【摘要】 目的了解贵州农村老年人慢性病患病情况及其对健康自评的影响作用。方法于2007年对贵州省6个国家级贫困县农村老年人健康状况进行问卷调查,采用χ2检验及有序变量累积比数风险模型进行分析。结果农村老年人慢性病患病率为18.5%,位列前五位的慢性病为高血压、慢性支气管炎、类风湿性关节炎、结核病、运动系统疾病、胃肠炎;慢性病患病种类存在性别(χ2=17.01,P=0.00)和年龄段(χ2=23.47,P=0.01)差异;患有慢性病的老年人健康自评差(χ2=172.77,P=0.00),患病类型对健康自评存在一定影响,患胃肠炎的老年人健康自评最差,其次是结核、高血压、运动系疾病、慢性支气管炎和类风湿性关节炎(χ2=21.17,P=0.02),慢性病对农村老年人健康自评影响显著(OR=5.24)。结论健康自评指标可以反映老年人群的整体健康状况,明显的机体症状易导致消极的健康自评。更多还原

【Abstract】 【Objective】 To understand the circumstances suffering from chronic diseases and the circumstances impact on self-rated health in Guizhou rural elderly people.【Methods】 Make some Questionnaire survey to the rural elderly from six state-level poverty-stricken counties in 2007.And,to analysis with χ2 inspection and ordered variable cumulative odds model.【Results】 The prevalence of chronic diseases among the elderly in the rural areas is 18.5%,The top 5 of the prevalence of chronic diseases is high blood pressure,chronic bronchitis,rheumatoid arthritis,tuberculosis,sports disease,gastroenteritis;There are statistical differences in types with elderly chronic illnesses of different gender(χ2=17.01,P =0.00) and age paragraph(χ2 =23.47,P =0.01) elderly.The old people with chronic conditions self-rated health more negative(χ2 = 172.77,P =0.00),and the type of illness exist certain effect to the self-rated health.The worst self-rated health is the old people with gastroenteritis,followed by tuberculosis,high blood pressure,sports disease,chronic bronchitis and rheumatoid arthritis(χ2=21.17,P =0.02),Chronic diseases on the rural elderly self-rated health effect is remarkable(OR =5.24).【Conclusion】 The self-rated health indicators can reflect the elderly overall health condition,significant body symptoms lead to more negative self-rated health.更多还原