【摘要】 目的：分析我国老年患者慢性病共病情况及其影响因素，为完善慢性病防治政策提供参考。方法：选取中国健康与养老追踪调查2018年和2020年老年慢性病患者数据8 641份，从安德森模型的倾向、使能、需要三个维度，进行统计学分析。结果：在纳入研究的老年慢性病患者8 641人中，慢性病共病6 624人（76.66%）；患病人数最多的二元共病组合是“高血压+关节炎”、三元共病组合是“高血压+关节炎+血脂异常”；年龄、居住地、吸烟情况、饮酒情况、睡眠时间、是否退休、自评健康、是否抑郁等因素对慢性病共病具有显著影响。结论：我国老年患者慢性病共病患病率较高，影响因素众多，应优化老年卫生服务体系与资源配置，探索“医保+商保+医疗机构”协同治理模式，深入实施国家基本公共卫生服务项目。更多还原

【Abstract】 Objective To analyze the prevalence and influencing factors of chronic disease comorbidity among elderly patients in China,and to provide reference for improving chronic disease prevention and control policies. Methods The Data of 8,641 elderly chronic disease patients from CHARLS in 2018 and 2020 were selected. Statistical analysis was conducted based on the predisposing, enabling, and need dimensions of the Anderson model. Results Among the 8 641 elderly chronic disease patients, 6 624(76.66%) had chronic disease comorbidity. The most prevalent bivariate comorbidity combination was "hypertension+arthritis", while the most prevalent trivariate combination was "hypertension+arthritis +diabetes". Factors such as age, place of residence, smoking status, drinking status, sleep duration, retirement status, self-rated health, and depression status significantly influenced chronic disease comorbidity. Conclusion The prevalence of chronic disease comorbidity among elderly patients in China is high, influenced by multiple factors. It is necessary to optimize the elderly healthcare service system and resource allocation, explore a collaborative governance model integrating "medical insurance +commercial insurance +healthcare institutions", and thoroughly implement the National Basic Public Health Service Projects.更多还原