Multimorbidity Trends in United States Adults, 1988–2014

Journal of the American Board of Family Medicine: JABFM

Dana E. King^1¹ 

[1] From Department of Family Medicine, West Virginia University, Morgantown, WV (DEK, JX, CSP)^1

关键词: Cross-Sectional Studies;    Health Care Costs;    Health Policy;    Multimorbidity;    Nutrition Surveys;    Prevalence;    Primary Health Care;    Socioeconomic Factors;   

DOI  :  10.3122/jabfm.2018.04.180008

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Importance: The simultaneous presence of multiple conditions in one patient (multi-morbidity) is a key challenge facing primary care. Objective: The purpose of this study was to determine the prevalence of multi-morbidity and to document changes in prevalence during the last 25 years. Design/Setting: Cross-sectional study using multiple years (1988–2014) of the National Health and Nutrition Examination Survey (NHANES) were analyzed. Setting: Multiple years (1988 to 2014) of the National Health and Nutrition Examination Survey (NHANES) from the United States were analyzed. Participants: Noninstitutionalized adults. Main Outcomes and Measures: Number of chronic conditions per individual analyzed by age, race, gender, and socioeconomic factors. Results: A total of 57,303 individuals were surveyed regarding the presence of multi-morbidity in separate surveys spanning 1988–2014. The overall current prevalence in 2013–2014 of >2 morbidities was 59.6% (95% CI 58.1%–61.1%), 38.5% had 3 or more, and 22.7% had 4 or more morbidities, which was significantly higher than in 1988 (45.7%, 95% CI 43.5%–47.8%, with >2 morbidities). Among individuals with 2 or more morbidities, 54.1% have obesity compared to 41.9% in 1988. Among adults age >65, prevalence was 91.8% for 2 or more morbidities. Whites and Blacks had significantly higher prevalence (59.2% and 60.1%) than Hispanic or “other” race (45.0%, P 2) than men (55.9%, P = .01). Conclusions and Relevance: Multimorbidity is common and has been increasing over the last 25 years. This finding has implications for public health policy and anticipated health costs for the coming years.

【 授权许可】

CC BY