Bobo William V, Yawn Barbara P, St Sauver Jennifer L, Grossardt Brandon R, Boyd Cynthia M, Rocca Walter A
Department of Psychiatry and Psychology and.
Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.
J Gerontol A Biol Sci Med Sci. 2016 Nov;71(11):1483-1491. doi: 10.1093/gerona/glw032. Epub 2016 Mar 2.
The coexistence of chronic mental health conditions with somatic conditions (somatic-mental multimorbidity, or SMM) is common and has been associated with greater symptom burden and functional impairment, higher costs, and excess mortality. However, most existing literature focused on the co-occurrence of an index mental health condition with specific additional conditions. By contrast, we studied the prevalence and patterns of SMM more broadly considering 19 selected conditions, and we focused on differences by age, sex, and race/ethnicity.
The Rochester Epidemiology Project (REP) records-linkage system was used to identify all residents of Olmsted County, MN, on April 1, 2010. We identified individuals with each of 19 common chronic conditions, including 5 mental health conditions, using the International Classification of Diseases, ninth revision (ICD-9) codes received from any health care provider between April 1, 2005 and March 31, 2010.
Among the 138,858 residents of the county, 52.4% were women, and 7.9% had SMM. SMM increased steeply with older age, was 1.7 times more common in women, and was lower in Asians compared with whites. Of the 10,903 persons with SMM, 7,739 (71.0%) were younger than 65 years. Depressive and anxiety disorders were the most common conditions involved in SMM. The dyads that were observed more frequently or less frequently than expected by chance varied in composition by age and sex.
SMM that reaches medical attention is highly prevalent across all age groups, is more frequent in women, is less frequent in Asians, and encompasses a wide range of conditions.
慢性心理健康状况与躯体疾病并存（躯体 - 心理共病，或SMM）很常见，且与更重的症状负担、功能损害、更高的成本以及额外的死亡率相关。然而，大多数现有文献关注的是一种主要心理健康状况与特定其他状况的共现情况。相比之下，我们更广泛地研究了SMM的患病率和模式，考虑了19种选定的疾病，并关注了年龄、性别和种族/族裔的差异。
使用罗切斯特流行病学项目（REP）记录链接系统来识别2010年4月1日明尼苏达州奥尔姆斯特德县的所有居民。我们使用2005年4月1日至2010年3月31日期间从任何医疗服务提供者处获得的国际疾病分类第九版（ICD - 9）编码，识别出患有19种常见慢性病中每种疾病的个体，其中包括5种心理健康疾病。
在该县的138,858名居民中，52.4%为女性，7.9%患有SMM。SMM随年龄增长急剧增加，在女性中比男性常见1.7倍，与白人相比，亚洲人的SMM患病率较低。在10,903名患有SMM的人中，7,739人（71.0%）年龄小于65岁。抑郁和焦虑障碍是SMM中最常见的疾病。观察到的比偶然预期更频繁或更不频繁的二元组合在年龄和性别组成上有所不同。
受到医疗关注的SMM在所有年龄组中都非常普遍，在女性中更常见，在亚洲人中较少见，并且涵盖了广泛的疾病。
