15个欧洲国家的多重疾病趋势：一项针对50岁及以上社区居住成年人的基于人群的研究。
Trends of multimorbidity in 15 European countries: a population-based study in community-dwelling adults aged 50 and over.
作者信息
Souza Dyego L B, Oliveras-Fabregas Albert, Minobes-Molina Eduard, de Camargo Cancela Marianna, Galbany-Estragués Paola, Jerez-Roig Javier
机构信息
Department of Collective Health, Postgraduate Programme in Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O). Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), C. Sagrada Família, 7, 08500, Vic, Spain.
出版信息
BMC Public Health. 2021 Jan 7;21(1):76. doi: 10.1186/s12889-020-10084-x.
BACKGROUND
The objective of this work was to analyse the prevalence trends of multimorbidity among European community-dwelling adults.
METHODS
A temporal series study based on waves 1, 2, 4, 5, 6 and 7 of the Survey of Health, Ageing and Retirement in Europe (SHARE) was conducted, and community-dwelling participants aged 50+ (n = 274,614) from 15 European countries were selected for the period 2004-2017. Prevalence, adjusted by age, Average Annual Percentage Change (APC) and 95% confidence interval (95% CI) were all calculated. Trend analyses were realised by period, age groups and groups of diseases.
RESULTS
The results showed a large variability in the prevalence of multimorbidity in adults aged 50 and over among European countries. Increase in the prevalence of multimorbidity in the countries of central Europe (Austria, Belgium, Czech Republic, France, Germany and Switzerland) and Spain in both sexes, and in the Netherlands among men. Stability was observed in northern and eastern European countries. Musculoskeletal and neurodegenerative groups showed more significant changes in the trend analyses.
CONCLUSIONS
This information can be useful for policy makers when planning health promotion and prevention policies addressing modifiable risk factors in health.
背景
本研究旨在分析欧洲社区居住成年人中多种疾病并存的流行趋势。
方法
基于欧洲健康、老龄化与退休调查（SHARE）的第1、2、4、5、6和7轮数据进行了一项时间序列研究，选取了2004 - 2017年期间来自15个欧洲国家的50岁及以上社区居住参与者（n = 274,614）。计算了患病率、年龄调整患病率、年均百分比变化（APC）和95%置信区间（95% CI）。通过时期、年龄组和疾病组进行趋势分析。
结果
结果显示，欧洲国家50岁及以上成年人中多种疾病并存的患病率存在很大差异。中欧国家（奥地利、比利时、捷克共和国、法国、德国和瑞士）以及西班牙的男女多种疾病并存患病率均有所上升，荷兰男性患病率上升。北欧和东欧国家则保持稳定。在趋势分析中，肌肉骨骼和神经退行性疾病组显示出更显著的变化。
结论
这些信息对于政策制定者在规划针对健康中可改变风险因素的健康促进和预防政策时可能会有所帮助。
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