患有感染性疾病和慢性病混合症的老年人。
Older adults under a mixed regime of infectious and chronic diseases.
机构信息
Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX 77555-0177, USA.
出版信息
Salud Publica Mex. 2012 Oct;54(5):487-95. doi: 10.1590/s0036-36342012000500005.
OBJECTIVE
Analyze the impact of a mixed regime of infectious and chronic conditions among older adults in Mexico on their health progression.
MATERIALS AND METHODS
A total of 12 207 adults from the Mexican Health and Aging Study were included. Logistic regression analyses were conducted to assess the relationship between self-reported health (SRH) and covariates, including infectious and chronic diseases. Changes in SRH between 2001-2003 were analyzed using multinomial analysis.
RESULTS
Older age, low SES, poor SRH and type of disease at baseline increase the odds of poor SRH at follow-up. Odds of poor SRH are highest for persons with both types of diseases (OR 2.63, SE 0.24), followed by only chronic (OR 1.86; SE 0.12) and finally only infectious (OR 1.55; SE 0.25).
CONCLUSION
Mexico is experiencing a mixed regime of diseases that affects the health and well-being of older adults. Despite the rising importance of chronic diseases in countries like Mexico, it is premature to disregard the relevance of infectious diseases for public health.
目的
分析墨西哥老年人群中感染性和慢性疾病混合模式对其健康状况进展的影响。
材料和方法
共纳入来自墨西哥健康与老龄化研究的 12207 名成年人。采用逻辑回归分析评估自我报告健康状况（SRH）与包括感染性和慢性疾病在内的协变量之间的关系。使用多项分析对 2001-2003 年期间 SRH 的变化进行分析。
结果
年龄较大、社会经济地位较低、SRH 较差和基线时的疾病类型会增加随访时 SRH 较差的几率。同时患有两种疾病的人（OR 2.63，SE 0.24）发生 SRH 较差的几率最高，其次是仅有慢性疾病（OR 1.86；SE 0.12），最后是仅有感染性疾病（OR 1.55；SE 0.25）。
结论
墨西哥正经历着一种混合的疾病模式，这会影响老年人的健康和福祉。尽管在像墨西哥这样的国家，慢性疾病的重要性日益增加，但忽视传染病对公共卫生的相关性还为时过早。
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