Research Of Health Status Over60Elderly People In A Community In Kunming City

Objectives1.To understand the basic information and health status of the elderly in the community;2.To identify the major health problems of the elderly in the community;3.To analysis risk factors that affect the elderly health, to develop community disease control and health interventions and methods;4.To provide the basic suggestion for the relevant departments,to make public health policies.MethodsThis study adopted the existing circumstances research methods, through getting the health records of over60elderly in a community of kunming, to analysis the elderly’s health status. Measurement data was used x±s. The count data was used ratio or constituent ratio. Measurement data was used t test, oneway-ANOVA, etc., count data was used chi-square test, multiple factor analysis was used Logistic regression analysis, P<0.05was considered statistically significant.Results1.The total number of this survey was609people, average age was70.30±5.92. Among them,278men, average age was71.01±6.02;331women, average age was69.70±5.78.2.Among the elderly,there were518married, accounting for85.1%, widowed were90, accounting for14.8%,1divorced, accounting for0.2%; education illiterate and semi-literate,91(14.9%),149primary school education, accounting for24.5%,203junior high school education,33.3%, and156high school/technical school/college education, accounting for25.6%,10College or above, accounting for1.6%; all seniors are retired personnel; There were592Han Chinese, accounting for97.2%, 17minority, accounting for2.8%; Blood type A,132people, accounting for21.7%, B-86, accounting for14.1%, O-170,27.9%, AB,61people, accounting for10.0%, blood type unknown160, accounting for26.3%; There were319people taking part in man-made urban basic medical insurance, accounting for52.4%,226were urban residents basic medical insurance(37.1%),29new rural cooperative medical care, accounting for4.8%,35people, all at their own expense, accounting for5.7%. There were123drug allergies, accounting for20.2%, which had a history of penicillin allergy50, accounting for8.2%,54people had a history of sulfa allergy, accounting for8.9%,18people had a history of streptomycin hypersensitivity, accounting for3.0%,22people had other history of allergy, accounting for3.6%.14people had two or more drug allergies, accounting for2.3%;166(27.3%) had a history of surgery,6(1.0%) had a history of trauma, and8(1.3%) had a history of blood transfusion,1people had a history of the genetic, accounting for0.2%,3people had a disability, accounting for0.5%.3.The elderly’s fasting blood glucose average value was(5.67±1.31)mmol/L, hemoglobin average value was (148.18±18.97)g/L, the average number of red blood cells was (5.43±0.76)×10’/L, serum alanine aminotransferase average value was (25.1±11.2)U/L, total cholesterol average value was(5.21±1.12)mmol/L, the triglyceride average value was (2.44±1.74)mmol/L.4.The first six major chronic diseases of the elderly were:high cholesterol, high blood pressure, coronary heart disease, chronic obstructive pulmonary disease, and diabetes. The detection rate were64.9%,42.2%,20.9%,15.4%,13.1%, respectively.5.Multivariate logistic regression analysis showed that the main factors of hypertension were vegetarian diet, halophilic, age and exercise; the main factors for coronary heart disease were age and educational level; the main factors for chronic obstructive pulmonary disease were age, gender and exercise; age and education level were the main factors of diabetes.Conclusionsl.The community population structure was aging and belonged to the aging community.2.The elderly’s education level was generally low, the majority were elementary school and junior high school, and they were lack of health knowledge, health awareness was not enough; female were high widowed; the elderly of this community all had retired, most of the elderly took part in urban workers and residents basic medical insurance.3.The first six major chronic diseases of the elderly in the community were high cholesterol, high blood pressure, coronary heart disease, chronic obstructive pulmonary disease, and diabetes.4.Community elderly suffering from chronic diseases associated with a variety of influencing factors, the major risk factors for hypertension were halophilic and age, the protective factors were vegetarian diet and exercise; the major risk factors for coronary heart disease were age and educational level; the major risk factor of chronic obstructive pulmonary disease was age, women and participate in exercise were protective factors; the major risk factor for diabetes was age, and protective factor was the level of education.5.Should vigorously carry out health education and community chronic adverse behavioral interventions, especially the intervention and changes of lifestyle, to strengthen the prevention and control of the risk factors of chronic diseases, there is a certain practical significance to improve the healthy living standards of community residents.