Analysis Of The Two-week Illness And Influencing Factors Among The Elderly In Rural Areas Of Central And Western China

Objective To understand the diseases and health status of the elderly in rural areas of central and western China,to obtain the basic information of the elderly in the survey area and the two-week disease status,to analyze the influencing factors affecting the prevalence of the elderly in the survey area,and to find out the needs of the elderly,and the utilization of the existing problems.Methods In this study,two-stage random cluster sampling method was used to select Yunnan,Xinjiang,Shanxi,Qinghai,Hubei,and Chongqing.All the elderly aged 60 years and older were surveyed,including 130 administrative villages in 65 townships in 20 project counties.Self-made questionnaires were used to collect the general demographic characteristics(gender,age,ethnicity,etc.),lifestyle and habits(smoking,drinking,sleep,etc.)and basic family conditions(residence,distance from medical institutions)of the elderly who met the exclusion criteria.Basic information such as medical insurance status,and investigate the prevalence of the elderly in the area for two weeks(time composition,disease severity,two-week visit and hospitalization),multi-level logistic regression model and multi-level Poisson model analysis Factors affecting the severity and severity of the week.Results The prevalence of two-week elderly people aged 60 and over in rural areas of central and western China was 28.53%(calculated by the number of patients).The top five diseases in two weeks were hypertension,cold,arthritis/rheumatoid,and gastrointestinal.Pulmonary diseases such as inflammation/peptic ulcer,asthma/bronchitis/emphysema,and the onset time of tw o weeks are mainly chronic diseases that last for two weeks,accounting for 58.6%.The severity of illness in the rural areas of the central and western regions was different between different genders and ages.The number of sick days.bed-ridden and bed-ridden days in women were higher than those in men;the number of sick days,bed-ridden and bed-ridden days in older people in the high-age group(80-year-old)were higher than those in the lower-age group(60-year-old).In the rural areas of the central and western regions,the rate of visits to the elderly aged 60 and over was 53.26%,and the hospitalization rate was 14.26%.The main reasons for the lack of treatment were self-infected(27.95%)and economic difficulties(21.02%).The elderly who are close to the medical institution(0~2 km)and participate in the new rural cooperative medical syste:m have a higher rate of two-week visits.The first clinics are mainly grassroots health institutions such as village clinics and clinics.Multi-level logistic model results show that gender,ethnicity,distance from medical institutions,quality of sleep,fall within two weeks,whether there is chronic disease.whether vision is problematic,feeling of'loneliness,and investigation time are two weeks of illness in rural areas in rural areas of central and western China.Influencing factors.The two-week study on the factors affecting the severity of the disease was mainly analyzed by three indicators:the number of illnesses in the two-week period,the number of days in two weeks,and the number of days in bed.According to the fitting results of the multi-level Poisson model,gender,age,ethnicity,way of living,distance from medical institutions.quality of sleep,lectures on whether to participate in health knowledge,whether to fall within two weeks,whether there is chronic disease,whether there is a problem with vision And the degree of loneliness is the influencing factor of the severnty of illness in the rural areas of the central and western regions for two weeks.The data of this study has a hierarchical structure,and the two-level and three-level models are fitted respectively.The results are statistically significant,indicating that the two-week illness of the elderly in the survey area is clustered at the village level and district level,and is considered.After the high level of variance,the relationship between occupation,living style and the elderly in the survey area was no longer statistically significant(P>0.05),which avoided the false positive error.The multilevel model was more than the traditional regression model.The result is better.Conclusion The prevalence rate of the elderly in the rural areas of the central and western regions is relatively high.The main types of diseases are chronic diseases,the demand for health services is high,and the rate of medical treatment and hospitalization is low,and the utilization of health services is poor.Health departments and workers should pay attention to the health status of this population,do a good job in the prevention and treatment of chronic diseases,rationally allocate health resources,improve the utilization rate of health services,and meet the health service needs of the elderly in rural areas of the central and western regions.The analysis of the study found that the factors affecting the prevalence and severity of the elderly in rural areas in the central and western regions are:gender,age.ethnicity,distance from medical institutions,quality of sleep,falls within two weeks,chronic diseases,and problems with vision.And feel the degree of loneliness.Women,high-aged elderly,elderly with chronic diseases,lonely elderly living alone,and elderly with poor eating habits/lifestyles are high-risk groups.Interventions should be applied to improve the health of the elderly.The distribution of the prevalence of the elderly in the rural areas of the central and western regions has regional clustering,and the data has hierarchical structure characteristics.It is suitable for statistical analysis with multi-level models,which is better than the traditional regression model.