Prevalence, Correlates, and Time Trends of Multiple Chronic Conditions Among Israeli Adults: Estimates From the Israeli National Health Interview Survey, 2014–2015

Abstract

IntroductionChronic diseases constitute a major public health challenge. The prevalence of multiple chronic conditions (MCC) has increased. The objective of our study was to describe the prevalence, correlates, and time trends of MCC in the Israeli population and among the nation’s 2 main population groups (Jewish and Arab).MethodsTo describe the prevalence of correlates of MCC, we used data from the 2014–2015 Israeli National Health Interview Survey-III (INHIS-III). MCC was defined as having 2 or more of the following 10 self-reported physician-diagnosed chronic conditions: asthma, arthritis, cancer, diabetes, dyslipidemia, heart attack, hypertension, migraine, osteoporosis, or thyroid disease. For trend analysis, we used data from INHIS-I (2003–2004) and INHIS-II (2007–2010). Logistic regression was used for multivariate analysis. Estimates were weighted to the 2014 Israeli population. P for trend was calculated by using the Cochran–Armitage test for proportions.ResultsIn 2014–2015, the prevalence of MCC was 27.3% (95% confidence interval, 25.7%–28.8%). In multivariate analysis, MCC was associated with older age, female sex, a monthly household income of USD$3,000 or less, current and past smoking, and overweight or obesity. After adjusting for age, sex, income, smoking status, and body mass index, differences in MCC between Jewish and Arab populations disappeared. Dyslipidemia and hypertension were the most prevalent dyad among both men and women. Dyslipidemia, hypertension, and diabetes were the most prevalent triad among both men and women. The age-adjusted prevalence of MCC increased by 6.7% between 2003–2004 and 2014–2015.ConclusionWith the increase in the prevalence of MCC, a comprehensive approach is needed to reduce the burden of chronic conditions. Of special concern are the groups most prone to MCC.

Body mass index and mortality in patients with and without diabetes mellitus

“…According to the 2007‐2010 Israeli National Health Interview Survey, the prevalence of overweight in the adult general population of Israel was 35.4%, while obesity was evident in 15.4% of the population . A more recent report indicated that the prevalence of obesity in the general population was 21% . In our cohort of hospitalized patients, the prevalence of overweight was similar to the general population, among patients with and without DM (34% and 36%, respectively).…”

“…In accordance with the results of a systemic review and metaanalysis by Chang et al, 11 25 A more recent report indicated that the prevalence of obesity in the general population was 21%. 26 In our cohort of hospitalized patients, the prevalence of overweight was similar to the general population, among patients with and without DM (34% and 36%, respectively). As for the prevalence of obesity, while it was similar to the aforementioned reports in the group of patients without DM (20%), it was markedly increased in the group of patients with DM (35%), as could be expected in this population.…”

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“…Sixty two percent of Americans over 65 have more than one chronic condition ( 34 ) and the prevalence of multiple chronic conditions is increasing ( 35 ), due to aging of populations and to increasing diabetes rates. Older adults with multiple chronic conditions account for a large percentage of health spending ( 36 ).…”

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“…According to a national health study conducted on Israelis aged 21 years and older during 2013-2015 (INHIS 3), the prevalences of diabetes, hypertension, and dyslipidemia were 8.4, 20.6, and 30.2%, respectively [42]. The data on diabetes and dyslipidemia of the current control group were similar to those values, but the prevalence of hypertension was about twice as high (41%).…”