目的：了解西安市社区老年人慢性病的患病现况，并探讨其影响因素。方法采用分层随机整群抽样的方法，对西安市6个行政区806名老年人的慢性病患病状况进行问卷调查，并对危险因素进行多因素Logistic回归分析。结果西安市社区老年人慢性病总患病率为83.3%，单种、2种及以上慢性病患病率分别23.8%、59.4%。其中前5位常见慢性病分别为高血压、白内障、冠心病、脑血管疾病、糖尿病，其患病率依次为43.3%、26.2%、25.8%、19.7%、12.7%。家族史、增龄、超重/肥胖及不经常锻炼身体是慢性病的危险因素。结论西安市社区老年人慢性病患病率较高，且以多种慢性病共存为主，健康状况不容乐观。加强慢性病预防相关知识的宣传，尤其针对有家族史、处于超重/肥胖状态及不经常锻炼身体的老年人，开展慢性病综合性干预迫在眉睫。%Objective To investigate the prevalence and related risk factors of main chronic diseases among community-dwelling elderly people in Xi’an. Methods With stratified cluster random sampling, a total of 806 community elderly people aged or over 60 from six districts in Xi’an were surveyed and the relevant risk factors were analyzed by multiple factor logistic regression. Results The prevalence rate of chronic disease in the sample was 83.3%.Those who suffered from one and at least two chronic diseases accounted for 23.8% and 59.4% respectively. The prevalence of hypertension, cataract, heart disease, cerebrovascular disorder and diabetes was 43.3%, 26.2%, 25.8%, 19.7%, 12.7% respectively. The history of family chronic diseases, overweight or obesity,aging and no exercise were risk factors affecting chronic diseases. Conclusion The prevalence of chronic diseases, especially the co-occurrence of a variety of diseases, among elderly community-dwelling in Xi ’an is high, so their health remains poor. It is urgent to implement chronic diseases education particularly for those elderly people with family history of chronic illness, overweight or obesity and with less exercise at present.
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