The Investigation And Analysis Of Health Status Of The People Over 60 In A Community Of Changchun

With the development of society and economy, people’s life style is changing, the aging of the population is becoming more and more obvious, the incidence of chronic diseases is increasing, and the elderly patients with chronic diseases have caused a great social burden. In China, the existing health service system is tending to the acute care model, as we speak, receiving treatment after disease, but the prevention and health care function of community medical institutions is insufficient, so that the health status of elderly patients with chronic diseases and the prevention of complications can not be improved. It is an important problem for the community health workers to provide more effective health care, improve the health status of the elderly, and improve the quality of their lives.Objective:To investigate the health status of elderly people age over 60 in Xinglongshan town of Changchun in 2014 to find the health problems, improve the health status and reduce the incidence of chronic diseases, to provide prevention control measures and suggestion to the risk factors affecting the health of the elderly, and to provide public health basic information for the relevant departments, and important significance for local government.Methods:2172 cases of elderly people aged over 60 years old in Xinglongshan town of Changchun city in 2014 were selected as the research object, and the basic information and health status of the medical examination were investigated and analyzed. The contents of the study included the general situation of the study and the prevalence of chronic diseases. Epidata3.1 software was used to establish the database, and SPSS18.0 software was used for statistical analysis. Chi square test and multivariate logistic regression analysis were adopted to test the level of α = 0.05.Results:1. The total number of elderly patients with dyslipidemia was 949, 43.69% of the whole crew; the total number of elderly patients with hypertention was 777(35.77%); the total number of elderly people with hyperglycemia was 545(25.09%); the total number of elderly people with fatty liver was 522(24.03%); the total number of elderly people with cholecystitis was 349(16.07%).2. Single factor analysis showed that there was a significant difference between the household register type, exercise habit, BMI and the increase of blood glucose(P<0.05). The proportion of elderly people living in urban areas(29.19%) was higher than that of old people living in rural areas(21.22%). The glucose of elderly people without exercise habit(27.44%) was higher than that with that habit(22.51%). With the increasing of the BMI, the proportion of the elderly with high blood glucose is increasing together.3. Single factor analysis showed that there was significant difference in the prevalence of abnormal blood lipids among the residence, gender, age, exercise habits and BMI(P<0.05). The proportion of blood glucose in elderly people living in urban areas(48.34%) was higher than that living in rural areas(39.30%). The proportion of dyslipidemia in aged women(47.88%) was higher than that in old men(36.27%). The old people aged 60~69 had the highest proportion of abnormal blood lipid, with the increasing of age, the proportion of abnormal blood lipid in the aged gradually decreased. The proportion of abnormal blood lipid in old people with no exercise habit(46.35%) was higher than that with exercise habit(40.77%); with the increasing of BMI, the proportion of abnormal blood lipid abnormality in the elderly was also increased.4. Single factor analysis showed that BMI was significantly associated with increased blood pressure(P<0.05), with the increasing of BMI, the proportion of elderly patients with hypertension increased gradually.5. Single factor analysis showed that there were significant differences in the prevalence of fatty liver among the residence, sex, and BMI(P < 0.05). The proportion of elderly people living in urban areas(26.35%) was higher than that in rural areas(21.84%); the proportion of elderly women with fatty liver(27.28%)was higher than that of old men(18.26%); the prevalence rate of fatty liver in 60~69 years old was higher than that of other age groups, with the increasing of age, the elderly with fatty liver ratio gradually decreased; with the increasing of BMI, the proportion of elderly people with fatty liver increased gradually.6. Single factor analysis showed the incidence of cholecystitis in urban and rural areas was significant different(P<0.05), the proportion of elderly people living in urban areas with cholecystitis(21.23%) was higher than the elderly living in rural areas(11.19%).7. Multivariate logistic regression analysis showed that people who living in cities, with obesity may be risk factors for increased blood sugar levels; living in cities, women, lack of exercise and with obesity may be risk factors for dyslipidemia; living in cities,women and with obesity may be risk factors for fatty liver(P<0.05).Conclusions:1. Elderly people in Xinglongshan town of Changchun are suffering from many kinds of chronic diseases. Dyslipidemia, high blood sugar and high blood pressure are the main problems that endanger the health of old people, and it is the key to prevent and cure the aged chronic diseases in this community.2. Chronic disease risk factors are common. Living in cities and obesity may be risk factors of increased blood sugar levels.3. Living in cities, women, lack of exercise and obesity may be risk factors of dyslipidemia.4. Living in cities, women and obesity may be risk factors of fatty liver.5. We should comprehensively strengthen the management of chronic diseases of old people, carry out health education and bad behavior intervention timely, and strengthen the prevention and control of the risk factors for chronic diseases.