Dong XinQi, Chen Ruijia, Simon Melissa A
Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois.
Department of Obstetrics/Gynecology, Feinberg School of Medicine, Northwestern University Medical Center, Chicago, Illinois.
J Gerontol A Biol Sci Med Sci. 2014 Nov;69 Suppl 2(Suppl 2):S15-22. doi: 10.1093/gerona/glu151.
The burden of medical conditions is increasing among U.S. older adults, yet we have very limited knowledge about medical conditions among Chinese older adults in the United States. This study aimed to examine the prevalence of medical conditions and its sociodemographic and health-related correlates within the context of a population-based cohort study of U.S. Chinese older adults.
Using a community-based participatory research approach, community-dwelling Chinese older adults aged 60 years and older in the Greater Chicago area were interviewed between 2011 and 2013.
Of the 3,159 participants interviewed, 58.9% were female and the mean age was 72.8 years. In total, 84.3% of older adults had one or more medical condition, 24.6% reported two conditions, 19.5% had three conditions, and 17.0% reported four or more conditions. A sizeable percentage of older adults had never been screened for dyslipidemia (24.4%) or had never been screened for diabetes mellitus (35.7%).For those who reported high cholesterol, 73.0% were taking medications when compared with 76.1% of those who reported having diabetes and 88.3% of those who reported having high blood pressure. Various sociodemographic and health-related characteristics were correlated with medical conditions.
Medical conditions were common among U.S. Chinese older adults, yet screening and treatment rates were fairly low. Future longitudinal studies should be conducted to better understand the risk and protective factors associated with medical conditions.
在美国老年人中,医疗状况的负担正在增加,但我们对美国华裔老年人的医疗状况了解非常有限。本研究旨在在美国华裔老年人的一项基于人群的队列研究背景下,调查医疗状况的患病率及其社会人口学和健康相关的关联因素。
采用基于社区的参与性研究方法,于2011年至2013年期间对大芝加哥地区60岁及以上居住在社区的华裔老年人进行了访谈。
在接受访谈的3159名参与者中,58.9%为女性,平均年龄为72.8岁。总体而言,84.3%的老年人有一种或多种医疗状况,24.6%报告有两种状况,19.5%有三种状况,17.0%报告有四种或更多状况。相当大比例的老年人从未接受过血脂异常筛查(24.4%)或从未接受过糖尿病筛查(35.7%)。对于报告有高胆固醇的人,73.0%正在服药,而报告患有糖尿病的人这一比例为76.1%,报告患有高血压的人这一比例为88.3%。各种社会人口学和健康相关特征与医疗状况相关。
医疗状况在美国华裔老年人中很常见,但筛查和治疗率相当低。未来应进行纵向研究,以更好地了解与医疗状况相关的风险和保护因素。