Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-06-09 Cooperative journals: 《中国全科医学》
Abstract： Background In the context of increasing population aging，maintaining the health of the elderly is the key to successful aging. Multimorbidity is an important factor threatening the health of the elderly，and its relationship with thehealth promotion behaviors of the elderly has been rarely reported. Objective To understand the multimorbidity patterns and distribution of health promotion behaviors among the elderly in Ningxia，analyze the relationship between multimorbidity patterns and health promotion behaviors in the elderly，so as to provide a reference for the development of management and intervention strategies for the health of elderly. Methods The population aged 65 years and above in Ningxia were selected as study subjects by using random cluster sampling method from January 2021 to July 2021，and surveyed by self-designed questionnaire〔including general information questionnaire，patient health questionnaire-9（PHQ-9），mini-mental state examination（MMSE），health promoting lifestyle profile-Chinese version（HPLP-C）〕. Multimorbidity patterns of the elderly was analyzed by association rules of Apriori algorithm，the correlation between multimorbidity and health promotion behaviors of the elderly was analyzed by multivariable Logistic regression analysis. Results A total of 2 010 older adults aged 65 years and above were included，with the multimorbidity rate of 31.00%（623/2 010）. The most common binary multimorbidity pattern was coronary heart disease and hypertension〔25.36%（158/623）〕，the most common ternary multimorbidity pattern was hypertension，coronary heart disease and stroke〔4.49%（28/623）〕. The association rules revealed 16 patterns of multimorbidity，15 of which were related to hypertension，10 were related to coronary heart disease，and 7 were related to asthma. The multivariate Logistic regression analysis showed that compared with older adults with poor health promotion behaviors, those with general〔OR（95%CI）=0.364（0.185，0.714）〕，good〔OR（95%CI）=0.488（0.251，0.948）〕，excellent〔OR（95%CI）=0.426（0.213，0.853）〕health promotion behaviors had a lower risk of multimorbidity（P<0.05）. HPLP-C physical activity〔OR（95%CI）=0.960（0.925，0.997）〕and stress management〔OR（95%CI）=0.963（0.938，0.989）〕dimension scores in older adults were negatively associated with the occurrence of multimorbidity；HPLP-C health responsibility〔OR（95%CI）=1.038（1.013，1.063）〕dimension score was positively associated with the occurrence of multimorbidity. Conclusion The multimorbidity patterns of the elderly in Ningxia are complex，and there is an association between health promotion behaviors and occurrence of multimorbidity. The risk of multimorbidity can be reduced by interventions such as encouraging the elderly to practice health promotion behaviors and improve their lifestyles.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-01-30 Cooperative journals: 《中国全科医学》
Abstract：
Background With the aggravation of the aging trend, the health of the elderly is the key to successful aging.The comorbidity of chronic diseases is an important factor threatening the health of the elderly, and the relationship between it and the health promotion behavior of the elderly is rarely discussed.Objective To know the comorbid pattern of chronic diseases and the distribution of health promotion behaviors among the elderly in Ningxia,to explore the relationship between comorbidity patterns and health promotion behaviors in the elderly, to provide a reference for the the health of elderly. Methods: From January 2021 to July 2021, random cluster sampling method was used to select the population aged 65 above in Ningxia Hui Autonomous Region for questionnaire survey. The comorbidity pattern of the elderly was analyzed by Apriori algorithm, the correlation between comorbidity and health promotion behavior of the elderly was analyzed by binary Logistic regression model. Results A total of 2,010 elderly people aged 65 years and above were included, and the comorbidity rate was 31.00%. The most common modes of binary comorbidity are coronary heart disease and hypertension (25.36%), and the most common modes of ternary comorbidity are hypertension, coronary heart disease and stroke (4.49%). The association rule revealed 16 comorbidity patterns,the association rules showed that 15 were related to hypertension, 10 were related to coronary heart disease, and 7 were related to asthma; The multivariate Logistic regression model showed that compared with poor health promotion behaviors, Health promotion behaviors were general (OR=0.364, 95%CI: 0.185~0.714), good (OR=0.488, 95%CI: 0.251~0.948), excellent (OR=0.426, 95%CI: 0.213~0.853) in the elderly with a reduced risk of chronic disease comorbidity; Where physical activity (OR=0.960, 95%CI: 0.925~0.997), stress management (OR=0.963, 95%CI: 0.938~0.989) was negatively associated with the comorbidity of chronic diseases; Health responsibility (OR=1.038, 95%CI: 1.013~1.063) showed a positive association with chronic disease comorbidity. Conclusion The comorbidity pattern of the elderly in Ningxia is complex, which is associated with health promotion behavior,interventions such as health promotion,healthy lifestyle improvement can be carried out to reduce the risk of comorbid disease in the elderly.
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