Co-occurrence of leading lifestyle-related chronic conditions among adults in the United States, 2002-2009.
Co-occurrence of leading lifestyle-related chronic conditions among adults in the United States, 2002-2009.
复制标题
DOI：
10.5888/pcd10.120316
复制
发表时间：
2013-04-25
影响因子：
5.5
通讯作者：
Giles WH
中科院分区：
文献类型：
--
作者：
Ford ES;Croft JB;Posner SF;Goodman RA;Giles WH
应对多种慢性病新挑战的公共卫生和临床战略必须解决与生活方式有关的病因高发问题。我们的目标是评估慢性病的患病率和趋势，这些慢性病是美国成年人疾病和死亡的主要原因，可以采取预防性生活方式干预措施。我们使用了2002年至2009年参加全国健康访谈调查的196，240名25岁或以上成年人的自我报告数据。我们纳入了心血管疾病（冠心病、心绞痛、心脏病发作和中风）、癌症、慢性阻塞性肺病（肺气肿和慢性支气管炎）、糖尿病和关节炎的数据。在2002年，未经调整的63.6%的参与者没有我们评估的5种慢性疾病中的任何一种; 23.9%有1种，9.0%有2种，2.9%有3种，0.7%有4种或5种。到2009年，这5种慢性病同时发生的分布发生了微妙但显著的变化。从2002年到2009年，患有2种或2种以上慢性疾病的年龄调整百分比从12.7%增加到14.7%（P <0.001），患有2种或2种以上慢性疾病的成年人数量从大约2340万增加到3090万。从2002年到2009年，患有1种或多种或2种或多种主要生活方式相关慢性病的患病率稳步上升。如果这些增加继续下去，特别是在年轻人中，在老龄化人口中管理患有多种慢性病的患者将继续挑战公共卫生和临床实践。
Public health and clinical strategies for meeting the emerging challenges of multiple chronic conditions must address the high prevalence of lifestyle-related causes. Our objective was to assess prevalence and trends in the chronic conditions that are leading causes of disease and death among adults in the United States that are amenable to preventive lifestyle interventions. We used self-reported data from 196,240 adults aged 25 years or older who participated in the National Health Interview Surveys from 2002 to 2009. We included data on cardiovascular disease (coronary heart disease, angina pectoris, heart attack, and stroke), cancer, chronic obstructive pulmonary disease (emphysema and chronic bronchitis), diabetes, and arthritis. In 2002, an unadjusted 63.6% of participants did not have any of the 5 chronic conditions we assessed; 23.9% had 1, 9.0% had 2, 2.9% had 3, and 0.7% had 4 or 5. By 2009, the distribution of co-occurrence of the 5 chronic conditions had shifted subtly but significantly. From 2002 to 2009, the age-adjusted percentage with 2 or more chronic conditions increased from 12.7% to 14.7% (P < .001), and the number of adults with 2 or more conditions increased from approximately 23.4 million to 30.9 million. The prevalence of having 1 or more or 2 or more of the leading lifestyle-related chronic conditions increased steadily from 2002 to 2009. If these increases continue, particularly among younger adults, managing patients with multiple chronic conditions in the aging population will continue to challenge public health and clinical practice.
登录
查看更多内容
影响因子：
3.3
作者：
Parekh, Anand K.;Goodman, Richard A.;Koh, Howard K.
通讯作者：
Koh, Howard K.
影响因子：
5.7
作者：
Lee, Todd A.;Shields, Alexandra E.;Weiss, Kevin B.
通讯作者：
Weiss, Kevin B.
影响因子：
3.6
作者：
Schneider, Kathleen M.;O'Donnell, Brian E.;Dean, Debbie
通讯作者：
Dean, Debbie
影响因子：
7.2
作者：
Fried, LP;Bandeen-Roche, K;Guralnik, JM
通讯作者：
Guralnik, JM
DOI：
10.1016/j.jamda.2005.12.008
发表时间：
2006-05-01
影响因子：
7.6
作者：
Di Fazio, Ignazio;Franzoni, Simone;Trabucchi, Marco
通讯作者：
Trabucchi, Marco