Wang Jinhan, Zhou Qian, Zhang Ying, Lai Zhuoqi, Zhu Weiwei, Jia Jun, Yu Yongquan, Yin Lihong
Key Laboratory of Environmental Medicine Engineering, School of Public Health, Southeast University, Ministry of Education, Nanjing 210009, China.
Yangzhou Center for Disease Control and Prevention, Yangzhou 225000, China.
Healthcare (Basel). 2025 Jun 2;13(11):1320. doi: 10.3390/healthcare13111320.
Health issues among school-age children have emerged as a global public health concern. These conditions often do not occur in isolation but tend to cluster, indicating a widespread issue of multimorbidity among this population. This study examined the prevalence and clustering of multimorbidity among school-aged school students in the Yangzhou district. : A repeated cross-sectional analysis was conducted from 2019 to 2024, including 22,512 students aged 6-18 years. Common diseases, under national key monitoring, including myopia, dental caries, obesity, elevated blood pressure, and growth disorders, were assessed. Multimorbidity patterns were identified using association rule mining (Apriori algorithm) with predefined thresholds (support ≥ 2.0%, confidence ≥ 20.0% and lift > 1). : The multimorbidity prevalence among school-age students in the Yangzhou district is 53.95%. The most frequent multimorbidity was found in dental caries and myopia, while the most common ternary pattern was found in obesity, dental caries, and myopia. The following gender differences were observed: boys had a higher multimorbidity prevalence (56.4%) compared to girls (51.2%), with boys more likely to exhibit obesity and dental caries, while girls showed a higher prevalence of myopia-related multimorbidity. By educational stage, primary school students showed a multimorbidity rate of 50.3%, junior high showed a rate of 54.6%, and senior high showed a rate of 57.9%, indicating a rising trend across age groups. Patterns of multimorbidity varied but were interrelated. : From 2019 to 2024, the prevalence of multimorbidity among school-aged children in Yangzhou remained relatively high, primarily manifesting as co-occurring myopia and other health issues. Patterns of multimorbidity across gender and educational stage varied but were interrelated.
学龄儿童的健康问题已成为全球公共卫生关注的焦点。这些健康状况往往并非孤立出现，而是倾向于聚集，这表明该人群中存在普遍的多病共患问题。本研究调查了扬州地区学龄学生中多病共患的患病率和聚集情况。：2019年至2024年进行了重复横断面分析，纳入了22512名6至18岁的学生。对包括近视、龋齿、肥胖、血压升高和生长障碍在内的国家重点监测常见疾病进行了评估。使用关联规则挖掘（Apriori算法）和预定义阈值（支持度≥2.0%、置信度≥20.0%和提升度>1）确定多病共患模式。：扬州地区学龄学生的多病共患患病率为53.95%。最常见的多病共患情况是龋齿和近视，而最常见的三元模式是肥胖、龋齿和近视。观察到以下性别差异：男孩的多病共患患病率（56.4%）高于女孩（51.2%），男孩更易出现肥胖和龋齿，而女孩与近视相关的多病共患患病率更高。按教育阶段划分，小学生的多病共患率为50.3%，初中生为54.6%，高中生为57.9%，表明各年龄组呈上升趋势。多病共患模式各不相同但相互关联。：2019年至2024年，扬州学龄儿童的多病共患患病率一直较高，主要表现为近视与其他健康问题同时出现。不同性别和教育阶段的多病共患模式各不相同但相互关联。
