Israel Center for Disease Control, Israel Ministry of Health, Jerusalem, Israel. Email:
Israel Center for Disease Control, Israel Ministry of Health, Jerusalem, Israel.
Prev Chronic Dis. 2017 Aug 10;14:E64. doi: 10.5888/pcd14.170038.
Chronic diseases constitute a major public health challenge. The prevalence of multiple chronic conditions (MCC) has increased. The objective of our study was to describe the prevalence, correlates, and time trends of MCC in the Israeli population and among the nation's 2 main population groups (Jewish and Arab).
To describe the prevalence of correlates of MCC, we used data from the 2014-2015 Israeli National Health Interview Survey-III (INHIS-III). MCC was defined as having 2 or more of the following 10 self-reported physician-diagnosed chronic conditions: asthma, arthritis, cancer, diabetes, dyslipidemia, heart attack, hypertension, migraine, osteoporosis, or thyroid disease. For trend analysis, we used data from INHIS-I (2003-2004) and INHIS-II (2007-2010). Logistic regression was used for multivariate analysis. Estimates were weighted to the 2014 Israeli population. P for trend was calculated by using the Cochran-Armitage test for proportions.
In 2014-2015, the prevalence of MCC was 27.3% (95% confidence interval, 25.7%-28.8%). In multivariate analysis, MCC was associated with older age, female sex, a monthly household income of USD$3,000 or less, current and past smoking, and overweight or obesity. After adjusting for age, sex, income, smoking status, and body mass index, differences in MCC between Jewish and Arab populations disappeared. Dyslipidemia and hypertension were the most prevalent dyad among both men and women. Dyslipidemia, hypertension, and diabetes were the most prevalent triad among both men and women. The age-adjusted prevalence of MCC increased by 6.7% between 2003-2004 and 2014-2015.
With the increase in the prevalence of MCC, a comprehensive approach is needed to reduce the burden of chronic conditions. Of special concern are the groups most prone to MCC.
慢性病是一个主要的公共卫生挑战。多种慢性疾病（MCC）的患病率有所增加。本研究的目的是描述以色列人口以及该国两个主要人群（犹太人和阿拉伯人）中 MCC 的患病率、相关因素和时间趋势。
为了描述 MCC 的相关因素的患病率，我们使用了 2014-2015 年以色列国家健康访谈调查-III（INHIS-III）的数据。MCC 被定义为有 2 种或以上以下 10 种自我报告的医生诊断的慢性疾病：哮喘、关节炎、癌症、糖尿病、血脂异常、心脏病发作、高血压、偏头痛、骨质疏松症或甲状腺疾病。为了进行趋势分析，我们使用了 INHIS-I（2003-2004 年）和 INHIS-II（2007-2010 年）的数据。使用逻辑回归进行多变量分析。估计值被加权到 2014 年以色列人口。P 值用于趋势的计算是使用 Cochran-Armitage 检验比例。
2014-2015 年，MCC 的患病率为 27.3%（95%置信区间，25.7%-28.8%）。在多变量分析中，MCC 与年龄较大、女性、每月家庭收入 3000 美元或以下、当前和过去吸烟以及超重或肥胖有关。在调整年龄、性别、收入、吸烟状况和体重指数后，犹太人和阿拉伯人之间的 MCC 差异消失。血脂异常和高血压是男性和女性中最常见的双疾病。血脂异常、高血压和糖尿病是男性和女性中最常见的三联疾病。2003-2004 年至 2014-2015 年，MCC 的年龄调整患病率增加了 6.7%。
随着 MCC 患病率的增加，需要采取综合方法来减轻慢性疾病的负担。特别关注最容易患 MCC 的人群。
