Multimorbidity patterns in a national representative sample of the Spanish adult population.
Multimorbidity patterns in a national representative sample of the Spanish adult population.
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DOI：
10.1371/journal.pone.0084794
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Haro JM
中科院分区：
文献类型：
--
作者：
Garin N;Olaya B;Perales J;Moneta MV;Miret M;Ayuso-Mateos JL;Haro JM
在人口老龄化的背景下，多发性硬化症已成为公共卫生领域日益关注的问题。然而，人们对多发病模式和慢性病的其他问题知之甚少。我们的研究的目的是探讨多morphine模式，身体和精神状况之间的关系和多morphine在西班牙成年人口的分布。这项横断面研究的数据来自COUCHAN研究。共有4，583名来自西班牙的参与者，其中3，625名年龄在50岁以上。进行探索性因素分析，以检测50岁以上人群的多发病模式。进行粗和调整后的二元逻辑回归，以确定个体之间的身体和精神状况的关联。三种多发病模式上升：“心肺”（心绞痛、哮喘、慢性肺病）、“精神关节炎”（关节炎、抑郁、焦虑）和“聚集模式”（心绞痛、高血压、中风、糖尿病、白内障、牙缺失、关节炎）。在调整协变量后，哮喘、慢性肺病、关节炎和身体状况的数量与抑郁症有关。心绞痛和身体状况的数量与焦虑的风险较高相关。关于多次流产的分布，65岁以上妇女的多次流产率最高（67.3%）。在西班牙人口中，多发病率很高，尤其是老年人。有特定的多发病模式和个体之间的身体和精神状况，这带来了新的见解慢性病人的复杂性。有必要实施以病人为中心的护理，涉及这些相互作用，而不仅仅是关注个别疾病。
In the context of population aging, multimorbidity has emerged as a growing concern in public health. However, little is known about multimorbidity patterns and other issues surrounding chronic diseases. The aim of our study was to examine multimorbidity patterns, the relationship between physical and mental conditions and the distribution of multimorbidity in the Spanish adult population. Data from this cross-sectional study was collected from the COURAGE study. A total of 4,583 participants from Spain were included, 3,625 aged over 50. An exploratory factor analysis was conducted to detect multimorbidity patterns in the population over 50 years of age. Crude and adjusted binary logistic regressions were performed to identify individual associations between physical and mental conditions. Three multimorbidity patterns rose: ‘cardio-respiratory’ (angina, asthma, chronic lung disease), ‘mental-arthritis’ (arthritis, depression, anxiety) and the ‘aggregated pattern’ (angina, hypertension, stroke, diabetes, cataracts, edentulism, arthritis). After adjusting for covariates, asthma, chronic lung disease, arthritis and the number of physical conditions were associated with depression. Angina and the number of physical conditions were associated with a higher risk of anxiety. With regard to multimorbidity distribution, women over 65 years suffered from the highest rate of multimorbidity (67.3%). Multimorbidity prevalence occurs in a high percentage of the Spanish population, especially in the elderly. There are specific multimorbidity patterns and individual associations between physical and mental conditions, which bring new insights into the complexity of chronic patients. There is need to implement patient-centered care which involves these interactions rather than merely paying attention to individual diseases.
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影响因子：
8
作者：
Cataluna, Juan Jose Soler;Garcia, Miguel Angel Martinez
通讯作者：
Garcia, Miguel Angel Martinez
影响因子：
7.2
作者：
Fried, LP;Bandeen-Roche, K;Guralnik, JM
通讯作者：
Guralnik, JM
影响因子：
6.6
作者：
Bonnewyn, A.;Katona, C.;Demyttenaere, K.
通讯作者：
Demyttenaere, K.
影响因子：
3.7
作者：
de Marco R;Pesce G;Marcon A;Accordini S;Antonicelli L;Bugiani M;Casali L;Ferrari M;Nicolini G;Panico MG;Pirina P;Zanolin ME;Cerveri I;Verlato G
通讯作者：
Verlato G
影响因子：
11.4
作者：
Britt, Helena C.;Harrison, Christopher M.;Knox, Stephanie A.
通讯作者：
Knox, Stephanie A.