Mitchell-Fearon K, Waldron N, Laws H, James K, Holder-Nevins D, Willie-Tyndale D, Eldemire-Shearer D
J Health Care Poor Underserved. 2015 May;26(2):475-87. doi: 10.1353/hpu.2015.0041.
Changes in the non-communicable disease (NCD) profile of older adults living in a rapidly-aging, developing country are described.
Data from a 2012 nationally representative survey of 2,943 older adults were used to determine the burden of NCDs important to elder health. Additionally, the percentage change in NCD prevalence over a 23-year period (1989-2012) was determined.
In 2012, approximately 75.3% of the sample reported at least one NCD; 47.5% reported comorbidities. High blood pressure (61%), arthritis (35%) and diabetes (26%) were the most reported conditions, peaking in the 70-79 age group. Females reported higher rates of disease than males. Significant increases in prevalence occurred for all conditions except arthritis; the most significant were in diabetes (157%) and cancer (118%).
Rapid increases in NCDs are of great public health importance. Strengthening of primary health care and improvements in human resources must occur if the well-being of older adults is to be improved.
描述了生活在一个快速老龄化的发展中国家的老年人非传染性疾病（NCD）状况的变化。
使用2012年对2943名老年人进行的全国代表性调查数据来确定对老年人健康重要的非传染性疾病负担。此外，还确定了23年期间（1989 - 2012年）非传染性疾病患病率的百分比变化。
2012年，约75.3%的样本报告至少患有一种非传染性疾病；47.5%报告患有合并症。高血压（61%）、关节炎（35%）和糖尿病（26%）是报告最多的疾病，在70 - 79岁年龄组达到峰值。女性报告的疾病发生率高于男性。除关节炎外，所有疾病的患病率均显著增加；最显著的是糖尿病（157%）和癌症（118%）。
非传染性疾病的快速增加具有重大的公共卫生意义。如果要改善老年人的福祉，就必须加强初级卫生保健并改善人力资源。
