Statistics and Epidemiology Department, Tabriz University of Medical Sciences, Tabriz, Iran.
Healthy Ageing Research Centre, Faculty of Health Sciences, Neyshabur University of Medical Sciences, Janbazan Blvd, Neyshabur, Razavi Khorasan, 9329774448, Iran.
BMC Public Health. 2020 Jul 11;20(1):1094. doi: 10.1186/s12889-020-09214-2.
There is limited information about the predictors of multimorbidity (MM) among ethnic minority older adults in Iran. This study aimed to examine the impact of sociodemographic and lifestyle factors on the prevalence of MM, among older Kurdish people living in the Northwest of Iran.
The current study was conducted in Bukan city located in West Azarbaijan province in the Northwest of Iran. The data for this study was based on the enrolment phase of a longitudinal study on ageing among the Kurdish population aged 50-94 yearswhich was designed according to the elderly component of the PERSIAN Cohort in Iran. Stratified random sampling was used to select people aged 50 + from eight health centres in Bukan from Oct 2017 to Dec 2018. Those who accepted the invitation and completed the baseline questionnaire were included in this study (N = 1493; Response rate 75%). A range of different factors,including sociodemographic and lifestyle factors as well as self-reported chronic conditions, was obtained by trained interviewers. MM was defined as "coexistence of two or more chronic conditions in the same person". We included a list of 36 diseases/conditions in this analysis. Descriptive analysis and logistic regression were performed to compare the prevalence of MM according to different factors.
Over a third of the participants (36.6%) had ≥2chronic conditionsand 15.7% had≥3 chronic conditions. Hypertension, diabetes, musculoskeletal conditions, fatty liver, and heart diseases were common chronic conditions. In a fully adjusted logistic regression model, older age (OR = 1.92, 95% CI: 1.48-2.48), being female (OR = 1.49, 95%CI: 1.14-1.94), living without aspouse (OR = 1.81, 95%CI: 1.34-2.44), and inadequate consumption of fruit and vegetables (OR = 1.33, 95%CI: 1.06-1.67) were associated with the higher prevalence of MM.
This study found that the prevalence of MM is relatively high among older Kurdishadults. Sociodemographic differences in the prevalence of MM might be of interest tothe health care system,and the prevalence of common chronic conditions in this study may highlight the need forlifestyle modifications in this community.
伊朗少数民族老年人中关于多种疾病（MM）预测因素的信息有限。本研究旨在探讨社会人口统计学和生活方式因素对居住在伊朗西北部库尔德老年人 MM 患病率的影响。
本研究在伊朗西北部东阿塞拜疆省的布坎市进行。本研究的数据基于一项针对库尔德 50-94 岁人群老龄化的纵向研究的登记阶段，该研究是根据伊朗 PERSIAN 队列的老年人部分设计的。2017 年 10 月至 2018 年 12 月，采用分层随机抽样的方法，从布坎的 8 个医疗中心中选取 50 岁以上的人群。那些接受邀请并完成基线问卷的人被纳入本研究（N=1493；响应率为 75%）。通过经过培训的访谈者获得了一系列不同的因素，包括社会人口统计学和生活方式因素以及自我报告的慢性疾病。MM 被定义为“同一人同时存在两种或两种以上的慢性疾病”。我们在这项分析中包括了 36 种疾病/状况的清单。进行描述性分析和逻辑回归，以根据不同因素比较 MM 的患病率。
超过三分之一的参与者（36.6%）有≥2 种慢性疾病，15.7%有≥3 种慢性疾病。高血压、糖尿病、肌肉骨骼疾病、脂肪肝和心脏病是常见的慢性疾病。在完全调整的逻辑回归模型中，年龄较大（OR=1.92，95%CI：1.48-2.48）、女性（OR=1.49，95%CI：1.14-1.94）、无配偶（OR=1.81，95%CI：1.34-2.44）和水果和蔬菜摄入不足（OR=1.33，95%CI：1.06-1.67）与 MM 患病率较高相关。
本研究发现，库尔德老年人群 MM 的患病率相对较高。MM 患病率的社会人口统计学差异可能引起医疗保健系统的关注，本研究中常见慢性疾病的患病率可能突出了该社区生活方式改变的必要性。
