Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participants
Abstract Background This study aimed to investigate the prevalence of multimorbidity and its associated factors among the older population in China to propose policy recommendations for the management of chronic diseases in older adults. Methods This study was conducted based on the 2021 Shenzhen He...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-023-04128-1 |
| _version_ | 1827899681841086464 |
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| author | Wenqing Ni Xueli Yuan Yan Zhang Hongmin Zhang Yijing Zheng Jian Xu |
| author_facet | Wenqing Ni Xueli Yuan Yan Zhang Hongmin Zhang Yijing Zheng Jian Xu |
| author_sort | Wenqing Ni |
| collection | DOAJ |
| description | Abstract Background This study aimed to investigate the prevalence of multimorbidity and its associated factors among the older population in China to propose policy recommendations for the management of chronic diseases in older adults. Methods This study was conducted based on the 2021 Shenzhen Healthy Ageing Research (SHARE), and involved analysis of 346,760 participants aged 65 or older. Multimorbidity is defined as the presence of two or more clinically diagnosed or non self-reported chronic diseases among the eight chronic diseases surveyed in an individual. The Logistic analysis was adopted to explore the potential associated factors of multimorbidity. Results The prevalences of obesity, hypertension, diabetes, anemia, chronic kidney disease, hyperuricemia, dyslipidemia and fatty liver disease were 10.41%, 62.09%, 24.21%, 12.78%, 6.14%, 20.52%, 44.32%, and 33.25%, respectively. The prevalence of multimorbidity was 63.46%. The mean count of chronic diseases per participant was 2.14. Logistic regression indicated that gender, age, marriage status, lifestyle (smoking status, drinking status, and physical activity), and socioeconomic status (household registration, education level, payment method of medical expenses) were the common predictors of multimorbidity for older adults, among which, being women, married, or engaged in physical activity was found to be a relative determinant as a protective factor for multimorbidity after the other covariates were controlled. Conclusion Multimorbidity is prevalent among older adults in Chinese. Guideline development, clinical management,and public intervention should target a group of diseases instead of a single condition. |
| first_indexed | 2024-03-12T23:21:09Z |
| format | Article |
| id | doaj.art-4c6cbe5924cb4789ba663694b8eb0d17 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-12T23:21:09Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-4c6cbe5924cb4789ba663694b8eb0d172023-07-16T11:27:13ZengBMCBMC Geriatrics1471-23182023-07-0123111010.1186/s12877-023-04128-1Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participantsWenqing Ni0Xueli Yuan1Yan Zhang2Hongmin Zhang3Yijing Zheng4Jian Xu5Department of Elderly Health Management, Shenzhen Center for Chronic Disease ControlDepartment of Elderly Health Management, Shenzhen Center for Chronic Disease ControlDepartment of Elderly Health Management, Shenzhen Center for Chronic Disease ControlDepartment of Elderly Health Management, Shenzhen Center for Chronic Disease ControlDepartment of Elderly Health Management, Shenzhen Center for Chronic Disease ControlDepartment of Elderly Health Management, Shenzhen Center for Chronic Disease ControlAbstract Background This study aimed to investigate the prevalence of multimorbidity and its associated factors among the older population in China to propose policy recommendations for the management of chronic diseases in older adults. Methods This study was conducted based on the 2021 Shenzhen Healthy Ageing Research (SHARE), and involved analysis of 346,760 participants aged 65 or older. Multimorbidity is defined as the presence of two or more clinically diagnosed or non self-reported chronic diseases among the eight chronic diseases surveyed in an individual. The Logistic analysis was adopted to explore the potential associated factors of multimorbidity. Results The prevalences of obesity, hypertension, diabetes, anemia, chronic kidney disease, hyperuricemia, dyslipidemia and fatty liver disease were 10.41%, 62.09%, 24.21%, 12.78%, 6.14%, 20.52%, 44.32%, and 33.25%, respectively. The prevalence of multimorbidity was 63.46%. The mean count of chronic diseases per participant was 2.14. Logistic regression indicated that gender, age, marriage status, lifestyle (smoking status, drinking status, and physical activity), and socioeconomic status (household registration, education level, payment method of medical expenses) were the common predictors of multimorbidity for older adults, among which, being women, married, or engaged in physical activity was found to be a relative determinant as a protective factor for multimorbidity after the other covariates were controlled. Conclusion Multimorbidity is prevalent among older adults in Chinese. Guideline development, clinical management,and public intervention should target a group of diseases instead of a single condition.https://doi.org/10.1186/s12877-023-04128-1Older adultsMultimorbidityAssociated factors |
| spellingShingle | Wenqing Ni Xueli Yuan Yan Zhang Hongmin Zhang Yijing Zheng Jian Xu Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participants BMC Geriatrics Older adults Multimorbidity Associated factors |
| title | Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participants |
| title_full | Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participants |
| title_fullStr | Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participants |
| title_full_unstemmed | Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participants |
| title_short | Sociodemographic and lifestyle determinants of multimorbidity among community-dwelling older adults: findings from 346,760 SHARE participants |
| title_sort | sociodemographic and lifestyle determinants of multimorbidity among community dwelling older adults findings from 346 760 share participants |
| topic | Older adults Multimorbidity Associated factors |
| url | https://doi.org/10.1186/s12877-023-04128-1 |
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