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Multimorbidity Trends in United States Adults, 1988-2014.
- Source :
-
Journal of the American Board of Family Medicine : JABFM [J Am Board Fam Med] 2018 Jul-Aug; Vol. 31 (4), pp. 503-513. - Publication Year :
- 2018
-
Abstract
- Importance: The simultaneous presence of multiple conditions in one patient (multi-morbidity) is a key challenge facing primary care.<br />Objective: The purpose of this study was to determine the prevalence of multi-morbidity and to document changes in prevalence during the last 25 years.<br />Design/setting: Cross-sectional study using multiple years (1988-2014) of the National Health and Nutrition Examination Survey (NHANES) were analyzed.<br />Setting: Multiple years (1988 to 2014) of the National Health and Nutrition Examination Survey (NHANES) from the United States were analyzed.<br />Participants: Noninstitutionalized adults.<br />Main Outcomes and Measures: Number of chronic conditions per individual analyzed by age, race, gender, and socioeconomic factors.<br />Results: A total of 57,303 individuals were surveyed regarding the presence of multi-morbidity in separate surveys spanning 1988-2014. The overall current prevalence in 2013-2014 of >2 morbidities was 59.6% (95% CI 58.1%-61.1%), 38.5% had 3 or more, and 22.7% had 4 or more morbidities, which was significantly higher than in 1988 (45.7%, 95% CI 43.5%-47.8%, with >2 morbidities). Among individuals with 2 or more morbidities, 54.1% have obesity compared to 41.9% in 1988. Among adults age >65, prevalence was 91.8% for 2 or more morbidities. Whites and Blacks had significantly higher prevalence (59.2% and 60.1%) than Hispanic or "other" race (45.0%, P < .0001). Women (58.4%) had more current multi-morbidities (>2) than men (55.9%, P = .01).<br />Conclusions and Relevance: Multimorbidity is common and has been increasing over the last 25 years. This finding has implications for public health policy and anticipated health costs for the coming years.<br />Competing Interests: Conflict of interest: none declared.<br /> (© Copyright 2018 by the American Board of Family Medicine.)
- Subjects :
- Adult
Aged
Chronic Disease economics
Chronic Disease trends
Cross-Sectional Studies
Female
Health Care Costs statistics & numerical data
Health Care Costs trends
Humans
Male
Middle Aged
Obesity economics
Prevalence
United States epidemiology
Young Adult
Chronic Disease epidemiology
Multimorbidity trends
Nutrition Surveys statistics & numerical data
Obesity epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1558-7118
- Volume :
- 31
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of the American Board of Family Medicine : JABFM
- Publication Type :
- Academic Journal
- Accession number :
- 29986975
- Full Text :
- https://doi.org/10.3122/jabfm.2018.04.180008