ArticleBMJ open2019
Prevalence and patterns of multimorbidity among the elderly in China: a cross-sectional study using national survey data.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 148 citations in OpenAlex.
- Primary care team and its association with quality of care for people with multimorbidity: a systematic review.BMC primary care · 2023Pooled it
- Community prevalence and dyad disease pattern of multimorbidity in China and India: a systematic review.BMJ global health · 2022Pooled it
- Prevalence and determinants of multimorbidity in older Chinese adults: a nationwide cross-sectional study using CLASS data.BMC geriatrics · 2026Article
- Unmet care needs among older people in residential care: a scoping review.BMC geriatrics · 2026Article
- Real-world medical and long-term care service utilization patterns among older adults with complex needs in China: a latent class analysis.BMC geriatrics · 2026Article
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- Predicting the prevalence and estimating the economic burden of ischemic heart disease in China: Based on long short-term memory model.Medicine · 2025Article
- Urban Chinese Community-Dwelling Older Adults' Expectations Regarding the Delivery of Integrated Care Through Case Managers: Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Exploring Risk Factors Related to Low Calf Circumference in Older Adults With Multimorbidity: Cross-Sectional Latent Class Analysis.JMIR aging · 2025Article
- Associations of Pain Characteristics With Physical Capacity Trajectories Among Older Adults in the United States.The Clinical journal of pain · 2025Article
- Addressing multiple long-term conditions in the undergraduate medical school curriculum: a focus group study.BMC medical education · 2025Article
- Identification and trajectory of multimorbidity patterns among older people in China: a longitudinal study based on the China health and retirement longitudinal study 2011-2020 data.Frontiers in public health · 2025Article
- Analysis of the current situation and factors influencing the utilization of somatic and somatic-mental disorder comorbidity and health services among middle-aged and older adult people in China.Frontiers in public health · 2025Article
- Impacts of chronic diseases and multimorbidity on health-related quality of life among community-dwelling elderly individuals in economically developed China: evidence from cross-sectional survey across three urban centers.Health and quality of life outcomes · 2024Article
- Chronic condition change and its longitudinal association with health care utilization among rural older adults: intergenerational financial support as a possible moderator?BMC geriatrics · 2024Article
- Validity of the Chinese multimorbidity-weighted index in measuring disease burden using health check-ups data in primary care.BMC public health · 2024Article
- Interactions between patterns of multimorbidity and functional status among hospitalized older patients: a novel approach using cluster analysis and association rule mining.Journal of translational medicine · 2024Article
- The diabetes mellitus multimorbidity network in hospitalized patients over 50 years of age in China: data mining of medical records.BMC public health · 2024Article
- Preference for primary care in Chinese homebound patients.BMC public health · 2024Article
5 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesExamination of the prevalence and patterns of multimorbidity among the elderly in China.
designCross-sectional study.
settingMore than 10 000 households in 28 of the 34 provinces of mainland China.
participants11 707 Chinese adults aged 60 and over. PRIMARY OUTCOME MEASURES: Prevalence and patterns of multimorbidity among the participants. Relative risks were calculated to estimate the probability of up to 14 chronic conditions coexisting with each other. Observed-to-expected (O/E) ratios were used to analyse the patterns of multimorbidity.
resultsMultimorbidity was present in 43.6% of respondents from the sample population, with women having the greater prevalence compared with men. There were 804 different comorbidity combinations identified, including 76 dyad combinations and 169 triad combinations. The top 10 morbidity dyads and triads accounted for 69.01% and 47.05% of the total dyad and triad combinations observed, respectively. Among the 14 chronic conditions included in the study, asthma, stroke, heart attack and six other chronic conditions were the main components of multimorbidity due to their high relative risk ratios. The most frequently occurring clusters with higher O/E ratios were stroke along with emotional, nervous, or psychiatric problems; memory-related diseases together emotional, nervous, or psychiatric problems; and memory-related diseases and asthma accompanied by chronic lung diseases and asthma.
conclusionsThe results of this study highlight the high prevalence of multimorbidity in the elderly population in China. Further studies are required to understand the aetiology of multimorbidity, and future primary healthcare policies should be made while taking multimorbidity into consideration.
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