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[目的 ] 了解社区老年人群的健康功能状况及最主要的健康问题。 [方法 ] 老年综合健康功能评价的横断面调查研究。 [结果 ] 该社区老年人群中综合健康损害率为 34.5 %。其中 5 8.1%的老年人至少有一项健康功能损害。 5个单项功能中损害率居前 3位的是躯体健康、经济维持能力和日常活动能力 (ADL) ,损害率分别为 41.0 %、35 .4%、15 .4%。进一步分析发现 ,这 3项功能损害各自又分别以慢性病患病率高、工具性日常活动能力 (IADL)损害和经济收入低、缺乏经济储备能力、医疗保障差为主。不同年龄、性别、文化程度、职业和婚姻状况的老年人之间 ,5项功能损害率差异都有统计学意义。 [结论 ] 躯体健康、ADL和经济维持能力损害是该社区老年人中最主要的健康问题 ,三者往往同时出现在同一老年人身上。
[Objective] To understand the health status and the most important health problems in the community elderly population. [Methods] A cross sectional study on the comprehensive health function in the elderly. [Results] The comprehensive health damage rate in the community was 34.5%. Of these, 8.11% of the elderly had at least one health impairment. Among the top 5 individuals in terms of impairment rate, 5 were physical health, economic support ability and daily activity ability (ADL), with the damage rates of 41.0%, 35.4% and 15.4% respectively. Further analysis found that the three functional impairments, respectively, were characterized by a high prevalence of chronic diseases, impaired IADL, low economic income, lack of economic reserves and poor health insurance. There were statistically significant differences in the five functional impairment rates among the elderly with different age, gender, educational level, occupation and marital status. [Conclusion] Physical health, impairment of ADL and economic maintenance are the most important health problems among the elderly in the community, and the three often appear on the same elderly person at the same time.