Abstract
BackgroundMultimorbidity is defined as two or more chronic health conditions existing in an individual simultaneously. Multimorbidity has been associated with poor conditions, such as higher health care costs and the poor quality of life. Thus, identifying the risk factors of the multimorbidity is required for multimorbidity prevention.MethodsThis study was based on the Comprehensive Demonstration Research Project of Major Chronic Noncommunicable Disease Prevention and Control Technology in Northeast China initiated by China Medical University. The investigation was a cross-sectional study under a multistage stratified cluster random sampling design. Associations between multimorbidity and sociodemographic and behavioral factors in adult residents were investigated using univariate analysis and multivariate logistic regression analysis.ResultsA total of 6706 participants were enrolled in this investigation, and the prevalence of multimorbidity was 21.2% among the adult residents of northeastern China. There existed differences of association between age and multimorbidity risks (65–69 years old: OR = 3.53, 95%CI: 2.04–6.12; 70–74 years old: OR = 5.26, 95%CI: 3.02–9.17). Participants who are overweight had significantly high multimorbidity risk (OR = 2.76, 95%CI: 1.50–5.24). Family history of hypertension and family history of diabetes were significantly associated with high multimorbidity risk (family history of hypertension: OR = 2.34, 95%CI: 1.96–2.79; family history of diabetes: OR = 1.77, 95%CI: 1.38–2.26). Compared with the frequency of fatigue (< 1 time/week or 1–2 times/week), that (≥3 times/week) was associated with high multimorbidity risk (OR = 1.39, 95%CI: 1.07–1.81). For fresh fruit consumption, compared with eating fruits regularly, eating rarely had a higher risk of multimorbidity (OR = 2.33, 95%CI: 1.90–2.85).ConclusionsSociodemographic indices (age, BMI, family history of hypertension, and family history of diabetes) and behavioral indices (fatigue status and fresh fruit consumption) increase the risks of multimorbidity. This study provides a necessary route to prevent and control multimorbidity in northeast China.
Highlights
Multimorbidity is defined as two or more chronic health conditions existing in an individual simultaneously [1,2,3,4].Multimorbidity increases with aging [5]
We investigated the prevalence of multimorbidity and further evaluated the sociodemographic and behavioral influences on multimorbidity among adult residents to identify the risk factors for multimorbidity in Changchun, China
Significant differences of prevalence classified by number of chronic diseases existed in age, BMI, marital status, family history of hypertension, family history of diabetes, educational level, occupation, annual income, physical exercise, sleep status, fatigue status, stay up late, salt taste, edible oil taste, carbonated drinks, fresh fruit consumption, meat consumption, consumption of fish, and consumption of eggs and beans (P < 0.05)
Summary
Multimorbidity increases with aging [5]. Aging is a risk factor of multimorbidity; the number and proportion of the elderly are increasing sharply in China. Multimorbidity has been associated with adverse events, including longer hospitalizations, multiple medical treatments, more complications, psychological distress, higher health care costs, and the poorer quality of life [8,9,10,11,12,13,14,15]. Multimorbidity is defined as two or more chronic health conditions existing in an individual simultaneously. Multimorbidity has been associated with poor conditions, such as higher health care costs and the poor quality of life. Identifying the risk factors of the multimorbidity is required for multimorbidity prevention
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