Trends in Multiple Chronic Conditions Among US Adults, By Life Stage, Behavioral Risk Factor Surveillance System, 2013-2023.

IF 4.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventing Chronic Disease Pub Date : 2025-04-17 DOI:10.5888/pcd22.240539

Kathleen B Watson, Jennifer L Wiltz, Kunthea Nhim, Rachel B Kaufmann, Craig W Thomas, Kurt J Greenlund

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引用次数: 0

Abstract

Introduction: Chronic conditions are costly and major causes of death and disability. Addressing conditions earlier in adulthood can slow disease progression and improve well-being across the lifespan. We estimated, by life stage, 10-year trends among US adults in the prevalence of 1 or more chronic conditions, multiple chronic conditions (MCC; ≥2 conditions), and 12 selected chronic conditions.

Methods: We analyzed data from the 2013-2023 (odd years) Behavioral Risk Factor Surveillance System (N = 2,673,529). We estimated the prevalence of 1 or more conditions, MCC, and each of 12 conditions, by life stage: young (18-34 y), midlife (35-64 y), and older (≥65 y) adults. We used polynomial contrasts to analyze 10-year trends.

Results: In 2023, 76.4% (representing 194 million) of US adults reported 1 or more chronic conditions, including 59.5%, 78.4%, and 93.0% of young, midlife, and older adults, respectively. Moreover, 51.4% (representing 130 million) of US adults reported MCC, including 27.1%, 52.7%, and 78.8% of young, midlife, and older adults, respectively. Among young adults, from 2013 to 2023, prevalence increased significantly from 52.5% to 59.5% for 1 or more conditions and from 21.8% to 27.1% for MCC.

Conclusion: Approximately 6 in 10 young, 8 in 10 midlife, and 9 in 10 older US adults report 1 or more chronic conditions. Trends in conditions worsened among young adults during 2013-2023. Recognizing the burden of chronic disease throughout life stages, especially earlier in life, practitioners and partners may consider prevention and management approaches critical for addressing costs, care, and health outcomes. Practitioners may also consider tailoring these approaches to unique roles, transitions, and challenges in different life stages.

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2013-2023年美国成年人多种慢性疾病的趋势，按生命阶段，行为风险因素监测系统

慢性疾病代价高昂，是造成死亡和残疾的主要原因。在成年早期解决问题可以减缓疾病的进展，并改善整个生命周期的健康状况。我们按生命阶段估计了美国成年人一种或多种慢性疾病患病率的10年趋势，多重慢性疾病(MCC；≥2种情况)，12种选择慢性情况。方法：分析2013-2023年（奇数年）行为危险因素监测系统（N = 2,673,529）的数据。我们按生命阶段估计了1种或更多疾病、MCC和12种疾病中的每一种的患病率：年轻（18-34岁）、中年（35-64岁）和老年（≥65岁）成年人。我们使用多项式对比分析10年趋势。2023年，76.4%（代表1.94亿）的美国成年人报告了一种或多种慢性疾病，其中年轻人、中年人和老年人分别为59.5%、78.4%和93.0%。此外，51.4%（1.3亿）的美国成年人报告了MCC，其中年轻人、中年人和老年人分别为27.1%、52.7%和78.8%。在年轻人中，从2013年到2023年，一种或多种疾病的患病率从52.5%显著增加到59.5%，MCC的患病率从21.8%显著增加到27.1%。结论：大约60%的美国年轻人、80%的中年人和90%的老年人报告有一种或多种慢性疾病。2013-2023年期间，年轻人的疾病趋势恶化。认识到慢性病在整个生命阶段的负担，特别是在生命早期，从业人员和合作伙伴可能认为预防和管理方法对于解决成本、护理和健康结果至关重要。从业者也可以考虑调整这些方法，以适应不同人生阶段的独特角色、转变和挑战。

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来源期刊

Preventing Chronic Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.70

自引率

3.60%

发文量

期刊介绍： Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.