Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residents
BackgroundChronic comorbidity has become a major challenge in chronic disease prevention and control. This issue is particularly pronounced in rural areas of developing countries, where the prevalence of chronic disease comorbidity is high, especially among middle-aged and older adults populations....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1186248/full |
| _version_ | 1797814342572310528 |
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| author | Zijing Yu Zijing Yu Yuquan Chen Yuquan Chen Qianhang Xia Qianhang Xia Qingru Qu Tao Dai |
| author_facet | Zijing Yu Zijing Yu Yuquan Chen Yuquan Chen Qianhang Xia Qianhang Xia Qingru Qu Tao Dai |
| author_sort | Zijing Yu |
| collection | DOAJ |
| description | BackgroundChronic comorbidity has become a major challenge in chronic disease prevention and control. This issue is particularly pronounced in rural areas of developing countries, where the prevalence of chronic disease comorbidity is high, especially among middle-aged and older adults populations. However, the health status of middle-aged and older adults individuals in rural areas of China has received inadequate attention. Therefore, it is crucial to investigate the correlation among chronic diseases to establish a reference basis for adjusting health policies aimed at promoting the prevention and management of chronic diseases among middle-aged and older adults individuals.MethodsThis study selected 2,262 middle-aged and older adults residents aged 50 years or older in Shangang Village, Jiangsu Province, China, as the study population. To analyze the chronic comorbidity of middle-aged and older adults residents with different characteristics, we used the χ2 test with SPSS statistical software. Data analysis was conducted using the Apriori algorithm of Python software, set to mine the strong association rules of positive correlation between chronic disease comorbidities of middle-aged and older adults residents.ResultsThe prevalence of chronic comorbidity was 56.6%. The chronic disease comorbidity group with the highest prevalence rate was the lumbar osteopenia + hypertension group. There were significant differences in the prevalence of chronic disease comorbidity among middle-aged and older adults residents in terms of gender, BMI, and chronic disease management. The Apriori algorithm was used to screen 15 association rules for the whole population, 11 for genders, and 15 for age groups. According to the order of support, the most common association rules of comorbidity of three chronic diseases were: {lumbar osteopenia} → {hypertension} (support: 29.22%, confidence: 58.44%), {dyslipidemia} → {hypertension} (support: 19.14%, confidence: 65.91%) and {fatty liver} → {hypertension} (support: 17.82%, confidence: 64.17%).ConclusionThe prevalence of chronic comorbidity among middle-aged and older adults rural residents in China is relatively high. We identified many association rules among chronic diseases, dyslipidemia is mostly the antecedent, and hypertension is primarily the result. In particular, the majority of comorbidity aggregation patterns consisted of hypertension and dyslipidemia. By implementing scientifically-proven prevention and control strategies, the development of healthy aging can be promoted. |
| first_indexed | 2024-03-13T08:06:16Z |
| format | Article |
| id | doaj.art-6299060192f04b88b3a08c69fb13aa92 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-13T08:06:16Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-6299060192f04b88b3a08c69fb13aa922023-06-01T04:40:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-06-011110.3389/fpubh.2023.11862481186248Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residentsZijing Yu0Zijing Yu1Yuquan Chen2Yuquan Chen3Qianhang Xia4Qianhang Xia5Qingru Qu6Tao Dai7Institute of Medical Information/Library, Chinese Academy of Medical Sciences, Beijing, ChinaPeking Union Medical College, Beijing, ChinaInstitute of Medical Information/Library, Chinese Academy of Medical Sciences, Beijing, ChinaPeking Union Medical College, Beijing, ChinaInstitute of Medical Information/Library, Chinese Academy of Medical Sciences, Beijing, ChinaPeking Union Medical College, Beijing, ChinaPBC School of Finance, Tsinghua University, Beijing, ChinaInstitute of Medical Information/Library, Chinese Academy of Medical Sciences, Beijing, ChinaBackgroundChronic comorbidity has become a major challenge in chronic disease prevention and control. This issue is particularly pronounced in rural areas of developing countries, where the prevalence of chronic disease comorbidity is high, especially among middle-aged and older adults populations. However, the health status of middle-aged and older adults individuals in rural areas of China has received inadequate attention. Therefore, it is crucial to investigate the correlation among chronic diseases to establish a reference basis for adjusting health policies aimed at promoting the prevention and management of chronic diseases among middle-aged and older adults individuals.MethodsThis study selected 2,262 middle-aged and older adults residents aged 50 years or older in Shangang Village, Jiangsu Province, China, as the study population. To analyze the chronic comorbidity of middle-aged and older adults residents with different characteristics, we used the χ2 test with SPSS statistical software. Data analysis was conducted using the Apriori algorithm of Python software, set to mine the strong association rules of positive correlation between chronic disease comorbidities of middle-aged and older adults residents.ResultsThe prevalence of chronic comorbidity was 56.6%. The chronic disease comorbidity group with the highest prevalence rate was the lumbar osteopenia + hypertension group. There were significant differences in the prevalence of chronic disease comorbidity among middle-aged and older adults residents in terms of gender, BMI, and chronic disease management. The Apriori algorithm was used to screen 15 association rules for the whole population, 11 for genders, and 15 for age groups. According to the order of support, the most common association rules of comorbidity of three chronic diseases were: {lumbar osteopenia} → {hypertension} (support: 29.22%, confidence: 58.44%), {dyslipidemia} → {hypertension} (support: 19.14%, confidence: 65.91%) and {fatty liver} → {hypertension} (support: 17.82%, confidence: 64.17%).ConclusionThe prevalence of chronic comorbidity among middle-aged and older adults rural residents in China is relatively high. We identified many association rules among chronic diseases, dyslipidemia is mostly the antecedent, and hypertension is primarily the result. In particular, the majority of comorbidity aggregation patterns consisted of hypertension and dyslipidemia. By implementing scientifically-proven prevention and control strategies, the development of healthy aging can be promoted.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1186248/fullrural areasmiddle-aged and older adultschronic comorbidityassociation ruleschronic disease |
| spellingShingle | Zijing Yu Zijing Yu Yuquan Chen Yuquan Chen Qianhang Xia Qianhang Xia Qingru Qu Tao Dai Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residents Frontiers in Public Health rural areas middle-aged and older adults chronic comorbidity association rules chronic disease |
| title | Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residents |
| title_full | Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residents |
| title_fullStr | Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residents |
| title_full_unstemmed | Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residents |
| title_short | Identification of status quo and association rules for chronic comorbidity among Chinese middle-aged and older adults rural residents |
| title_sort | identification of status quo and association rules for chronic comorbidity among chinese middle aged and older adults rural residents |
| topic | rural areas middle-aged and older adults chronic comorbidity association rules chronic disease |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1186248/full |
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