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Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China

Background: Multimorbidity has become a global public health concern. Knowledge about the prevalence and patterns of multimorbidity will provide essential information for public intervention and clinical management. This study aimed to examine gender and socioeconomic differences in the prevalence a...

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Autores principales: Zhong, Yaqin, Xi, Hanqing, Guo, Xiaojun, Wang, Tiantian, Wang, Yanan, Wang, Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779237/
https://www.ncbi.nlm.nih.gov/pubmed/36554836
http://dx.doi.org/10.3390/ijerph192416956
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author Zhong, Yaqin
Xi, Hanqing
Guo, Xiaojun
Wang, Tiantian
Wang, Yanan
Wang, Jian
author_facet Zhong, Yaqin
Xi, Hanqing
Guo, Xiaojun
Wang, Tiantian
Wang, Yanan
Wang, Jian
author_sort Zhong, Yaqin
collection PubMed
description Background: Multimorbidity has become a global public health concern. Knowledge about the prevalence and patterns of multimorbidity will provide essential information for public intervention and clinical management. This study aimed to examine gender and socioeconomic differences in the prevalence and patterns of multimorbidity among a nationally representative sample of middle-aged and older Chinese individuals. Methods: Data were obtained from the 2018 wave of the China Health and Retirement Longitudinal Study. Latent class analysis was conducted to discriminate among the multimorbidity patterns. Multinomial logit analysis was performed to explore gender and socioeconomic factors associated with various multimorbidity patterns. Results: A total of 19,559 respondents over 45 years old were included in the study. The findings showed that 56.73% of the respondents reported multimorbidity, with significantly higher proportions among women. Four patterns, namely “relatively healthy class”, “respiratory class”, “stomach-arthritis class” and “vascular class”, were identified. The women were more likely to be in the stomach-arthritis class. Respondents with a higher SES, including higher education, urban residence, higher consumption, and medical insurance, had a higher probability of being in the vascular class. Conclusions: Significant gender and socioeconomic differences were observed in the prevalence and patterns of multimorbidity. The examination of gender and socioeconomic differences for multimorbidity patterns has great implications for clinical practice and health policy. The results may provide insights to aid in the management of multimorbidity patients and improve health resource allocation.
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spelling pubmed-97792372022-12-23 Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China Zhong, Yaqin Xi, Hanqing Guo, Xiaojun Wang, Tiantian Wang, Yanan Wang, Jian Int J Environ Res Public Health Article Background: Multimorbidity has become a global public health concern. Knowledge about the prevalence and patterns of multimorbidity will provide essential information for public intervention and clinical management. This study aimed to examine gender and socioeconomic differences in the prevalence and patterns of multimorbidity among a nationally representative sample of middle-aged and older Chinese individuals. Methods: Data were obtained from the 2018 wave of the China Health and Retirement Longitudinal Study. Latent class analysis was conducted to discriminate among the multimorbidity patterns. Multinomial logit analysis was performed to explore gender and socioeconomic factors associated with various multimorbidity patterns. Results: A total of 19,559 respondents over 45 years old were included in the study. The findings showed that 56.73% of the respondents reported multimorbidity, with significantly higher proportions among women. Four patterns, namely “relatively healthy class”, “respiratory class”, “stomach-arthritis class” and “vascular class”, were identified. The women were more likely to be in the stomach-arthritis class. Respondents with a higher SES, including higher education, urban residence, higher consumption, and medical insurance, had a higher probability of being in the vascular class. Conclusions: Significant gender and socioeconomic differences were observed in the prevalence and patterns of multimorbidity. The examination of gender and socioeconomic differences for multimorbidity patterns has great implications for clinical practice and health policy. The results may provide insights to aid in the management of multimorbidity patients and improve health resource allocation. MDPI 2022-12-16 /pmc/articles/PMC9779237/ /pubmed/36554836 http://dx.doi.org/10.3390/ijerph192416956 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhong, Yaqin
Xi, Hanqing
Guo, Xiaojun
Wang, Tiantian
Wang, Yanan
Wang, Jian
Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China
title Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China
title_full Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China
title_fullStr Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China
title_full_unstemmed Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China
title_short Gender and Socioeconomic Differences in the Prevalence and Patterns of Multimorbidity among Middle-Aged and Older Adults in China
title_sort gender and socioeconomic differences in the prevalence and patterns of multimorbidity among middle-aged and older adults in china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779237/
https://www.ncbi.nlm.nih.gov/pubmed/36554836
http://dx.doi.org/10.3390/ijerph192416956
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