2001/2002年至2019/2020年多重发病率的趋势和不平等:不列颠哥伦比亚省一项基于人群的研究。

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jennifer K Ferris, Amy Prangnell, Brandon Wagar, Alex Choi, Jonathan Simkin, Ryan R Woods, Hind Sbihi, Kari Harder, Kate Smolina
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引用次数: 0

摘要

背景:多病是全球卫生保健系统面临的重大挑战。关于多病患病率和发病率的数据有限,特别是在加拿大的背景下,以及这些数据如何因多病复杂性、性别、年龄和社区收入五分位数而有所不同。方法:本研究纳入了2001/2002年至2019/2020年加拿大不列颠哥伦比亚省居民的行政数据。本研究分析了按性别、年龄和社区收入五分位数划分的多重疾病(两种或两种以上疾病)和复杂多重疾病(五种或五种以上疾病)的患病率和发病率趋势。这项研究还确定了最普遍的疾病组合。结果:2019/2020年,超过25%的成年人和60%的老年人符合多病标准。从2001/2002年到2019/2020年,年龄标准化的多病患病率在女性中平均每年增加1.5%,在男性中平均每年增加2.9%,在女性中发病率下降3.3%,在男性中下降1.1%。复杂多病患病率在女性中平均每年增加4.8%,在男性中增加5.7%,在女性中增加1.1%,在男性中增加2.2%。年轻年龄组的多病患病率和发病率的年平均增长率较高。与高收入人群相比,低收入人群的多重疾病风险更高,而复杂的多重疾病与标准的多重疾病相比,这种差异更大。高度流行的单一疾病往往形成最流行的疾病组合,最流行的疾病组合因收入五分位数而异。解释:这些发现表明,在不列颠哥伦比亚省,多重疾病的负担和复杂性继续上升。多病人口趋势对预测未来疾病负担和卫生保健规划具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends and inequalities in multimorbidity from 2001/2002 to 2019/2020: A population-based study in British Columbia.

Background: Multimorbidity is a significant challenge for health care systems worldwide. There are limited data, particularly in a Canadian context, on multimorbidity prevalence and incidence, and how these differ by multimorbidity complexity, sex, age, and neighbourhood income quintile.

Methods: This study included administrative data from residents of British Columbia, Canada, from 2001/2002 to 2019/2020. This study analyzed trends in the prevalence and incidence of multimorbidity (two or more conditions) and complex multimorbidity (five or more conditions) by sex, age, and neighbourhood income quintile. This study also identified the most prevalent disease combinations.

Results: More than 25% of adults and 60% of seniors met criteria for multimorbidity in 2019/2020. From 2001/2002 to 2019/2020, age-standardized multimorbidity prevalence increased annually by an average of 1.5% in females and 2.9% in males, and incidence decreased by 3.3% in females and 1.1% in males. Complex multimorbidity prevalence increased annually by an average of 4.8% in females and 5.7% in males, and incidence increased by 1.1% in females and 2.2% in males. Younger age groups had higher average annual increases in multimorbidity prevalence and incidence. Multimorbidity risk was higher in lower income quintiles, relative to higher income quintiles, and these disparities were larger for complex, relative to standard, multimorbidity. Highly prevalent single diseases tended to form the most prevalent disease combinations, and the most prevalent disease combinations varied by income quintile.

Interpretation: These findings suggest that the burden and complexity of multimorbidity continue to rise in British Columbia. Population trends in multimorbidity have important implications for projecting future disease burden and health care planning.

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来源期刊
Health Reports
Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
4.00%
发文量
28
期刊介绍: Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.
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