雨彤; 闫妍; 秦梦霞; 李思甜; 贺鹭
山西医科大学，山西 太原030001
Author(s):
CAO Xi;  CAI Yu-tong;  YAN Yan;  QIN Meng-xia;  LI Si-tian;  HE Lu
Shanxi Medical University, Taiyuan, Shanxi 030001, China
关键词:
中老年人; 健康危险行为; 潜在类别分析
Keywords:
Middle-aged and elderly;  Health risk behaviors;  Latent class analysis
分类号:
R195；R592
DOI:
10.20043/j.cnki.MPM.202203023
文献标识码:
A
摘要:
目的 了解我国中老年人健康危险行为的聚集现状及其影响因素，为实现积极老龄化提供行为干预的理论基础。方法 基于2018年中国健康与养老追踪调查（CHARLS），以45岁及以上中老年人为研究对象。采用SPSS 26.0进行描述性分析，采用Mplus 8.3进行潜在类别分析，探索中老年人健康危险行为聚集的潜在类别数，采用多项无序分类logistic回归分析模型评估不同人口学特征对潜在类别分组影响。结果 中老年人健康危险行为可分为低风险组（16.2%）、中风险组（50%）和高风险组（33.8%）3个潜在类别。多项logistic回归模型结果显示，男性（OR = 1.747，95%CI：1.578～1.934）、农村(OR = 1.677，95%CI：1.506～1.868）、自评健康较差(OR = 1.830，95%CI：1.605～2.086)、无残疾史(OR = 1.262，95%CI：1.087～1.464)、文化程度较低等是进入中风险组的危险因素。未患有慢性病(OR = 1.375，95%CI：1.191～1.589)是进入高风险组的危险因素。结论 我国中老年人普遍存在多种健康危险行为的聚集，性别、居住地、文化程度、自评健康、残疾史、慢性病种类是健康危险行为潜在类别分组的影响因素。
Abstract:
Objective To understand the current state of aggregation of health risk behaviors among middle-aged and elderly people in China and their influencing factors, and to provide a theoretical basis for behavioral interventions to achieve active aging. Methods Based on China Health and Retirement Longitudinal Study (CHARLS) in 2018, middle-aged and elderly people over 45 years old were included in the study. SPSS 26.0 was used for descriptive analysis, and Mplus 8.3 was used for latent class analysis (LCA) to explore the number of latent categories of health risk behavior aggregation. The multinomial unordered classification Logistic regression analysis model was used to evaluate the impact of different demographic characteristics on latent category group. Results The health risk behaviors of middle-aged and elderly were divided into three potential categories: low risk group (16.2%), medium risk group (50%), and high risk group (33.8%). The results of the multinomial logistic regression model showed that men (OR=1.747, 95%CI: 1.578-1.934), rural (OR=1.677, 95%CI: 1.506-1.868), poorer self-rated health (OR=1.830, 95%CI: 1.605-2.086), no history of disability (OR=1.262. 95%CI: 1.087-1.464), and lower literacy were risk factors for entering the intermediate risk group. Not having chronic diseases (OR=1.375, 95%CI: 1.191-1.589) was the risk factor for entering the high risk group. Conclusion Multiple aggregations of health risk behaviors are prevalent among middle-aged and older adults in China, and gender, place of residence, education level, self-rated health, disability history, and type of chronic disease are influencing factors for grouping into potential categories of health risk behaviors.

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备注/Memo

备注/Memo:
作者简介：曹熙（1997—），女，硕士在读，研究方向：卫生服务研究
通信作者：贺鹭，E-mail:heluhl2013@163.com
更新日期/Last Update: 2022-07-28