Trends in multimorbidity, complex multimorbidity and multiple functional limitations in the ageing population of England, 2002-2015.
Trends in multimorbidity, complex multimorbidity and multiple functional limitations in the ageing population of England, 2002-2015.
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DOI：
10.1177/2235042x19872030
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发表时间：
2019-01-01
影响因子：
--
通讯作者：
Morrissey, Karyn
中科院分区：
文献类型：
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作者：
Singer, Leo;Green, Mark;Morrissey, Karyn
本研究旨在估计英格兰50岁或以上人群中三种多重抑郁症的患病率。除了对一个人的两种或两种以上疾病的基本测量外，我们还增加了对三种或三种以上受影响的身体系统的测量（复杂的多器官功能障碍）和对10种或10种以上功能限制的测量。我们发现，这三种健康结果在2002年至2015年期间变得更加普遍。这种情况在女性中比男性更为常见，而且在较年轻的年龄组中越来越常见。2002年，70-74岁以上年龄组的基本多发性硬化症患病率超过50%，2015年，65-69岁年龄组的患病率超过了同一阈值。多功能障碍和多功能障碍的分布按家庭财富的多少分层。多重功能限制反映了最富裕和最不富裕群体之间的最大差异（2014/2015年为5.9倍），其次是复杂多变量指标（2014/2015年为2.8倍）和基本多效唑（1.9倍）。虽然年龄是基本多元财富中财富差异的一个均衡因素，但它对其他两个结果没有影响。我们的研究观察到社会两极分化的多病老龄化人口在英格兰复杂的多病和多功能的限制增加更快，反映了更强的不平等比基本的多病。
This study aimed to estimate the prevalence of three measures of multimorbidity among people aged 50 years or older in England. Beside the basic measure of two or more diseases within a person, we added a measure of three or more affected body systems (complex multimorbidity) and a measure of 10 or more functional limitations. We found that the three health outcomes became more prevalent between 2002 and 2015. They were more common among females than males and were becoming more common among younger age groups. While in 2002, the prevalence of basic multimorbidity overcame 50% from the 70-74 age group upwards, in 2015 it crossed the same threshold in the 65-69 age group. The distribution of multimorbidity and multiple functional limitations were stratified by the amount of household wealth. Multiple functional limitations reflected the largest differences between the most and the least affluent groups (5.9-fold in 2014/2015), followed by the measure of complex multimorbidity (2.8-fold in 2014/2015) and basic multimorbidity (1.9-fold) in 2014/2015.While age acted as a levelling factor for the wealth differences in basic multimorbidity, it had no such effect on the two other outcomes. Our study observed social polarization among multimorbid ageing population in England where complex multimorbidity and multiple functional limitations increase faster and reflect stronger inequality than basic multimorbidity.