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目的 了解我国45岁及以上中老年人慢性非传染性疾病（以下简称慢性病）及共病现状。方法 采用中国健康与养老追踪调查（CHARLS）2020年数据，纳入27个省份45岁及以上的中老年人19 128例，使用Stata、SPSS软件对15种慢性病及共病患病情况进行分析。结果 2020年我国中老年人慢性病患病率为80.9%，共病患病率为58.2%。不同性别、年龄、受教育水平、婚姻状态的中老年人慢性病及共病患病率比较差异均有统计学意义（P均<0.05）。高血压患病率（40.2%）、共病率（34.4%）均最高，共病组合中患病最多的组合为关节炎或风湿病+胃部疾病或消化系统疾病[2.97%(568/19 128)]。全国范围内各省的慢性病患病率在68.2%（广东省）～87.8%（黑龙江省）之间，慢性病共病率在50.3%（福建省）～72.9%（内蒙古自治区）之间。结论 我国中老年人慢性病患病率和共病率较高，在慢性病管理的过程中应加大对高血压、关节炎或风湿病以及胃部疾病或消化系统疾病的防控与管理。
Abstract：Objective To investigate the current status of chronic non-communicable diseases(referred to as chronic diseases) and multimorbidities among middle-aged and older adults aged 45 years and above in China. Methods Data from the 2020 China Health and Retirement Longitudinal Study(CHARLS) were utilized, including 19 128 middleaged and older adults from 27 provinces. Stata and SPSS software were employed to analyze the prevalence of 15 chronic diseases and multimorbidities. Results In 2020, the prevalence rate of chronic diseases among middle-aged and older adults in China was 80. 9%, and the prevalence rate of multimorbidities was 58. 2%. Statistical differences in chronic disease and multimorbidity prevalence were observed across gender, age, education level, and marital status(all P<0. 05). Hypertension had the highest prevalence and comorbidity rate. The most common multimorbidity combination was arthritis or rheumatism+gastric diseases or digestive system diseases [2. 97%(568/19 128)]. Chronic disease prevalence across provinces ranged from 68. 2%(Guangdong) to 87. 8%(Heilongjiang), while multimorbidity prevalence ranged from 50. 3%(Fujian) to 72. 9%(Inner Mongolia Autonomous Region). Conclusions The prevalence of chronic diseases and multimorbidities among middle-aged and older adults in China remains high. Chronic disease management programs must prioritize preventing and managing hypertension, arthritis or rheumatism, and gastric diseases or digestive system diseases.
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基本信息:
DOI：
中图分类号:R195.4
引用信息:
[1]刘通达,郝志梅.基于CHARLS 2020的我国中老年人慢性病及共病现状分析[J].老年医学研究,2025,6(04):17-22.
基金信息: