Related Experiment Video
Updated: Feb 9, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou
Chanjuan Zhao1, Liping Wong2, Qing Zhu3
1College of Public Health, Hainan Medical University, Haikou, Hainan Province, China.
Insights
In China, over 30% of older adults in Haikou have multiple chronic conditions, including hypertension and diabetes. Older age, smoking, and obesity are key risk factors, highlighting the need for targeted public health interventions.
Area of Science:
- Gerontology
- Public Health
- Epidemiology
Background:
- The aging population in China presents a growing challenge with a rising prevalence of multiple chronic conditions.
- Older adults are particularly vulnerable to developing several long-term health issues simultaneously.
Purpose of the Study:
- To determine the prevalence of four major chronic diseases in older adults in Haikou, China.
- To identify factors associated with these chronic conditions in the elderly population.
Main Methods:
- A cross-sectional study was conducted with 9432 community-dwelling elderly individuals (aged 60+) in Haikou.
- Data collected included self-reported chronic diseases, socio-demographics, lifestyle factors, and anthropometrics.
Main Results:
- The prevalence of at least one of the four chronic diseases was 31.7%.
- Specific prevalences included hypertension (26.0%), diabetes mellitus (8.0%), COPD (1.0%), and stroke (1.9%).
- Older age, intellectual work, current smoking, and obesity were common correlates; gender, residence, and alcohol consumption were also associated.
Conclusions:
- Multiple chronic conditions are prevalent among Haikou's elderly population, necessitating focused public health strategies.
- Healthcare services require adaptation to address the comprehensive needs of elderly patients with multiple comorbidities.
Background:
The escalating problem of multiple chronic conditions among older adults in China draws public health attention due to increasing proportion of the elderly population. This study sought to assess the prevalence of and factors associated with four chronic diseases in older adults in Haikou, the capital city of Hainan Province, China.
Method:
In this cross-sectional study, 9432 community-dwelling elderly people aged 60 years and older living in rural or urban areas in Haikou were investigated. The interviews collected self-reported information on the presence of four major chronic diseases, as well as socio-demographic characteristics, lifestyle factors and self-reported height and weight.
Findings:
Overall, 31.7% (2961/9344) reported at least one of the four chronic diseases. The prevalence of hypertension, diabetes mellitus, COPD, and stroke was 26.0% (2449/9407), 8.0% (749/9371), 1.0% (95/9360), and 1.9% (175/9382), respectively. Common correlates of the four major chronic diseases were older age, being engaged in intellectual work, currently being a smoker and obesity. Gender, locality of residence, and alcohol consumptions were also found to be associated to some of the chronic conditions.
Conclusion:
This finding indicates that multiple chronic conditions among elderly people in Haikou are prevalent and warrant special attention to reduce diseases burden and align health care services to cater the holistic elderly patients' need.
Related Concept Videos
What are Populations and Communities?
Surveys
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Prevalence and Incidence
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Correlation and Causation
Correlation versus Causation
If the dependent variable increases or decreases when the independent variable increases, there is a positive or negative...
Chronic Kidney Disease I: Introduction

