Division of Health Interview Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Rd, Room 2330, Hyattsville, MD 20782, USA.
Prev Chronic Dis. 2013 Apr 25;10:E65. doi: 10.5888/pcd10.120203.
Preventing and ameliorating chronic conditions has long been a priority in the United States; however, the increasing recognition that people often have multiple chronic conditions (MCC) has added a layer of complexity with which to contend. The objective of this study was to present the prevalence of MCC and the most common MCC dyads/triads by selected demographic characteristics. We used respondent-reported data from the 2010 National Health Interview Survey (NHIS) to study the US adult civilian noninstitutionalized population aged 18 years or older (n = 27,157). We categorized adults as having 0 to 1, 2 to 3, or 4 or more of the following chronic conditions: hypertension, coronary heart disease, stroke, diabetes, cancer, arthritis, hepatitis, weak or failing kidneys, chronic obstructive pulmonary disease, or current asthma. We then generated descriptive estimates and tested for significant differences. Twenty-six percent of adults have MCC; the prevalence of MCC has increased from 21.8% in 2001 to 26.0% in 2010. The prevalence of MCC significantly increased with age, was significantly higher among women than men and among non-Hispanic white and non-Hispanic black adults than Hispanic adults. The most common dyad identified was arthritis and hypertension, and the combination of arthritis, hypertension, and diabetes was the most common triad. The findings of this study contribute information to the field of MCC research. The NHIS can be used to identify population subgroups most likely to have MCC and potentially lead to clinical guidelines for people with more common MCC combinations.
预防和改善慢性病一直是美国的优先事项；然而，人们越来越认识到，许多人常常患有多种慢性病（MCC），这增加了一层需要应对的复杂性。本研究的目的是展示多种慢性病的流行情况以及最常见的慢性病对偶/三体组合，按选定的人口统计学特征进行分类。我们使用 2010 年全国健康访谈调查（NHIS）中受访者报告的数据，研究了美国 18 岁或以上的成年平民非机构人口（n=27157）。我们将成年人分为以下 0 到 1、2 到 3 或 4 种或更多的慢性疾病：高血压、冠心病、中风、糖尿病、癌症、关节炎、肝炎、肾功能衰竭或虚弱、慢性阻塞性肺疾病或当前哮喘。然后，我们生成描述性估计并测试了显著差异。26%的成年人患有多种慢性病；多种慢性病的患病率从 2001 年的 21.8%上升到 2010 年的 26.0%。多种慢性病的患病率随年龄增长而显著增加，女性患病率显著高于男性，非西班牙裔白人和非西班牙裔黑人群体显著高于西班牙裔群体。最常见的对偶是关节炎和高血压，关节炎、高血压和糖尿病的组合是最常见的三体。这项研究的结果为多种慢性病研究领域提供了信息。NHIS 可用于识别最有可能患有多种慢性病的人群亚组，并可能为具有更常见多种慢性病组合的人群制定临床指南。
