Multimorbidity in the community-dwelling elderly in urban China
| Autor: | Wenji Chen, Huanghui Chen, Lin Deng, Jiayi Gu, Hui Xu, Tingting He, Ruizhi Zhang, Zhenchun Wu, Jianqian Chao |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Aging medicine.medical_specialty China Health (social science) Urban Population Digestive System Diseases Comorbidity 030204 cardiovascular system & hematology Logistic regression Cataract 03 medical and health sciences Liver disease 0302 clinical medicine Internal medicine Diabetes mellitus Neoplasms medicine Diabetes Mellitus Prevalence Multimorbidity Humans 030212 general & internal medicine Stroke Hearing Disorders Aged Dyslipidemias Aged 80 and over business.industry medicine.disease Hearing disorder Cross-Sectional Studies Logistic Models Gastrointestinal disease Cardiovascular Diseases Physical therapy Female Geriatrics and Gerontology Joint Diseases business Factor Analysis Statistical Gerontology Kidney disease |
| Zdroj: | Archives of gerontology and geriatrics. 68 |
| ISSN: | 1872-6976 |
| Popis: | The primary objective of the study was to investigate the prevalence and patterns of multimorbidity in the community-dwelling elderly in urban China.By a cluster random sampling method, 2452 persons aged 60 years and older were enrolled as the subjects in an urban community in Nanjing, China. Data on 13 chronic diseases were collected by interviews, physical check-ups and support by physicians. Factor analyses and the logistic regression models were performed to analyze the patterns of multimorbidity.The prevalence of multimorbidity was 49.4% in the community-dwelling elderly in urban China. The observed prevalence of 6 chronic disease pairs was higher than their expected prevalence, including hypertension and diabetes, hypertension and coronary heart disease, hypertension and dyslipidaemia, diabetes and cataract, diabetes and hearing disorder, hypertension and stroke. Three patterns were detected as follows: the first pattern with a prevalence of 9.5% covered degenerative diseases (hearing disorder, cataract, joint disease) and cancer; The second pattern with a prevalence of 1.7% was characterized by liver disease, lung disease, gastrointestinal disease; And the third pattern with a prevalence of 22.4% was characterized by cardiovascular diseases (dyslipidaemia, hypertension, coronary heart disease), metabolic diseases (diabetes) and kidney disease. Compared with70 years, ≥80 years were found as the risk factor of the prevalence of three patterns.A significant proportion of elderly populations was affected by multimorbidity in urban China. Specific patterns of multimorbidity were found at group level and the prevalence was associated with age. |
| Databáze: | OpenAIRE |
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