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目的分析北京市≥55岁人群全死因影响因素,为疾病的预防控制提供参考依据。方法采用生存分析方法对首都医科大学宣武医院1992—2009年收集的2 010名北京市≥55岁人群老龄化多维纵向研究数据进行分析。结果 1992年基线的2 010名北京市≥55岁人群至2009年随访结束时共存活356人,失访700人,死亡954例;前3位死因依次为心血管疾病225例(23.58%)、脑血管疾病214例(22.43%)和肿瘤119例(12.47%),占全部死因的58.49%;全死因COX分析结果表明,年龄≥61岁、文盲、饮酒、工具性日常生活活动能力异常、身体健康自评差、糖尿病和高血压人群的死亡风险较高,而女性、居住在城市和精神状态正常人群的死亡风险较低。结论年龄、性别、文化程度、居住地、饮酒、日常生活能力、身体健康自评情况、糖尿病、高血压和精神状态是北京市≥55岁人群全死因的影响因素。
Objective To analyze the influencing factors of all causes of death in ≥55 years old population in Beijing, and provide references for the prevention and control of the disease. Methods Survival analysis was used to analyze the longitudinal multidimensional data from 2,010 aged ≥55 years old collected from Xuanwu Hospital of Capital Medical University from 1992 to 2009. Results A total of 2 010 Beijing residents aged 55 years or older from 1992 to 1992 were enrolled in the study. Survival of 356 survivors at the end of 2009 was followed up by a total of 700 follow-up visits, with 954 deaths. Among the top three death causes, 225 (23.58%) were cardiovascular diseases, 214 cases (22.43%) of cerebrovascular diseases and 119 cases (12.47%) of cancers accounted for 58.49% of all causes of death. The results of COX analysis of all causes of death showed that the illiteracy, drinking, instrumental activities of illiterate, People with poor self-esteem, diabetes and hypertension have a higher risk of dying while women, those living in urban and mental states, have a lower risk of dying. Conclusion Age, sex, educational level, residence, drinking, daily living ability, self-rated health status, diabetes mellitus, high blood pressure and mental status are the influencing factors of all-cause mortality in ≥55 years old population in Beijing.