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OBJECTIVE@#To evaluate disability status and equity of the middle-aged and old population in China, and to explore the influencing factors contributing to the inequity of disability.@*METHODS@#This study was based on data collected from the first wave survey (2007-2010) of World Health Organization Study on Global Ageing and Adult Health (SAGE). Concentration index (CI) and concentration curve were calculated to measure the economic-related inequity of disability among the Chinese middle-aged and old people. The CI was further decomposed in which the attributions of social and individual determinants were calculated.@*RESULTS@#The mean score of the World Health Organization Disability Assessment Sche-dule (WHODAS) was 7.32 among the Chinese middle-aged and old people, 6.37 for males and 8.21 for females. The CI for the whole participants was -0.190 9, compared with -0.184 4 for the middle-aged and old men and -0.196 1 for the women. After decomposition of the CI, socioeconomic status contributed most to disability inequity among the Chinese middle-aged and old population. Financial status, educational level and work type contributed 66.41%, 16.45% and 13.10% respectively to inequity of disability. Individual lifestyle factors, including tobacco use, alcohol consumption and physical activities, contributed less to inequity of disability compared with social structural determinants.@*CONCLUSION@#There was inequity of disability among Chinese middle-aged and old population, and those with better financial status were less likely to suffer from functional disability. Middle-aged and old males were less disabled than females, and had less inequity of disability. Financial status, educational level and work type took the highest contribution to inequity of disability among Chinese middle-aged and old population, suggesting that promoting healthy lifestyles alone cannot effectively reduce the inequity of disability. The government needs to continually strengthen and improve appropriate social and medical protection measures on the basis of the importance it attaches to the health of the middle-aged and old population, and makes reducing health inequities a policy priority. The government should pay attention to the provision of healthcare and other resources in areas where development is relatively lagging and where there is a relative concentration of middle-aged and old population. Meanwhile, there should be more significant support for research on health status and equity among the middle-aged and old population to obtain more evidence for proactive responses to rapid population aging in China and policy development.
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Female , Humans , Male , Middle Aged , China , Social Class , Socioeconomic Factors , World Health OrganizationABSTRACT
Objective To investigate middle -aged and old urban community residents 'demand on community health management as well as the influencing factors.Methods A total of 750 residents over 45 years old already incorporated in the community health management system in Jiangdong District of Ningbo were selected to be investigated by self -made questionnaires item by item and face to face.Results A total of 713(95.07%)valid questionnaires were obtained,and 67.32% of the respondents showed that they needed health management.Multinomial classification logistic analysis indicated that people with more chronic diseases,older age,and higher level of health attention as well as health management cognition were more likely to choose health management.The demand percentages of health management service items from high to low in turn were psychological counseling (82.89%),physical examination for the old residents (77.84%),health counseling training (47.69%),doctors'follow -up and evaluation (34.78%)and the family doctor service (19.78%).The male respondents'demand percentages of psychological counseling and health counseling training were 86.35% and 52.23%respectively,higher than 79.79% and 43.62% in females (P <0.05).The female respondents'demand percentage of doctors'follow -up and evaluation was 38.30%,higher than 30.86% in males (P <0.05).The middle -aged and old residents suffering from chronic diseases had higher demand percentages of psychological counseling,physical examination, <br> health counseling training and the family doctor service than those with no chronic diseases (P <0.01).Conclusion The urban elderly residents'demands on community health management were influenced by chronic diseases and age,andhave health management requirements on psychological counseling and physicel examination.The relevant departments should improve community health management service system.
