德国40岁及以上的普通人口中的多种疾病模式
Massuma Amirzada1, Elżbieta Buczak-Stec1, Hans-Helmut König1
1Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Martinistr. 52, 20246, Hamburg, Germany.
Archives of gerontology and geriatrics
|May 31, 2023
概括
在德国成年人中确定了多病态模式,揭示了五个不同的慢性疾病群. 在关节炎/炎症/精神疾病模式中观察到性别差异,突出非随机疾病集群.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 多病性,即多种慢性疾病的共存,在老年人群中很普遍.
- 了解多病态模式对于有效的医疗保健管理和资源配置至关重要.
- 以前的研究表明,基于人口统计数据的疾病聚类可能存在变化.
研究的目的:
- 在中年和老年德国成年人代表性样本中识别和描述明显的多病症模式.
- 调查这些已识别的多病态模式中的潜在的性别特异性差异.
- 探索多病症模式与社会人口,行为和生活方式因素之间的关联.
主要方法:
- 隐性类分析 (LCA) 应用于2017年德国老龄化调查 (DEAS) 波的数据.
- 该分析包括6554名社区居民,年龄在43-92岁之间.
- 多病症被定义为13种特定慢性疾病中至少有两种疾病的存在.
主要成果:
- 超过一半 (53.3%) 的参与者表现出多病症.
- 确定了五种不同的多发病模式:相对健康,高发病率,关节性/炎症性/精神疾病,高血压-代谢性疾病和心血管/癌症.
- 与男性相比,女性的关节炎/炎症/精神疾病类别的相对风险明显高.
结论:
- 慢性疾病不会随机聚集;存在不同的,具有临床意义的多病态模式.
- 在关节炎/炎症/精神疾病类别中,多病态模式的性别差异特别被注意到.
- 鉴定的模式与社会人口统计学,健康行为和生活方式因素的显著变化有关.
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