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中国60岁老年人卫生服务需求meta分析

Demand of health services among Chinese elderly aged 60 years and over: a meta-analysis

  • 摘要: 目的 探讨中国≥60岁老年人卫生服务需求现状,为政府及相关部门制定老年人保健政策和有针对性地开展老年人卫生服务提供参考依据。方法 检索中国期刊全文数据库(CNKI)、万方数据资源系统、维普数据库(VIP)和PubMed数据库,并辅以手工检索和文献追溯法收集2003年2月-2014年12月公开发表的关于中国老年人卫生服务需求的相关文献;应用Stata 12.0软件对纳入的文献进行meta分析。结果 最终纳入24篇中文文献,累计研究对象39 000人;meta分析结果显示,中国≥60岁老年人两周患病率为35.8%(95%CI=30.2%~41.4%),慢性病患病率为52.7%(95%CI=41.9%~63.4%);亚组分析结果显示,城市和农村≥60岁老年人两周患病率分别为30.8%(95%CI=22.5%~39.1%)和43.8%(95%CI=35.6%~52.1%),慢性病患病率分别为53.3%(95%CI=26.4%~80.3%)和53.3%(95%CI=45.8%~60.8%);东部、中部、西部地区≥60岁老年人两周患病率分别为34.2%(95%CI=21.9%~46.5%)、30.3%(95%CI=16.7%~43.9%)和37.9%(95%CI=34.3%~41.5%),慢性病患病率分别为61.9%(95%CI=43.0%~80.7%)、41.7%(95%CI=7.5%~76.0%)、51.1%(95%CI=44.5%~57.7%);Egger回归分析结果显示,本次纳入meta分析的文献不存在发表偏倚。结论 中国老年人卫生服务的需求较高,大力加强慢性病的防治应列为老年保健的中心任务。

     

    Abstract: Objective To explore the status quo of demand for health service among the elderly aged≥60 years in China and to provide references for making health care policies and developing health care programs by relevant governmental agencies.Methods Literatures about the demand of health service among Chinese elderly published between February 2003 through December 2014 were retrieved via Chinese National Knowledge Infrastructure (CNKI),Wanfang Data,VIP Database,and PubMed database;supplementary manual retrieval and retrospective literature review were also performed.Stata 12.0 was adopted in the meta-analysis.Results This study included 24 researches involving a total of 39 000 participants.The results of meta-analysis on the retrieved studies showed that the overall two-week disease prevalence rate was 35.8% (95% confidence interval95%CI:30.2%-41.4%)and the overall prevalence of chronic diseases was 52.7%(95%CI:41.9%-63.4%)for the Chinese elderly aged≥60 years.The results of subgroup analysis revealed that among the urban and rural elderly,the two-week disease prevalence rate were 30.8%(95%CI:22.5%-39.1%)and 43.8%(95%CI:35.6%-52.1%),and the prevalence of chronic diseases were 53.3%(95%CI:26.4%-80.3%)and 53.3%(95%CI:45.8%-60.8%);the two-week disease prevalence rate for the elderly living in eastern,central,and western region of China were 34.2%(95%CI:21.9%-46.5%),30.3%(95%CI:16.7%-43.9%),and 37.9%(95%CI:34.3%-41.5%)and the prevalence of chronic diseases were 61.9%(95%CI:43.0%-80.7%),41.7%(95%CI:7.5%-76.0%),and 51.1%(95%CI=44.5%-57.7%),respectively.No publication bias was observed for the literatures included in the meta-analysis based on the results of Egger regression analysis.Conclusion The demand of health care service is high among Chinese elderly aged 60 years and above and the prevention and control of chronic diseases is the main task of health care for the elderly.

     

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