IR@PKUHSC  > 北京大学精神卫生研究所
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Chronic disease prevalence and care among the elderly in urban and rural Beijing, China - a 10/66 Dementia Research Group cross-sectional survey
Liu, Zhaorui1; Albanese, Emiliano2; Li, Shuran1; Huang, Yueqin1; Ferri, Cleusa P.2; Yan, Fang1; Sousa, Renata2; Dang, Weimin1; Prince, Martin2
刊名BMC PUBLIC HEALTH
2009-10-21
DOI10.1186/1471-2458-9-394
9
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Public, Environmental & Occupational Health
资助者World Health Organization ; Wellcome Trust ; World Health Organization ; Wellcome Trust
研究领域[WOS]Public, Environmental & Occupational Health
关键词[WOS]MIDLIFE BLOOD-PRESSURE ; HEALTH SYSTEM REFORM ; DEVELOPING-COUNTRIES ; ADULT-POPULATION ; HYPERTENSION ; CAREGIVERS ; DEPENDENCY ; RELATIVES ; AWARENESS ; PEOPLE
英文摘要

Background: Demographic ageing is occurring at an unprecedented rate in China. Chronic diseases and their disabling consequences will become much more common. Public policy has a strong urban bias, and older people living in rural areas may be especially vulnerable due to limited access to good quality healthcare, and low pension coverage. We aim to compare the sociodemographic and health characteristics, health service utilization, needs for care and informal care arrangements of representative samples of older people in two Beijing communities, urban Xicheng and rural Daxing.

Methods: A one-phase cross-sectional survey of all those aged 65 years and over was conducted in urban and rural catchment areas in Beijing, China. Assessments included questionnaires, a clinical interview, physical examination, and an informant interview. Prevalence of chronic diseases, self-reported impairments and risk behaviours was calculated adjusting for household clustering. Poisson working models were used to estimate the independent effect of rural versus urban residence, and to explore the predictors of health services utilization.

Results: We interviewed 1002 participants in rural Daxing, and 1160 in urban Xicheng. Those in Daxing were more likely to be younger, widowed, less educated, not receiving a pension, and reliant on family transfers. Chronic diseases were more common in Xicheng, when based on self-report rather than clinical assessment. Risk exposures were more common in Daxing. Rural older people were much less likely to access health services, controlling for age and health. Community health services were ineffective, particularly in Daxing, where fewer than 3% of those with hypertension were adequately controlled. In Daxing, care was provided by family, who had often given up work to do so. In Xicheng, 45% of those needing care were supported by paid caregivers. Caregiver strain was higher in Xicheng. Dementia was strongly associated with care needs and caregiver strain, but not with medical helpseeking.

Conclusion: Apparent better health in Daxing might be explained by under-diagnosis, under-reporting or selective mortality. Far-reaching structural reforms may be needed to improve access and strengthen rural healthcare. The impact of social and economic change is already apparent in Xicheng, with important implications for future long-term care.

语种英语
所属项目编号GR08002
资助者World Health Organization ; Wellcome Trust ; World Health Organization ; Wellcome Trust
WOS记录号WOS:000271330900001
引用统计
被引频次:40[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50929
专题北京大学精神卫生研究所
作者单位1.Peking Univ, Inst Mental Hlth, Key Lab Mental Hlth, Minist Hlth, Beijing 100191, Peoples R China
2.Kings Coll London, Sect Epidemiol Hlth Serv & Populat Res, London SE5 8AF, England
推荐引用方式
GB/T 7714
Liu, Zhaorui,Albanese, Emiliano,Li, Shuran,et al. Chronic disease prevalence and care among the elderly in urban and rural Beijing, China - a 10/66 Dementia Research Group cross-sectional survey[J]. BMC PUBLIC HEALTH,2009,9.
APA Liu, Zhaorui.,Albanese, Emiliano.,Li, Shuran.,Huang, Yueqin.,Ferri, Cleusa P..,...&Prince, Martin.(2009).Chronic disease prevalence and care among the elderly in urban and rural Beijing, China - a 10/66 Dementia Research Group cross-sectional survey.BMC PUBLIC HEALTH,9.
MLA Liu, Zhaorui,et al."Chronic disease prevalence and care among the elderly in urban and rural Beijing, China - a 10/66 Dementia Research Group cross-sectional survey".BMC PUBLIC HEALTH 9(2009).
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