Multimorbidity in general practice: Prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases
Multimorbidity in general practice: Prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases
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DOI：
10.1016/s0895-4356(97)00306-5
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发表时间：
1998-05-01
影响因子：
7.2
通讯作者：
Knottnerus, JA
中科院分区：
文献类型：
--
作者：
van den Akker, M;Buntinx, F;Knottnerus, JA
越来越多的人被发现同时患有两种或两种以上的疾病，这被称为多重疾病。我们研究了多发病的患病率、发病率和决定因素，以及在全科医疗环境中慢性病和复发性疾病的统计聚类。所有年龄组的多发病率均有所增加，从0-19岁年龄组的10%上升到80岁及以上受试者的78%。年龄增长、教育水平较低和公共健康保险与发病率的发生有关，但与多发性硬化的发生和程度关系更为密切。一年多发病率（一年内新发生两种或两种以上疾病）与年龄增长、公共医疗保险和基线时流行疾病的存在有关。疾病的统计聚集性比预期的要强，特别是在年轻的受试者中。(C)1998年爱思唯尔科学公司
Increasing numbers of people are found to have two or more diseases at the same time, which is termed multimorbidity. We studied the prevalence, incidence, and determinants of multimorbidity and the statistical clustering of chronic and recurrent diseases in a general practice setting. Prevalence of multimorbidity increased with all age groups from 10% in the 0-19-year-old age group up to 78% in subjects aged 80 and over. Increasing age, lower level of education, and public health insurance were related to the occurrence of morbidity, but even more strongly to the occurrence and degree of multimorbidity. The one-year incidence of multimorbidity (the new occurrence of two or more diseases in one year) was related to increasing age, public health insurance, and the presence of prevalent diseases at baseline. Statistical clustering of diseases was stronger than expected, especially among the younger subjects. (C) 1998 Elsevier Science Inc.