The association of multimorbidity and disability in a community-based sample of elderly aged 80 or older in Shanghai, China

BMC Geriatrics

Research Article

Lingling Gong¹  Junrui Long²  Guangfeng Duan²  Zixue Sun²  Chaoqun Hu²  Wei Zhang²  Zengjie Duan²  Peng Su³  Wenhua Tian⁴  Yitong Yang⁵  Chunyan Xie⁶  Hansheng Ding⁶  Lixia Du⁶  Chunlin Jin⁷  Rong Chen⁸ 

[1] Community Health Service Center, Jiangning Street, Jing’an District, 200040, Shanghai, China;Department of Health Services Management, the Second Military Medical University, 200433, Shanghai, China;Department of Medical Administration, Guangzhou General Hospital of P.L.A., 510010, Guangzhou, China;School of Social Development and Public Policy, Fudan University, No. 220 Handan Rd, 200433, Shanghai, China;School of Statistics and Management, Shanghai University of Finance and Economics, 200433, Shanghai, China;Shanghai Medical Science & Technology Information Center, 200031, Shanghai, China;Shanghai Health Development Research Center, 200040, Shanghai, China;Shanghai Medical Science & Technology Information Center, 200031, Shanghai, China;Shanghai Health Development Research Center, 200040, Shanghai, China;Shanghai Population and Development Research Center, 201199, Shanghai, China;Shanghai Population and Development Research Center, 201199, Shanghai, China;

关键词: Multimorbidity;    Disability;    Elderly;    Community-dwelling;    Chinese;   

DOI  :  10.1186/s12877-016-0352-9

 received in 2016-09-07, accepted in 2016-10-19,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundBoth multimorbidity and activities of daily living (ADL) disability and instrument activities of daily living (IADL) disability are common among elderly individuals. ADL/IADL disability may reduce individuals’ capacities for independent living and quality of life. This study aimed to examine the association between multimorbidity and ADL/IADL disability.MethodsA multi-stage cluster sample of 2058 residents aged 80 or older was investigated in Shanghai, China. Multimorbidity was defined as the simultaneous presence of two or more chronic diseases with ten common chronic conditions under consideration. Subjects who responded that they “need partial or full assistance” to any ADL/IADL items were defined as having ADL/IADL disability. We examined the association of multimorbidity with ADL/IADL disability, adjusted for socio-demographic characteristics by using logistic regression.ResultsOf respondents, 23.23 % had ADL disability, 37.90 % had IADL disability, and 49.17 % had multimorbidity. After adjusted socio-demographic characteristics, a graded association was showed between ADL disability and the quantity of chronic conditions: odds ratio (OR) for 1 condition, 1.53(95 % confidence interval [CI], 1.04-2.24); OR for 2 conditions, 2.06(95 % CI, 1.43-2.96); OR for 3 conditions, 3.23(95 % CI, 2.14-4.86); OR for 4 or more conditions, 5.61(95 % CI, 3.26-9.66). Similar associations were also observed between the quantity of chronic conditions and IADL disability.ConclusionsThe quantity of chronic conditions had relatively strong association with both ADL and IADL disability. Initiating prevention of additional chronic conditions and interventions on clusters of diseases may decrease the potential risk of ADL/IADL disability. Additionally, more attention should been given to the older low-income women living with relatives/non-relatives with multimorbidity.

【 授权许可】

CC BY   
© The Author(s). 2016