This study aims to identify latent subtypes of Chinese elderly patients with hypertension based on their health profiles, analyze underlying driving factors and provide scientific evidence for developing targeted health management strategies.
Using two waves (Wave 3 and Wave 4) of Harmonized CHARLS data, this study assessed the health status of Chinese elderly patients with hypertension across three dimensions, including physical condition, psychological condition and quality of life. Latent profile analysis identified health status subtypes, latent transition analysis explored inter-subtype transitions over time. Based on this, logistic regression and decision tree models were used to further investigate the key factors influencing the latent subtype transitions.
Four health status subtypes were identified: Comprehensive well-adapted,Multidimensional dysfunction, Low positive affect-driven, and High negative affect-sensitive. The Comprehensive well-adapted subtype had the highest stability (61.4%), while the Multidimensional dysfunction subtype had the lowest (4.10%). Gender,education, marital status, afternoon napping, physical exercise, social participation, sleep duration, and satisfaction with children and marriage were significantly associated with subtype transitions.
Elderly hypertensive patients exhibit high health status heterogeneity, necessitating targeted interventions. Priority should be given to solitary-living older women with lower education, and to promoting adequate sleep, physical exercise, and social engagement. Improved social support,community involvement and mental health services can enhance their quality of life.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |