Prevalence, associated factors and patterns of multimorbidity of non-communicable diseases among adults in Shaanxi Province

Heng Liu; Jiao MA; Hao Huang; Qian Zhang; Yaqiong Wang; Wanrong Luo; Binghua Chen; Binguo Yan; Ziyi Yang; Hangzhao Fan; Tianyang Zhai; Tianhui Tang; Leilei Pei; Fangyao Chen; Baibing MI; Tianyou MA; Shaonong Dang; Hong Yan; Yaling Zhao

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Prevalence, associated factors and patterns of multimorbidity of non-communicable diseases among adults in Shaanxi Province

VernacularTitle:陕西成年人慢性病共病现状及其影响因素和共病模式研究
Author: Heng LIU ¹ ; Jiao MA ¹ ; Hao HUANG ¹ ; Qian ZHANG ¹ ; Yaqiong WANG ¹ ; Wanrong LUO ¹ ; Binghua CHEN ¹ ; Binguo YAN ¹ ; Ziyi YANG ² ; Hangzhao FAN ¹ ; Tianyang ZHAI ¹ ; Tianhui TANG ¹ ; Leilei PEI ¹ ; Fangyao CHEN ¹ ; Baibing MI ¹ ; Tianyou MA ¹ ; Shaonong DANG ¹ ; Hong YAN ¹ ; Yaling ZHAO ¹
Author Information

1. Department of Epidemiology and Biostatistics, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, China
2. Department of Physiology, Temerty Faculty of Medicine, University of Toronto, 1 King’s College Circle, Toronto, Ontario, M5S1A8, Canada
Publication Type:Journal Article
Keywords: multimorbidity; prevalence; multimorbidity pattern; adult
From: Journal of Xi'an Jiaotong University(Medical Sciences) 2023;44(3):473-480
CountryChina
Language:Chinese
Abstract: 【Objective】 To estimate the prevalence, associated factors and patterns of multimorbidity of non-communicable diseases among adults in Shaanxi Province so as to provide evidence for the prevention and control of non-communicable diseases. 【Methods】 We used the data of adults aged 18 years and older collected in the baseline survey of Shaanxi Project in the Regional Ethnic Cohort Study in Northwest China. Multinomial logistic regression was used to explore the associated factors for multimorbidity. Exploratory factor analysis was used to extract patterns of multimorbidity. 【Results】 The prevalence of multimorbidity was 10.7% among the 44 442 participants. Age increase, being males, urban residence, and being overweight or obesity were positively associated with multimorbidity. Compared with women, men had a higher risk of multimorbidity. The OR and 95% CI was 1.25 (1.12-1.39). The risk of multimorbidity increased with age among adults. Compared with participants aged 18.0-34.9 years, the ORs and 95% CIs of those aged 35.0-44.9, 45.0-54.9, 55.0-64.9, and ≥65.0 years were 4.73 (3.47-6.46), 15.61 (11.60-21.00), 41.39 (30.76-55.70) and 90.04 (66.58-121.77), respectively. The primary multimorbidity patterns among adults in Shaanxi were cardiovascular-metabolic multimorbidity (5.4%), viscero-articular multimorbidity (1.0%), and respiratory multimorbidity (0.3%). 【Conclusion】 More than one in ten adults in Shaanxi Province had multimorbidity, and the predominant pattern of multimorbidity was cardiovascular-metabolic multimorbidity. The prevention and control of non-communicable diseases should be reinforced in middle-aged and older people, males, people living in the urban, and overweight or obese people. More attention should be paid to the prevention and control of cardiovascular-metabolic diseases.