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老年人便秘流行病学特点的初步分析 被引量:389

The survey of the current status and distribution of elderly constipation in China
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摘要 目的 探讨老年人便秘患病现状和分布特点。 方法 采用多级、整群抽样的方法 ,对6个城市 82 5 2名≥ 6 0岁的常住老年人进行横断面流行病学调查。 结果 老年人便秘总患病率为11 5 % ,随着年龄的增长患病率增加 ,6 0~、6 5~、70~、75~、80~和 85 +年龄组的患病率分别为8 7%、9 6 %、11 7%、15 3%、17 2 %、19 5 % (P <0 0 1) ;老年人便秘城市患病率为 10 9% ,农村为12 3% ,农村高于城市 (P <0 0 1) ,且地区差异明显 (P <0 0 1) ,北方地区患病率较高 ,为 17 5 % ;老年人便秘患病率存在职业差别 (P <0 0 1) ,从事家务、行政管理、科教文卫职业者患病率较高 ,分别为15 6 %、13 4%和 12 7% ,工人和商企人员的患病率较低 ,均为 10 1%。多因素Logistic回归分析表明 ,性别、年龄、城乡和地区与便秘患病率密切相关。 结论 随年龄增长老年人便秘的患病率增加 ,北方高于南方 ,女性高于男性 ,除年龄因素外 ,老年人便秘还可能与气候、膳食结构、体力活动量等因素有关。 Objective To survey the current status and distribution of constipation in Chinese old population. Methods The 8 252 elderly, aged ≥60 years,in the urban and rural areas of 6 cites were investigated using a cluster random sampling methods. Results The rude prevalence of constipation was 11 5%. The prevaleme increased with ageing 〔8 7%,9 6%,11 7%,15 3%,17 2% and 19 5% respectively in the age groups of 60 ,65 ,70 ,75 ,80 ,85 years old 〕.The rude prevalence was higher in north of China (17 5%) than that in south of China. It was relatively higher in female (9 98%) than that in male (8 39%) and different by house worker (15 6%), managers (13 4%), workers and business (10 1%) and other profession (8 3%, P <0 01).Logistic regression analysis also showed the rude prevalence was related with gender, ageing and area ( P <0 01). Conclusions The rude constipation prevalence of Chinese elderly population increased with ageing. Beside the ageing factor, it was also related with gender, area and profession.
出处 《中华老年医学杂志》 CAS CSCD 北大核心 2001年第2期132-134,共3页 Chinese Journal of Geriatrics
基金 国家"九五"攻关资助!项目 ( 96 90 6 0 5 0 9)
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