Prevalence of multiple chronic conditions among US adults: estimates from the National Health Interview Survey, 2010.
Prevalence of multiple chronic conditions among US adults: estimates from the National Health Interview Survey, 2010.
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DOI：
10.5888/pcd10.120203
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发表时间：
2013-04-25
影响因子：
5.5
通讯作者：
Schiller JS
中科院分区：
文献类型：
--
作者：
Ward BW;Schiller JS
长期以来，预防和改善慢性病一直是美国的优先事项;然而，人们越来越认识到人们经常患有多种慢性病（MCC），这增加了一层复杂性。本研究的目的是通过选定的人口统计学特征，介绍MCC的患病率和最常见的MCC二联/三联体。我们使用来自2010年国家健康访谈调查（NHIS）的受访者报告数据，研究年龄在18岁或以上的美国成年平民非机构化人群（n = 27，157）。我们将成年人分为0至1、2至3或4种或更多种以下慢性疾病：高血压、冠心病、中风、糖尿病、癌症、关节炎、肝炎、虚弱或衰竭的肾脏、慢性阻塞性肺病或目前的哮喘。然后，我们生成描述性估计值，并测试显著差异。26%的成年人患有MCC; MCC的患病率从2001年的21.8%增加到2010年的26.0%。MCC的患病率随着年龄的增长而显著增加，女性显著高于男性，非西班牙裔白色和非西班牙裔黑人成人显著高于西班牙裔成人。最常见的二联体是关节炎和高血压，关节炎、高血压和糖尿病的组合是最常见的三联体。本研究的结果为MCC的研究提供了参考。NHIS可用于识别最有可能患有MCC的人群亚组，并可能为患有更常见MCC组合的人群提供临床指南。
Preventing and ameliorating chronic conditions has long been a priority in the United States; however, the increasing recognition that people often have multiple chronic conditions (MCC) has added a layer of complexity with which to contend. The objective of this study was to present the prevalence of MCC and the most common MCC dyads/triads by selected demographic characteristics. We used respondent-reported data from the 2010 National Health Interview Survey (NHIS) to study the US adult civilian noninstitutionalized population aged 18 years or older (n = 27,157). We categorized adults as having 0 to 1, 2 to 3, or 4 or more of the following chronic conditions: hypertension, coronary heart disease, stroke, diabetes, cancer, arthritis, hepatitis, weak or failing kidneys, chronic obstructive pulmonary disease, or current asthma. We then generated descriptive estimates and tested for significant differences. Twenty-six percent of adults have MCC; the prevalence of MCC has increased from 21.8% in 2001 to 26.0% in 2010. The prevalence of MCC significantly increased with age, was significantly higher among women than men and among non-Hispanic white and non-Hispanic black adults than Hispanic adults. The most common dyad identified was arthritis and hypertension, and the combination of arthritis, hypertension, and diabetes was the most common triad. The findings of this study contribute information to the field of MCC research. The NHIS can be used to identify population subgroups most likely to have MCC and potentially lead to clinical guidelines for people with more common MCC combinations.
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