[2009-2023年中国10省(区)成年居民慢性多病分布及流行趋势]。

Fangxu Guan, Yuna He, Chang Su, Yanli Wei, Xiaofan Zhang, Feifei Huang, Yifei Ouyang, Li Li, Jing Bai, Xiaofang Jia, Jiguo Zhang, Wenwen Du, Huijun Wang
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引用次数: 0

摘要

目的:了解中国10个省(区)近14年居民慢性多种疾病的发病情况及流行趋势,并分析多种疾病的发病模式。方法:通过2009年、2015年、2018年和2023年4轮随访调查的17000名18岁及以上成年居民的空腹血液生理生化检测、体格测量和问卷调查,获取肥胖、高血压、糖尿病、血脂异常、高尿酸血症及各种慢性疾病的相关指标和病史信息。进行描述性分析,以确定和比较两种或两种以上慢性病人群中几种常见的多病组合以及4轮调查的变化趋势。结果:来自17000名成年人的35712项观察显示,每轮的多病患病率从2009年的28.3%上升到2023年的38.9%,增加了10.6%。不同性别、年龄组和城乡人群多病患病率呈上升趋势,城乡人群多病患病率随着时间的推移逐渐趋于一致。对不同类型的多重发病进行分组后发现,在过去的14年中,多重发病的患病率有所上升。成人中主要的多病模式是高血压合并血脂异常和(或)其他慢性疾病。老年人多病型以高血压合并血脂异常为主,中青年多病型以血脂异常合并肥胖或高尿酸血症为主。结论:人群慢性疾病状态多为复合状态。不同年龄组和性别的多病模式因生理差异而存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Distribution and epidemic trends of chronic multimorbidity among adult residents in 10 provinces (autonomous regions)of China in 2009-2023].

Objective: To describe the prevalence and epidemic trends of several chronic multimorbidy among adult residents in 10 provinces(autonomous regions)of China over the past 14 years, and to analyze their multimorbidity patterns.

Methods: According to the fasting blood physiological and biochemical tests, physical measurements and questionnaires of 17 000 adult residents aged 18 years and above who were surveyed in 4 rounds of follow-up surveys in 2009, 2015, 2018 and 2023, the relevant indicators and disease history information of obesity, hypertension, diabetes mellitus, dyslipidemia, hyperuricemia, and various chronic diseases were obtained. Descriptive analysis was carried out to identify and compare several common combinations of multimorbidity in the population with 2 or more chronic disease conditions and the changing trends of 4 rounds of surveys.

Results: 35 712 observations from 17 000 adults revealed that the prevalence of multimorbidity in each round rose from 28.3% in 2009 to 38.9% in 2023, an increase of 10.6 percent. The prevalence of multimorbidity in different gender, age groups, and urban/rural populations showed an upward trend, while the prevalence of multimorbidity in urban and rural populations gradually tended to be the same over time. After grouping various patterns of multimorbidity, it was found that the prevalence of multimorbidity increased over the past 14 years. The main multimorbidity pattern in adults was hypertension combined with dyslipidemia and(or) other chronic disease conditions. The elderly multimorbidity pattern was mainly hypertension combined with dyslipidemia, while young and middle-aged people mainly had dyslipidemia combined with obesity or hyperuricemia.

Conclusion: The chronic disease status of the population is mostly combined. There are differences in the multimorbidity patterns of different age groups and genders due to their physiological differences.

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