Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
PLoS One. 2019 Feb 7;14(2):e0211965. doi: 10.1371/journal.pone.0211965. eCollection 2019.
To design effective policy and interventions, public health officials must have an accurate and granular picture of the state of multiple chronic conditions (MCC) in their region. The objective of this research is to describe the prevalence and distribution of MCC in New York State.
We performed a secondary data analysis of the Behavioral Risk Factor Surveillance System (BRFSS) from 2011 through 2016 for New York adults (n = 76,186). We analyzed the self-reported prevalence of individuals having 0, 1, 2, or ≥ 3 chronic conditions by sex, race/ethnicity, age, health insurance type, annual household income, and whether respondents lived in New York City. We also examined the most common condition dyads and triads. Finally, we assessed the prevalence of MCC (2 or more chronic conditions) by county across New York State, and neighborhood within New York City.
During 2011-2016, 25.2% of adults in New York State had zero chronic conditions, 24.1% had 1 condition, 18.4% had 2 conditions, and 32.4% had 3 or more. The most prevalent dyad was hypertension and high cholesterol in 17.0% of individuals. The most prevalent triad was hypertension, high cholesterol, and arthritis in 4.5% of individuals. County prevalence of MCC ranged from 42.6% in Westchester County to 66.1% in Oneida County. The prevalence of MCC in New York City neighborhoods ranged from 33.5% in Gramercy Park-Murray Hill to 60.6% in High Bridge-Morrisania.
This research contributes to the field's understanding of multiple chronic conditions and allows policy and public health leaders in New York to better understand the prevalence and distribution of MCC.
为了制定有效的政策和干预措施，公共卫生官员必须对本地区多种慢性疾病（MCC）的状况有准确和详细的了解。本研究的目的是描述纽约州多种慢性疾病的流行情况和分布情况。
我们对 2011 年至 2016 年期间纽约州成年人（n=76186）的行为风险因素监测系统（BRFSS）进行了二次数据分析。我们按性别、种族/民族、年龄、医疗保险类型、家庭年收入以及受访者是否居住在纽约市，分析了报告患有 0、1、2 或≥3 种慢性疾病的个体的自我报告流行率。我们还检查了最常见的疾病双联体和三联体。最后，我们评估了纽约州各县以及纽约市各社区的多种慢性疾病（两种或更多种慢性疾病）的流行率。
在 2011-2016 年期间，纽约州 25.2%的成年人没有慢性疾病，24.1%的成年人有一种慢性疾病，18.4%的成年人有两种慢性疾病，32.4%的成年人有三种或更多种慢性疾病。最常见的双联体是高血压和高胆固醇，占 17.0%的个体。最常见的三联体是高血压、高胆固醇和关节炎，占 4.5%的个体。MCC 的县患病率从威彻斯特县的 42.6%到奥奈达县的 66.1%不等。纽约市各社区的 MCC 患病率从格拉梅西公园-默里山的 33.5%到高地桥-莫拉西亚的 60.6%不等。
这项研究有助于人们了解多种慢性疾病，并使纽约州的政策制定者和公共卫生领导人能够更好地了解多种慢性疾病的流行情况和分布情况。
