关键词:  , 慢性病, 健康状况, 疾病谱, 危险因素, 老年人

Abstract:

Objective To explore the condition of chronic diseases and to clarify the risk factors of hypertension,osteoarthrosis,and heart diseases of the elder
ly in Jilin province.Methods A total of 21 435 adult residents aged 18-79 years from 32 cities, counties,and districts of Jilin province were selected by multi
-stage cluster random sampling method in 2012.4 115 residents aged 60-79 years were selected to be the subjects.The  condition of the chronic dis
eases was surveyed by questionnaire survey combined with physical examination method.After being weighted according to complex sampling scheme,the sample was used to describe the prevalence rate of the chronic diseases.Multiple Logistic regression analysis was used to analyze the risk factors of the chronic diseases.Results The prevalence rate of chronic diseases among the elderly in Jilin province was 79.5% in the past 1 year.The
 elderly  suffered from one kind of  chronic disease accounted for 22.7%,and the elderly suffered from two kinds of   chronic diseases accounted for 19.8%,and those who suffered from three kinds of  or more chronic diseases accounted for 37.0%.The top ten chronic diseases among the elderly were hy
pertension(33.2%),osteoarthrosis(31.9%),heart diseases(25.1%),digestive system diseases(24.2%),cerebrovascular diseases(16.3%),diabetes mellitus(13.8%),respiratory system diseases(10.6%),diseases of eye and adnexa (9.0%),rheumatism(4.0%),and hyperlipidemia(2.8%).The results of analysis on health-related behavior indicated that there were significant differences between different gender in smoking,drinking,taste,physical exercise
,sleep and body mass index(BMI),respectively(P<0.05).The Multiple Logistic regression analysis results indicated that gender,exercise, and BMI were main influencing factors of hypertension;gender and income were influencing factors of osteoarthrosis;gender,age,occupation,drink,and BMI were influencing factors of heart diseases.Conclusion Compared with other provinces and areas,the prevalence  rate of chronic diseases in Jilin province among the elderly is high.Hypertension,osteoarthrosis,and heart diseases are the top three kinds of diseases among all chronic diseases.The influencing fa
ctors of hypertension,osteoarthrosis and heart diseases are gender,age,occupation,income,drinking,exercise,and BMI.

Key words: chronic diseases, health status, disease spectrum, risk factor, elderly