中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2001年
1期
35-37
,共3页
于普林%黄魏宁%郑宏%刘桂芳%段春波%杨泽%高芳坤
于普林%黃魏寧%鄭宏%劉桂芳%段春波%楊澤%高芳坤
우보림%황위저%정굉%류계방%단춘파%양택%고방곤
目的 研究老年聋在老年人群中的现状、分布特点以及对日常生活功能的影响。方法 采用多级、整群抽样的方法，对北京、上海、广州、成都、西安、沈阳六城市8 252例≥60岁的常住老年人老年聋患病情况及其日常生活活动能力进行了横断面的流行病学调查。结果 老年聋总患病率为33.7%，既往诊断率为15.9%，仅为现患率的47.1%；60～、65～、70～、75～、80～、85～岁年龄组的患病率分别为21.6%、30.0%、35.6%、42.6%、55.5%、61.6%，随着年龄的增高患病率增加(P＜0.01)；老年聋存在明显的地区差别，北京地区患病率最高为58.5%，职业是影响老年聋患病率的重要因素，从事家务劳动者患病率较高为48.9%，从事科教文卫者患病率较低为28.5%。老年聋影响因素的logistic分析表明，年龄、职业、地区的不同和老年聋密切相关。结论 在中国老年聋患病率较高，随着年龄增加而增高，且存在地区、职业、文化程度的差别；既往诊断率远低于现患率，提示今后应加强老年聋的防治工作。
目的 研究老年聾在老年人群中的現狀、分佈特點以及對日常生活功能的影響。方法 採用多級、整群抽樣的方法，對北京、上海、廣州、成都、西安、瀋暘六城市8 252例≥60歲的常住老年人老年聾患病情況及其日常生活活動能力進行瞭橫斷麵的流行病學調查。結果 老年聾總患病率為33.7%，既往診斷率為15.9%，僅為現患率的47.1%；60～、65～、70～、75～、80～、85～歲年齡組的患病率分彆為21.6%、30.0%、35.6%、42.6%、55.5%、61.6%，隨著年齡的增高患病率增加(P＜0.01)；老年聾存在明顯的地區差彆，北京地區患病率最高為58.5%，職業是影響老年聾患病率的重要因素，從事傢務勞動者患病率較高為48.9%，從事科教文衛者患病率較低為28.5%。老年聾影響因素的logistic分析錶明，年齡、職業、地區的不同和老年聾密切相關。結論 在中國老年聾患病率較高，隨著年齡增加而增高，且存在地區、職業、文化程度的差彆；既往診斷率遠低于現患率，提示今後應加彊老年聾的防治工作。
목적 연구노년롱재노년인군중적현상、분포특점이급대일상생활공능적영향。방법 채용다급、정군추양적방법，대북경、상해、엄주、성도、서안、침양륙성시8 252례≥60세적상주노년인노년롱환병정황급기일상생활활동능력진행료횡단면적류행병학조사。결과 노년롱총환병솔위33.7%，기왕진단솔위15.9%，부위현환솔적47.1%；60～、65～、70～、75～、80～、85～세년령조적환병솔분별위21.6%、30.0%、35.6%、42.6%、55.5%、61.6%，수착년령적증고환병솔증가(P＜0.01)；노년롱존재명현적지구차별，북경지구환병솔최고위58.5%，직업시영향노년롱환병솔적중요인소，종사가무노동자환병솔교고위48.9%，종사과교문위자환병솔교저위28.5%。노년롱영향인소적logistic분석표명，년령、직업、지구적불동화노년롱밀절상관。결론 재중국노년롱환병솔교고，수착년령증가이증고，차존재지구、직업、문화정도적차별；기왕진단솔원저우현환솔，제시금후응가강노년롱적방치공작。
Objective To survey the current status and distribution of deafness and its effect on daily life activities in the old population. Methods Eight thousand two hundred and fifty-two elderly aged 60 years and above in the urban and rural areas of Beijing, Shanghai, Guangzhou, Chengdu, Xi’an and Shenyang were investigated，using a clustered random sampling methods. Results Overall crude prevalence of deafness in the elderly was found to be 33.7%, but the self-reported crude prevalence was low, only 47.1% when shown by medical examination. Crude prevalence rates were increasing with ageing, with 21.6%,30.0%,35.6%,42.6%,55.5% and 61.6% respectively(P＜0.01) in the age groups of 60-, 65-, 70-, 75-, 80-, 85- years old. Rate of deafness was highest in Beijing(58.5%), among the in-house workers (48.9%) and the lowest in scientists， teacher and health workers (28.5%). Logistic regression analysis showed that the crude prevalence was related to ageing, profession and area (P respective ＜0.01). Conclusion The prevalence of deafness was high in the elderly which increased with ageing with different areas, professions and the level of education. It was lower when self-reported than shown by medical examination. Prevention and treatment of deafness in the elderly should be strengthened.
