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Multimorbidity in cardiovascular disease and association with life satisfaction: a Chinese national cross-sectional

Guihao Liu1, Yunlian Xue1, Yuanhui Liu1

  • 1Guangdong Provincial People's Hospital, Guangzhou, Guangdong, China.

BMJ Open
|December 28, 2020
PubMed

Insights

Multimorbidity, the presence of multiple chronic conditions, significantly reduces life satisfaction in cardiovascular disease (CVD) patients in China. Kidney disease, dyslipidemia, and memory-related diseases were key factors impacting well-being.

Area of Science:

  • Cardiovascular Disease Research
  • Public Health
  • Gerontology

Background:

  • Multimorbidity is common in cardiovascular disease (CVD), but its prevalence and impact on life satisfaction in China remain understudied.
  • Understanding the burden of comorbid conditions in CVD patients is crucial for targeted health interventions.

Purpose of the Study:

  • To determine the prevalence of 12 chronic comorbid diseases in Chinese patients with CVD.
  • To investigate the association between multimorbidity and life satisfaction in this population.

Main Methods:

  • A cross-sectional study utilized data from 3478 Chinese adults aged 45+ with CVD from the 2015 China Health and Retirement Longitudinal Study.
  • Logistic regression models were employed to analyze correlations between multimorbidity, specific chronic diseases, and life satisfaction, adjusting for 12 covariates.

Main Results:

  • A high prevalence of multimorbidity (93.3%) was observed in Chinese CVD patients.
  • Patients with CVD multimorbidity reported significantly lower life satisfaction compared to those without chronic diseases.
  • Increased number of comorbidities correlated with decreased life satisfaction.
  • Kidney disease (OR=1.933), memory-related diseases (MRDs) (OR=1.695), and dyslipidemia (OR=1.346) were significantly associated with reduced life satisfaction.

Conclusions:

  • Multimorbidity in cardiovascular disease significantly diminishes life satisfaction in the Chinese adult population.
  • Kidney disease, dyslipidemia, and MRDs exert the most substantial negative influence on the life satisfaction of CVD patients.
  • Preventing and managing chronic diseases in adults with CVD is essential for improving their overall well-being and life satisfaction.
Abstract

Keywords:
cardiac epidemiologyepidemiologypublic health

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