CAJ | 학술논문

目的了解农村社区老年痴呆症的患病及其影响因素，为制定农村社区老年痴呆症控制对策提供依据。方法随访调查江西省瑞昌市某农村社区的1029名老年人，使用“10／66”国际痴呆项目调查使用的诊断量表作为筛查工具，采用单因素分析和多因素Logistic回归分析方法。结果老年痴呆症的患病率为2．8％，其中男性患病率为2．4％，女性患病率为3．1％；不同性别、年龄、婚姻状况、职业和教育程度之间患病率差异无统计学意义；患有多种躯体疾病、无兄弟姐妹与兄弟姐妹在外地、朋友交流较少、邻居交流少、存在多个负性生活事件、日常生活能力不健全是老年痴呆症患病的危险因素。结论老年痴呆症的患病率与预期一致，文化程度低、高龄人群、缺少日常交流和日常生活能力低是老年痴呆症的危险因素，应加强重点人群干预。
목적료해농촌사구노년치태증적환병급기영향인소，위제정농촌사구노년치태증공제대책제공의거。방법수방조사강서성서창시모농촌사구적1029명노년인，사용“10／66”국제치태항목조사사용적진단량표작위사사공구，채용단인소분석화다인소Logistic회귀분석방법。결과노년치태증적환병솔위2．8％，기중남성환병솔위2．4％，녀성환병솔위3．1％；불동성별、년령、혼인상황、직업화교육정도지간환병솔차이무통계학의의；환유다충구체질병、무형제저매여형제저매재외지、붕우교류교소、린거교류소、존재다개부성생활사건、일상생활능력불건전시노년치태증환병적위험인소。결론노년치태증적환병솔여예기일치，문화정도저、고령인군、결소일상교류화일상생활능력저시노년치태증적위험인소，응가강중점인군간예。
Objective： To understand the prevalence of alzheimer＇s disease and explore the risk factors in rural communities, to provide the data for formulating alzheimer＇s disease control countermeasures in the rural communities. Method： A follow - up study was conducted among 1029 elderly people in a rural community in Ruichang city, Jiangxi Province by using ＂10/66＂ algorithm as the screening tool and by using single -factor analysis and Logistic regression a- nalysis. Results： The prevalence rate of dementia was 2. 8%, 2. 4% and 3.1% for males and females respectively. The prevalence of dementia between different sexes, ages, marital statuses, jobs and education degrees had no significant difference. Elderly persons, with a variety of body diseases, without siblings or with siblings far away, less exchange and less communication with friends and neighbors, or with many negative life events as well as with unsound daily living skills, were more liable to alzheimer~ disease risk factors. Conclusion： The prevalence of dementia was in line with expecta- tion. Lower education, elder, lack of daily exchange and lower daily life ability are risk factors of alzheimer＇s disease in ru- ral communities. Intervention into key people should be strengthened.