Conderino Sarah, Dodson John, Meng Yuchen, Weiner Mark G, Rabin Catherine, Jacobs Wilson, Bakshi Parampreet, Lee Melissa, Uguru Jenny, Thorpe Lorna E
Department of Population Health, New York University Grossman School of Medicine, 180 Madison Ave, New York, NY 10016 (
Department of Population Health, New York University Grossman School of Medicine, New York, New York.
Prev Chronic Dis. 2024 Aug 1;21:E56. doi: 10.5888/pcd21.230444.
We characterized comorbidity profiles and cardiometabolic risk factors among older adults with multiple chronic conditions (MCCs) in New York City using an intersectionality approach. Electronic health record data were obtained from the INSIGHT Clinical Research Network on 367,901 New York City residents aged 50 years or older with MCCs. Comorbidity profiles were heterogeneous. The most common profile across sex and racial and ethnic groups was co-occurring hypertension and hyperlipidemia; prevalence of these 2 conditions differed across groups (4.7%-7.3% co-occurrence alone, 65.1%-88.0% with other conditions). Significant sex and racial and ethnic differences were observed, which may reflect accumulated disparities in risk factors and health care access across the life course.
我们采用交叉性方法，对纽约市患有多种慢性病（MCC）的老年人的共病情况和心血管代谢风险因素进行了特征分析。电子健康记录数据来自INSIGHT临床研究网络，涉及367,901名年龄在50岁及以上患有MCC的纽约市居民。共病情况具有异质性。在性别、种族和族裔群体中最常见的情况是同时患有高血压和高脂血症；这两种疾病的患病率在不同群体中有所不同（单独同时出现的患病率为4.7%-7.3%，与其他疾病同时出现的患病率为65.1%-88.0%）。观察到显著的性别、种族和族裔差异，这可能反映了在整个生命过程中风险因素和医疗保健可及性方面积累的差异。
