Abstract
The prevalence and care management of multiple (two or more) chronic conditions (MCC) are important public health concerns (1). Approximately 25% of U.S. adults have diagnoses of MCC (2). Care management of MCC presents a challenge to both patients and providers because of the substantial costs associated with treating more than one condition and the traditional care strategies that focus on single conditions as opposed to enhanced care coordination (3,4). Maintaining surveillance, targeting service delivery, and projecting resources are all important to meet this challenge, and these actions can be informed by identifying state and other regional variations in MCC prevalence (5,6). Data from the 2014 National Health Interview Survey (NHIS) were used to estimate prevalence of MCC (defined as two or more of 10 diagnosed chronic conditions) for each U.S. state and region by age and sex. Significant state and regional variation in MCC prevalence was found, with state-level estimates ranging from 19.0% in Colorado to 38.2% in Kentucky. MCC prevalence also varied by region, ranging from 21.4% in the Pacific region to 34.5% in the East South Central region. The prevalence of MCC was higher among women than among men within certain U.S. regions, and was higher in older persons in all regions. Such findings further the research and surveillance objectives stated in the U.S. Department of Health and Human Services (HHS) publication, Multiple Chronic Conditions: A Strategic Framework (1). Furthermore, geographic disparities in MCC prevalence can inform state-level surveillance programs and groups targeting service delivery or allocating resources for MCC prevention activities.
Highlights
Morbidity and Mortality Weekly ReportState and Regional Prevalence of Diagnosed Multiple Chronic Conditions Among Adults Aged ≥18 Years — United States, 2014
Findings in this study further the research and surveillance objectives stated in the U.S Department of Health and Human Services publication, Multiple Chronic Conditions: A Strategic Framework
Crude estimates of multiple chronic conditions (MCC) are presented for the U.S states and the District of Columbia. This allowed for identification of states with higher prevalence of MCC, which might be useful in targeting service delivery and projecting resources [5,6]; comparisons of these estimates with the national average do not account for different age distributions among the 50 states or District of Columbia
Summary
State and Regional Prevalence of Diagnosed Multiple Chronic Conditions Among Adults Aged ≥18 Years — United States, 2014. § U.S regions (and the states constituting them) include the following: Pacific (Alaska, California, Hawaii, Oregon, Washington); Mountain (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming); West North Central (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota); East North Central (Illinois, Indiana, Michigan, Ohio, Wisconsin); West South Central (Arkansas, Louisiana, Oklahoma, Texas); East South Central (Alabama, Kentucky, Mississippi, Tennessee); New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont); Middle Atlantic (Delaware, District of Columbia, Maryland, New Jersey, New York, Pennsylvania); and South Atlantic (Florida, Georgia, North Carolina, South Carolina, Virginia, West Virginia). Among regions with prevalence estimates of MCC lower than the national average (Pacific, Middle Atlantic, and West North Central), only the Pacific region prevalence was consistently lower than the national average when stratified by age
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
