Multimorbidity in the community-dwelling elderly in urban China

Gu, Jiayi; Chao, Jianqian; Chen, Wenji; Xu, Hui; Wu, Zhenchun; Chen, Huanghui; He, Tingting; Deng, Lin; Zhang, Ruizhi

doi:10.1016/j.archger.2016.09.001

Cited by 65 publications

(70 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A recent systematic review showed that the prevalence of multimorbidity is higher than 60% worldwide, and is probably greater than 80% among those aged ≥85 years (26). Reported prevalence of community-dwelling older adults in Naijing (49.4%) and Guangdong (45.5%) provinces is lower than that in our study (13,29). The rate of multimorbidity in subjects older than 80 years in our research reached 81.6%, similar to that reported by Liu's group (93.73%).…”

Section: Discussioncontrasting

confidence: 83%

A Multicenter Study of Multimorbidity in Older Adult Inpatients in China

Zhang

Sun

et al. 2020

The Journal of nutrition, health and aging

View full text Add to dashboard Cite

Research on multimorbidity of older adults in China is still at the early stage. For the community-dwelling older population, a cross-sectional community health survey in southern China showed that the average number of chronic conditions was 1.68 ±1.60, and the prevalence of multimorbidity was reported to be 45.5% (11). Meanwhile, a study from northeastern China reported that almost a quarter (24.7%) of older adults was found to be multimorbid for chronic diseases (12). In another study from Nanjing, the prevalence of multimorbidity was 49.4% in community-dwelling older adults in urban areas (13). A large cross-sectional survey among 162,464 community household residents in southern China reported that more than 1 in 10 of the total study population (11.1%, 95% confidence interval [CI] 10.6 to 11.6) had 2 or more chronic conditions from a list of 40 morbidities (14). There are few studies of multimorbidity in hospitalized older adult patients in China. A survey of discharged patients in Hong Kong showed that 33.9% had 2 or more comorbid conditions (15). In China, which maintains a large population of older people with multimorbidity, most clinical guidelines nonetheless focus almost exclusively on single conditions (16), resulting in numerous hospital visits, polypharmacy, repeated

show abstract

Section: Discussioncontrasting

confidence: 83%

A Multicenter Study of Multimorbidity in Older Adult Inpatients in China

Zhang

Sun

et al. 2020

The Journal of nutrition, health and aging

View full text Add to dashboard Cite

show abstract

“…8 Nearly half of persons aged ≥45 years are multimorbid in urban China, and the prevalence increases to >60% in those aged ≥70 years. These results are higher than most previous reports in China 8,[12][13][14] and other LMICs 10,17 and even higher than some high-income countries. 2,28 These contrasting results might be because we selected only urban-dwelling middle-aged and older persons as our study population.…”

Section: Discussioncontrasting

confidence: 81%

“…Pati et al found the prevalence of multimorbidity in South Asia varied widely, mostly lower than those reported in high‐income countries, but most studies were based on small samples . We searched both Chinese and English language databases for studies of multimorbidity prevalence in China and found extremely divergent reports; for example, the proportion of older people reported with more than one chronic disease ranged from 6.4% to 90.5% …”

Section: Introductionmentioning

confidence: 99%

“…11 We searched both Chinese and English language databases for studies of multimorbidity prevalence in China and found extremely divergent reports; for example, the proportion of older people reported with more than one chronic disease ranged from 6.4% to 90.5%. 8,[12][13][14][15] The prevalence of multimorbidity in LMIC seems lower than that in high-income countries; 2,4,10,11 however, in both LMIC and high-income countries, a negative relationship exists between socioeconomic status and the prevalence of multimorbidity. 10,16 These inconsistencies might arise from at least the following factors: residents in poorer countries lack access to health services and diagnoses, and therefore the prevalence of multimorbidity is underreported; 3,17 richer and poorer countries are at different stages of the health transition, and the conclusions obtained from richer countries do not apply to poorer countries; 18 or from differences in study design.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multimorbidity among middle‐aged and older persons in urban China: Prevalence, characteristics and health service utilization

Chen

Cheng

Zhuang

et al. 2018

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim The knowledge on multimorbidity and its impact on healthcare systems is lacking in low‐ and middle‐income countries. We aimed to estimate the prevalence of multimorbidity, and analyze the health service use of middle‐aged and older persons with multimorbidity in urban China. Methods Study participants included 3737 urban residents aged ≥45 years from the China Health and Retirement Longitudinal Study 2011. A total of 16 pre‐specified self‐reported chronic conditions were used to measure multimorbidity, which was defined as having two or more conditions. Logistic regression was used to analyze the characteristics and health service use of persons with multimorbidity. Analyses were weighted to adjust for sampling design and non‐response. Results Of the study population, 51.9% were men and 20.1% were aged >70 years. Hypertension (33.1%) was the most prevalent condition, followed by arthritis (25.4%), digestive disease (18.7%), dyslipidemia (18.3%) and heart disease (17.7%). The prevalence of multimorbidity was 45.5% (95% CI 41.4–49.7%). Multivariate analyses showed that the prevalence of multimorbidity was significantly higher in respondents who are older and socioeconomically disadvantaged than that in their counterparts. Multimorbid patients used 72.7% of outpatient services and 77.3% of inpatient services. After controlling for demographic, socioeconomic, health behavior and health insurance factors, condition counts still had a positive relationship with outpatient or inpatient service use. Conclusions The burden of multimorbidity is high among the middle‐aged and older urban Chinese population. Management of multimorbidity therefore deserves more attention from health policymakers, providers and educators of health professionals in China and in other low‐ and middle‐income countries. Geriatr Gerontol Int 2018; 18: 1447–1452.

show abstract

“…A crosssectional survey involving 162 464 community residents in southern China found that 11.1% of the total study population had two or more long-term conditions (Wang et al, 2014). Another study found that the prevalence of MCCs was much higher in older adults living in urban areas in China (49.4%; Gu et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Urban–rural differences in mental health among Chinese patients with multiple chronic conditions

Cheng

Yang

Inder

et al. 2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

Mental health is impacted by social, economic, and environmental influences related to where people live. Mental health problems commonly co‐occur with long‐term physical conditions and impact individuals’ health synergistically. Multiple chronic conditions (MCCs) including mental health problems are becoming a public health challenge globally. However, there is limited information about urban–rural differences in mental health among patients with MCCs in China. The present study aimed to identify differences in mental health between urban and rural patients with MCCs. Using a cross‐sectional design, 347 patients with MCCs were recruited from a tertiary hospital in North Anhui, China. A self‐reported questionnaire, including socio‐demographic and clinical variables, the 12‐item Short‐Form survey version 2 on quality of life, and the Hospital Anxiety and Depression Scale, was administered to outpatients. Findings showed that rural participants reported more symptoms of anxiety and depression and had worse mental health compared to urban participants. Unemployment status, lower educational level, more long‐term health conditions, and a higher degree of anxiety were associated with worse mental health. This study highlights disparities in mental health among patients with MCCs living in urban and rural areas of China. Appropriate mental health support programmes should be developed for patients with MCCs, especially for those living in rural areas.

show abstract

Multimorbidity in the community-dwelling elderly in urban China

Cited by 65 publications

References 30 publications

A Multicenter Study of Multimorbidity in Older Adult Inpatients in China

A Multicenter Study of Multimorbidity in Older Adult Inpatients in China

Multimorbidity among middle‐aged and older persons in urban China: Prevalence, characteristics and health service utilization

Urban–rural differences in mental health among Chinese patients with multiple chronic conditions

Contact Info

Product

Resources

About