摘要
目的:分析广西东兰县老年人群健康调查资料,了解该地区老年人群认知功能状态及影响因素。方法:采用面对面交谈填写问卷的方式调查广西东兰县老年人群的健康状况,并对其进行健康体检,采用EpiData 3.1、SPSS 21.0和GraphPad Prism 7.04软件对数据进行统计分析。结果:本研究有效调查的老年人为2210例,其中认知障碍(CI)患者有855例,占38.7%,女性CI发生率(41.2%)高于男性(35.3%)。按性别进行分层,Logistic回归分析结果显示,男性老年人群中的高年龄段(OR≥80岁=3.313,95%CI:1.814~6.051)、农民(OR=1.564,95%CI:1.067~2.291)是其认知功能损伤的危险因素;汉族与壮族(OR汉族=0.186,95%CI:0.068~0.510;OR壮族=0.375,95%CI:0.153~0.922)、参加休闲活动(OR=0.522,95%CI:0.313~0.870),较高甘油三酯水平(OR=0.536,95%CI:0.370~0.776)是其认知功能损伤的保护因素。对于女性老年人群,高年龄段(OR 70~79岁=1.523,95%CI:1.192~1.946;OR≥80岁=2.161,95%CI:1.412~3.309)是其发生CI的危险因素;汉族与壮族(OR汉族=0.264,95%CI:0.125~0.555;OR壮族=0.307,95%CI:0.159~0.592)、参加休闲活动(OR=0.621,95%CI:0.405~0.950)、较高体重指数(Ibm)水平(OR Ibm≥24=0.719,95%CI:0.543~0.952)是其发生CI的保护因素。结论:广西东兰县较多老年人存在一定程度的CI,不同性别老年人群认知功能状态的影响因素有所不同,应对不同性别的老年人采取有针对性的干预措施。
Objective:To investigate the cognitive function status in the elderly population of Donglan county of Guangxi province and its influencing factors by analyzing the health survey data.Methods:A questionnaire through face-to-face interview and physical examinations were conducted to investigate the health status of the elderly in Donglan county of Guangxi province.EpiData3.1,SPSS21.0 and GraphPad Prism7.04 software were used for statistical analysis.Results:A total of 2210 elderly people were effectively surveyed in this study,of which 855 were cognitive impairment,accounting for 38.7%.The incidence of cognitive impairment in female(41.2%)was higher than that in male(35.3%).After stratification by genders,the results of logistic regression analysis showed that the high age group(OR≥80 years=3.313,95%CI:1.814-6.051)and farmers(OR=1.564,95%CI:1.067-2.291)were risk factors for cognitive impairment,while Han and Zhuang nationalities(ORHan=0.186,95%CI:0.068-0.510;ORZhuang=0.375,95%CI:0.153-0.922),participation in leisure activities(OR=0.522,95%CI:0.313-0.870),and higher triglyceride level(OR=0.536,95%CI:0.370-0.776)were protective factors for cognitive impairment in the male elderly.For the female elderly,high age group(OR70~79 years=1.523,95%CI:1.192-1.946;OR≥80 years=2.161,95%CI:1.412-3.309)was risk factor for cognitive impairment,while Han and Zhuang nationalities(ORHan=0.264,95%CI:0.125-0.555;ORZhuang=0.307,95%CI:0.159-0.592),participating in leisure activities(OR=0.621,95%CI:0.405-0.950),and higher body mass index(OR=0.719,95%CI:0.543-0.952)were protective factors for cognitive impairment.Conclusion:More elderly people in Donglan county of Guangxi province have a certain degree of cognitive impairment,and the influencing factors of cognitive function in the elderly population of different genders are different.Therefore the targeted intervention measures should be taken for the elderly with different genders.
作者
许霞
覃健
蔡建升
唐洁霞
陈全晖
唐旭
农春涛
黄开勇
高永芬
梁美岳
何敏
张志勇
Xu Xia;Qin Jian;Cai Jiansheng;Tang Jiexia;Chen Quanhui;Tang Xu;Nong Chuntao;Huang Kaiyong;Gao Yongfen;Liang Meiyue;He Min;Zhang Zhiyong(Guangxi Medical University,Nanning 530021,China;Guilin Medical College,Guilin 541004,China)
出处
《广西医科大学学报》
CAS
2019年第12期2003-2009,共7页
Journal of Guangxi Medical University
基金
国家自然科学基金资助项目（No.81560523
No.81760577）
广西科学研究与技术开发计划课题资助项目（No.桂科技14124005-2-11
No.AD17129003）
广西自然科学基金资助项目（NO.2016GXNSFBA380023）
广西高校中青年教师科研基础能力提升项目(No.KY2016YB088)
关键词
老年人群
认知功能
影响因素
elderly
cognitive function
influencing factors
