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Prevalence and patterns of multimorbidity in chronic diseases in Guangzhou, China: a data mining study in the residents' health records system among 31 708 community-dwelling elderly people.


ABSTRACT:

Objectives

Examination of the prevalence, influence factors and patterns of multimorbidity among the elderly people in Guangzhou, China.

Design

Cross-sectional study.

Participants

31 708 community-dwelling elderly people aged 65 and over.

Primary and secondary outcome measures

Prevalence, influence factors and patterns of multimorbidity in seven chronic conditions among the participants. A multistage, stratified random sampling was adopted for selection of health records in the residents' health records system of Guangzhou. Data mining by association rule mining analysis was used to explore the correlations and multimorbidity patterns between seven chronic diseases.

Results

The prevalence of morbidity was 55.0% (95% CI 40.1% to 60.1%) and the multimorbidity was 15.2% (95% CI 12.4% to 18.4%) among the participants. Elderly, women, higher education level, being single, living in urban areas and having medical insurance were more likely to have chronic diseases and multimorbidity. Data mining by association rule mining analysis reveals patterns of multimorbidity among the participants, including coexistence of hypertension and diabetes (support: 12.5%, confidence: 17.6%), hypertension and coronary heart disease (support: 4.4%, confidence: 5.7%), diabetes and coronary heart disease (support: 1.6%, confidence: 5.7%), diabetes, coronary heart disease and hypertension (support: 1.4%, confidence: 4.4%).

Conclusions

A high prevalence of morbidity (especially on hypertension and diabetes) and a relatively low multimorbidity of chronic diseases exist in elderly people. Data mining of residents' health records will help for strengthening the management of residents' health records in community health service centres of Guangzhou, China.

SUBMITTER: Lin WQ 

PROVIDER: S-EPMC9134174 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

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Publications

Prevalence and patterns of multimorbidity in chronic diseases in Guangzhou, China: a data mining study in the residents' health records system among 31 708 community-dwelling elderly people.

Lin Wei-Quan WQ   Yuan Le-Xin LX   Sun Min-Ying MY   Wang Chang C   Liang En-Min EM   Li Yao-Hui YH   Liu Lan L   Yang Yun-Ou YO   Wu Di D   Lin Guo-Zhen GZ   Liu Hui H  

BMJ open 20220525 5


<h4>Objectives</h4>Examination of the prevalence, influence factors and patterns of multimorbidity among the elderly people in Guangzhou, China.<h4>Design</h4>Cross-sectional study.<h4>Participants</h4>31 708 community-dwelling elderly people aged 65 and over.<h4>Primary and secondary outcome measures</h4>Prevalence, influence factors and patterns of multimorbidity in seven chronic conditions among the participants. A multistage, stratified random sampling was adopted for selection of health rec  ...[more]

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