Abstract: Multimorbidity poses a global public health challenge. The resilience of older adults with multimorbidity reflects their ability to maintain a healthy life. Therefore, examining the factors influencing the resilience contributes to achieving healthy ageing. This study uses data from the seventh and eighth waves of Anhui longitudinal survey conducted by the Institute for Population and Development Studies of Xi'an Jiaotong University to explore the influencing factors of the resilience of older adults with multimorbidity and its changes. The findings indicate that over 40% of rural older adults suffer from multimorbidity. Older adults who are younger and have more children are associated with higher resilience in the cross-sectional analysis. Socioeconomic status, exercise frequency, religious belief, self-reported health, old-age care institutions in the community, and the natural environment affect the resilience of older adults with multimorbidity, both in cross-sectional and longitudinal changes. Increased public sports services in the community can contribute to resilience improvement. These findings suggest that there should be a shift from prognosis to prevention and an increase in age-friendly construction for older adults to promote health and well-being in later life.

Keywords: Multimorbidity, Resilience, Rural Older Adults, Comorbidity

摘要： 多重慢性病是全球公共卫生问题。多重慢性病老年人韧性反映了老年人患有多种慢性病时维持健康生活的内在能力，研究其影响因素有助于实现健康老龄化。采用西安交通大学人口与发展研究所开展的“安徽省农村老年人福利状况”调查的第七期(2018年)和第八期(2021年)数据探索多重慢性病老年人韧性及其变化的多层影响因素。研究发现:四成以上农村老年人患有多重慢性病;年龄较轻和子女数量较多的老年人的韧性水平较高;社会经济地位、宗教信仰、锻炼频率、健康自评、社区养老机构和生态环境无论在截面还是纵向变化中均对多重慢性病老年人韧性产生影响;社区公共体育服务的增加能提高老年人韧性上升的可能性。鉴于此，需要以预防代替预后，以主观推动客观，提高适老化建设和老年服务水平，以提高老年人晚年健康水平和幸福感。

关键词: 多重慢性病, 韧性, 农村老年人, 共病