Saqib Asra, Nawab Tabassum, Ahmad Anees, Khalique Najam
Department of Community Medicine, Dr. D. Y. Patil School of Medicine, Nerul, Navi Mumbai, Maharashtra, India.
Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
J Family Med Prim Care. 2025 May;14(5):1850-1857. doi: 10.4103/jfmpc.jfmpc_1764_24. Epub 2025 May 31.
Multimorbidity (MM), defined as the presence of two or more chronic health conditions in an individual, can be more burdensome than single chronic disease.
To estimate the prevalence of MM and determine its drivers among middle-aged and older adults in a city of North India.
A community-based, cross-sectional study was conducted in semiurban and rural areas of Aligarh in Uttar Pradesh, India, among 420 adults aged ≥45 years using simple random sampling. Sociodemographic, dietary, anthropometry, clinical information, and diagnosed diseases were collected. Descriptive statistics, Chi-square test, and logistic regression analysis were done using IBM SPSS V.20.0.
We found the prevalence of MM was 40.2% ( = 0.40, 95% CI: 35.5%-45.1%), females > males (42.1% vs 37.5%). The odds of MM was almost 5 times higher in adults aged >75 years compared to 45-55 years old (AOR: 4.73; 95% CI: 1.40-16.05) and 2 times higher in urban areas (AOR: 2.10; 95% CI: 1.25-3.51). Physically inactive adults [AOR: 4.75 (95% CI: 2.19-10.28)], those who ever consumed tobacco or alcohol (AOR: 3.20; 95% CI: 1.85-5.54), those with lack of dietary diversity (AOR: 1.94; 95% CI: 1.04-3.63), and those morbidly obese (AOR: 10.17; 95% CI: 2.55-40.59) were at risk.
With four out of ten adults having MM, its burden is high, especially in semiurban areas. Targeted interventions to reduce physical inactivity, obesity, and tobacco consumption and to increase dietary diversity are recommended.
多病共存（MM）定义为个体存在两种或更多种慢性健康状况，可能比单一慢性病负担更重。
估计印度北部某城市中老年成年人中多病共存的患病率，并确定其驱动因素。
在印度北方邦阿利加尔的半城市和农村地区，采用简单随机抽样方法对420名年龄≥45岁的成年人进行了一项基于社区的横断面研究。收集了社会人口统计学、饮食、人体测量学、临床信息和已确诊疾病。使用IBM SPSS V.20.0进行描述性统计、卡方检验和逻辑回归分析。
我们发现多病共存的患病率为40.2%（ = 0.40，95%可信区间：35.5%-45.1%），女性高于男性（42.1%对37.5%）。75岁以上成年人患多病共存的几率几乎是45-55岁成年人的5倍（调整后比值比：4.73；95%可信区间：1.40-16.05），城市地区则高出2倍（调整后比值比：2.10；95%可信区间：1.25-3.51）。身体不活动的成年人[调整后比值比：4.75（95%可信区间：2.19-10.28）]、曾经吸烟或饮酒的人（调整后比值比：3.20；95%可信区间：1.85-5.54）、饮食缺乏多样性的人（调整后比值比：1.94；95%可信区间：1.04-3.63）以及病态肥胖的人（调整后比值比：10.17；95%可信区间：2.55-40.59）均有患病风险。
十分之四的成年人患有多病共存，其负担很重，尤其是在半城市地区。建议采取有针对性的干预措施，以减少身体不活动、肥胖和烟草消费，并增加饮食多样性。