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Objective To understand the risk factors for cardiovascular disease(CVD)and their clustering among middle aged and old people in Jilin province and provide evidence for the development of effective intervention measures. Methods A total of 13 914 people aged 35-79 years were selected from 32 counties (district) in 9 prefectures (municipality) of Jilin province through multi-stage stratified cluster sampling to conduct a face to face questionnaire survey and health examination. Complex weighted computation was conducted to analyze the survey results. Results The prevalence of hypertension,diabetes,dyslipidemia,smoking and overweight were 41.3%,11.5%, 42.8%,31.5%and 53.5%,respectively. Only 16.2%of the subjects surveyed were free of the 5 risk factors.≥1 risk factor and≥3 risk factors were found to clustering in 83.8%and 29.9%of the middle aged and old people. Compared with females,the odds ratios of ≥1,≥2 and ≥3 risk factors clustering in males were 3.18,4.28 and 5.58 times higher,respectively. Compared with urban residents,the odds ratios of≥1,≥2 risk factors clustering in rural residents were 1.22 and 1.20 times higher. In addition,the odds ratios of≥1,≥2 and≥3 risk factors clustering increased with age(all P<0.001). Conclusion High prevalence of major cardiovascular disease risk factors and their clustering were found in middle aged and old people in Jilin province. More attention and intervention should be given to the old males in rural areas.
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Objective To understand the risk factors for cardiovascular disease(CVD)and their clustering among middle aged and old people in Jilin province and provide evidence for the development of effective intervention measures. Methods A total of 13 914 people aged 35-79 years were selected from 32 counties (district) in 9 prefectures (municipality) of Jilin province through multi-stage stratified cluster sampling to conduct a face to face questionnaire survey and health examination. Complex weighted computation was conducted to analyze the survey results. Results The prevalence of hypertension,diabetes,dyslipidemia,smoking and overweight were 41.3%,11.5%, 42.8%,31.5%and 53.5%,respectively. Only 16.2%of the subjects surveyed were free of the 5 risk factors.≥1 risk factor and≥3 risk factors were found to clustering in 83.8%and 29.9%of the middle aged and old people. Compared with females,the odds ratios of ≥1,≥2 and ≥3 risk factors clustering in males were 3.18,4.28 and 5.58 times higher,respectively. Compared with urban residents,the odds ratios of≥1,≥2 risk factors clustering in rural residents were 1.22 and 1.20 times higher. In addition,the odds ratios of≥1,≥2 and≥3 risk factors clustering increased with age(all P<0.001). Conclusion High prevalence of major cardiovascular disease risk factors and their clustering were found in middle aged and old people in Jilin province. More attention and intervention should be given to the old males in rural areas.
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Objective To know the current situation and its related risk factors for hypertension in elderly residents in Wendeng City. Methods In August, 2008, with a multi-stage stratified random sampling method, 3 415 residents aged 35 yrs were investigated by questionnaire with the "Health information record" of the national integrated chronic diseases prevention and control techniques, and taken physical examination, blood pressure test and related risk factors for hypertension by single-and multivariate analysis of Logistic regression analysis. Results Of the 3 415 residents aged over 35 yrs, 1 257 suffered from hypertension, the prevalence rate was 39.87%, and the standardized prevalence rate was 37.68%, and prevalence rate of hypertension increased with age (?2=285.54, P
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@#ObjectiveTo investigate the exercise capability and the cardiovascular response at the rate of work on ergometry cycle at 70% maximal heart rate(MHR),in healthy middle-aged people(45-60 years old) and the elder people(≥60 years old ),and to offer the information of physical exercise for cardiopulmonary disease patients and formulate exercise prescription for healthy middle-aged and old people.Methods36 objects were sitting on a bicycle ergometer and exercised with a gradual increase of workload to maintain their heart rate at 70%MHR for 3 minutes. The electrocardiogram, blood pressure, rate of work, and metabolic equivalents(METs) were recorded.ResultsAll objects finished this test,without angina pectoris, shortness of breath and fatigue. Heart rate came back to the level before the test in all objects and blood pressure reduced to some extent in most objects,at the 8 minutes after cool down.The rate of work on ergometry cycle at 70%MHR were (98±10.23)W for male,(64±11.13)W for female in middle-aged people,while that was(75±8.25)W for male and(50±9.23) for female in old people﹙P<0.01).METs at 70%MHR were(5.82±0.83) for male and(4.25±0.63) for female in middle-aged people, while that was(5.75±1.25) for male and(4.05±0.93) for female in old people(P>0.20).ConclusionsThe cardiovascular response is safe for healthy middle-aged and older people exercising at 70%Hrmax. It maybe the reference for them to do the physical fitness exercise.