Income-Related Inequalities in Chronic Disease Situation Among the Chinese Population Aged Above 45 Years
Income-Related Inequalities in Chronic Disease Situation Among the Chinese Population Aged Above 45 Years
复制标题
中国45岁以上人群慢性病状况与收入相关的不平等
DOI：
10.1177/0046958019860383
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发表时间：
2019-08-01
影响因子：
1.7
通讯作者：
Ding Ye
中科院分区：
文献类型：
--
作者：
Qin Shangren;Huang Zirui;Ding Ye
关于老年人慢性病负担的社会经济分布的文献相对较少。本研究旨在量化中国45岁人群慢性病患病情况中与收入相关的不平等。数据来源于2015年中国健康与退休纵向研究。自我报告的慢性病包括14种疾病(即心脏病、糖尿病)。多变量广义准泊松回归用于评估患病率和个人收入之间的关系。高血压患病率在75岁以上人群中最高(男性参与者44.41%，女性参与者47.53%)。心脏问题患病率随年龄增长而增加。45-59岁人群的慢性病患病率受收入的影响很大。在45到59名中等收入男性参与者中，心脏病的患病率(PR)最高，在45到59名中等收入女性参与者中，与记忆相关的疾病的患病率(PR)最高。慢性病患病率的严重不平等一直持续到老年，特别是在45岁至59岁的人群中。与发达国家相反，中国一些慢性病(如心脏病)的患病率在较富裕的人群中更高。这些发现带来了政策挑战，即需要防止老年人出现这种不平等现象。
There is relatively little published on the socioeconomic distribution of chronic disease burden in older people. This study aims to quantify income-related inequalities in chronic disease situation among >= 45-year-old people in China. Data were collected from the 2015 China Health and Retirement Longitudinal Study. Self-reported chronic conditions included 14 diseases (ie, heart problem, diabetes). Multivariate Generalized Quasi-Poisson Regression was used to evaluate associations between prevalence and personal income. Prevalence of hypertension was highest among people above >= 75 (male participants 44.41%, female participants 47.53%). Heart problem prevalence increased with age. Chronic disease prevalence among population aged 45 to 59 years was greatly affected by income. Prevalence ratios (PRs) were highest for heart problems in 45 to 59 middle-income male participants and for memory-related diseases in 45 to 59 middle-income female participants. Significant inequalities in chronic conditions prevalence persist into old age, particularly among 45- to 59-year-old people. Opposite to developed countries, the prevalence of some chronic disease (ie, heart problem) is higher in richer populations in China. These findings pose the policy challenge of needing to prevent such inequalities in older years.