模拟印度老年人多病症风险的频谱和决定因素
1Department of Biostatistics and Epidemiology, International Institute for Population Sciences (IIPS), Mumbai, Maharashtra, India.
PloS one
|May 16, 2025
概括
多发病症影响到印度43.20%的老年人,女性的风险更高,早期发病与肥胖有关. 公共卫生干预对于更健康的衰老至关重要.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 印度正面临着人口和流行病学的转变,老年人中的多病症负担正在增加.
- 不健康的老龄化和病率上升是多病症风险的关键驱动因素.
- 了解这些转变对于有针对性的健康干预至关重要.
研究的目的:
- 评估45岁及以上的印度成年人多病症的分布和风险因素.
- 根据社会经济和人口因素估计多病症风险.
- 为了评估多病症计数风险,以主要因素为条件.
主要方法:
- 利用了印度长度衰老研究 (LASI) 波1 (2017-18年) 的数据.
- 评估了不同年龄组的发病率和多发病率组成.
- 采用随机森林模型来估计特定年龄的多病症风险.
- 构建条件图表以确定关键的贡献因素.
主要成果:
- 多重疾病的患病率为43.20%,眼睛疾病和心血管疾病是最常见的.
- 随着年龄的增长,多种疾病的数量显著增加;女性的预期风险中位数 (66岁) 比男性 (71岁) 高.
- 高等教育,肥胖,就业和童年健康状况不佳与早期多病发作相关,特别是在女性中.
结论:
- 集体公共卫生干预对于缓解早期多病发作和减少负担差异至关重要.
- 促进健康老龄化需要解决病因因素和社会经济决定因素.
- 需要有针对性的战略来管理印度老龄化人口的多病症.
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