Prevalence of Single and Multiple Leading Causes of Death by Race/Ethnicity Among US Adults Aged 60 to 79 Years
Prevalence of Single and Multiple Leading Causes of Death by Race/Ethnicity Among US Adults Aged 60 to 79 Years
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DOI：
10.5888/pcd14.160241
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发表时间：
2017-10-01
影响因子：
5.5
通讯作者：
Taira, Deborah A.
中科院分区：
文献类型：
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作者：
Davis, James;Penha, Janell;Taira, Deborah A.
糖尿病、癌症、心血管疾病（CVD）（冠状动脉疾病、心脏病发作和心绞痛）和慢性肺病（肺气肿、慢性支气管炎和慢性阻塞性肺病）是美国的主要死因。本研究的目的是评估这些条件的患病率的种族/民族差异，作为60至79岁的人与一个或多个这些conditions.MethodsWe的死亡原因使用的主要慢性疾病的患病率数据从全国健康访谈调查56，290名年龄在60至79岁之间的成年人，他们报告患有2006年至2014年国家健康访谈调查中评估的任何慢性疾病。我们比较了11种单一和多种疾病的年龄趋势。分析采用多项logistic回归models. ResultsHispanic和非西班牙裔黑人糖尿病的患病率最高，和非西班牙裔白人的癌症和慢性肺部疾病的患病率最高。一个人的多种慢性病的患病率因种族/民族而变化较小。一个例外是糖尿病和心血管疾病的患病率，西班牙裔和非西班牙裔黑人的患病率高于非西班牙裔白人。65岁和75岁的非西班牙裔黑人患糖尿病和癌症的几率高于同龄的非西班牙裔白人。与非西班牙裔白人相比，西班牙裔人患CVD伴癌症或慢性肺病的几率较低。在11种单一和多种疾病中，妇女的年龄别患病率低于男子。大多数慢性病呈反比关系，教育和较高的患病率在南方比其他region.ConclusionStrong种族/民族差异存在于单一的慢性病的患病率，但差异较低的患病率的多种条件。比较人种/种族，相同的疾病二联体和三联体可能更经常发生在不同的顺序。
IntroductionDiabetes, cancer, cardiovascular disease (CVD) (coronary artery disease, heart attack, and angina pectoris), and chronic lung disease (emphysema, chronic bronchitis, and chronic obstructive pulmonary disease) are major causes of death in the United States. The objective of this study was to assess racial/ethnic differences in the prevalence of these conditions as cause of death among people aged 60 to 79 years with one or more of these conditions.MethodsWe used data on the prevalence of major chronic conditions from the National Health Interview Survey on 56,290 adults aged 60 to 79 years who reported having any of the chronic conditions assessed in the National Health Interview Survey for 2006 through 2014. We compared trends with age for 11 single and multiple conditions. Analyses employed multinomial logistic regression models.ResultsHispanics and non-Hispanic blacks had the greatest prevalence of diabetes, and non-Hispanic whites had the greatest prevalence of cancer and chronic lung disease. The prevalence of multiple chronic diseases in an individual varied less by race/ethnicity. An exception was the prevalence of having both diabetes and CVD, which was higher among Hispanics and non-Hispanic blacks than non-Hispanic whites. Non-Hispanic blacks aged 65 years and 75 years had higher odds of having diabetes and cancer than non-Hispanic whites at the same ages. Hispanics had lower odds of having CVD with cancer or chronic lung disease than non-Hispanic whites. Women had a lower age-specific prevalence than men for most of the 11 single and multiple conditions. Most chronic diseases showed an inverse relationship with education and a higher prevalence in the South than in other regions.ConclusionStrong racial/ethnic differences exist in the prevalence of single chronic conditions, but differences are lower for prevalence of multiple conditions. Comparing races/ethnicities, the same disease dyads and triads may occur more often in different orders.