机构:[1]School of Public Health, Kunming Medical University, Kunming, China[2]The First Affliated Hospital of Kunming Medical University, Kunming, China昆明医科大学附属第一医院[3]The Second Affliated Hospital of Kunming Medical University, Kunming, China
ObjectivesThis study aimed to determine the changing prevalence of five chronic non-communicable diseases (NCDs)- hypertension, coronary heart disease (CHD), stroke, chronic obstructive pulmonary disease (COPD), and asthma- and its multimorbidity (refers to the co-existence of two or more chronic diseases in an individual) across socioeconomic spectra in rural southwest China.MeasurementsTwo cross-sectional health interviews and examination surveys were conducted among individuals aged >= 35 years in rural China. An individual socioeconomic position (SEP) index was constructed using principal component analysis. Anthropometric measurements, blood pressure, and post-bronchodilator spirometry tests were recorded for each participant.ResultsThe mean age and proportion of men was 56.1 years and 48.4% in 2011, while was 56.6 years and 49.4% in 2021. From 2011 to 2021, the overall prevalence of hypertension, stroke and COPD increased from 26.1%, 1.1%, and 8.7% to 40.4%, 2.4%, and 12.8%, respectively (P < 0.01), while prevalence of CHD (2.1% vs. 2.2%) and asthma (1.4% vs. 1.5%) did not differ between the two study years (P > 0.05). The prevalence of NCDs multimorbidity increased from 2.3% to 9.7%, and was also observed among subgroups categorized by sex, age, ethnicity, level of education, income, and SEP (P < 0.01). In addition, the relative increases in the prevalence of multimorbidity were greater among men, old individuals, ethnic minorities, and those with low level of education and low SEP. Both in 2011 and 2021, ethnic minorities and individuals with lower level of education and low SEP had a higher prevalence of multimorbidity of the five studied chronic NCDs than their counterparts (P <0.01).ConclusionsThe prevalence of NCDs multimorbidity increased substantially across all socioeconomic gradients in rural southwest China. Future interventions to further manage NCDs and their multimorbidity must be tailored to address socioeconomic factors.
基金:
National Natural Science Foundation of China [72064026, 82160165]; Yunnan Provincial Philosophy and Social Science Innovative Research Team [2023CX11]; Program for Innovative Research Team of Yunnan Province [202005AE160002]; Young and Middleaged Academic and Technical Leaders Reserve Talented Person Project in Yunnan [202105AC160093]; Training Plan for Medical Discipline Leaders of Yunnan Provincial Health and Family Planning Commission [d-2017039]
第一作者机构:[1]School of Public Health, Kunming Medical University, Kunming, China
通讯作者:
通讯机构:[1]School of Public Health, Kunming Medical University, Kunming, China[*1]School of Public Health, Kunming Medical University, 1168 Yu Hua Street Chun Rong Road, Cheng Gong New City, Kunming 650500, China
推荐引用方式(GB/T 7714):
Liu L.,Wu X.,Li H. -F.,et al.Trends in the Prevalence of Chronic Non-Communicable Diseases and Multimorbidity across Socioeconomic Gradients in Rural Southwest China[J].JOURNAL OF NUTRITION HEALTH & AGING.2023,27(6):457-462.doi:10.1007/s12603-023-1932-y.
APA:
Liu, L.,Wu, X.,Li, H. -F.,Zhao, Y.,Li, G. -H....&Cai, Le.(2023).Trends in the Prevalence of Chronic Non-Communicable Diseases and Multimorbidity across Socioeconomic Gradients in Rural Southwest China.JOURNAL OF NUTRITION HEALTH & AGING,27,(6)
MLA:
Liu, L.,et al."Trends in the Prevalence of Chronic Non-Communicable Diseases and Multimorbidity across Socioeconomic Gradients in Rural Southwest China".JOURNAL OF NUTRITION HEALTH & AGING 27..6(2023):457-462