ArticleGlobal health action2021
Urban-rural differences in the impacts of multiple chronic disease on functional limitations and work productivity among Chinese adults.
Article in Global health action, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Article
- Bidirectional association between falls and multimorbidity in middle-aged and elderly Chinese adults: a national longitudinal study.Scientific reports · 2024Article
- Exploring the workload of informal caregiving in the context of HIV/NCD multimorbidity in South Africa.PLOS global public health · 2024Article
- Investigating the Association between Sociodemographic Factors and Chronic Disease Risk in Adults Aged 50 and above in the Hungarian Population.Healthcare (Basel, Switzerland) · 2023Article
- The prevalence of cardiometabolic multimorbidity and its associations with health outcomes among women in China.Frontiers in cardiovascular medicine · 2023Article
- Chronic disease and depression among the elderly in China: the mediating role of instrumental activities of daily living and the moderating role of area of residence.Current psychology (New Brunswick, N.J.) · 2022Article
- Relationship Between Dietary Patterns and Chronic Diseases in Rural Population: Management Plays an Important Role in the Link.Frontiers in nutrition · 2022Article
- Multimorbidity Among Urban Poor in India: Findings From LASI, Wave-1.Frontiers in public health · 2022Article
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic disease multimorbidity has become a major challenge for health systems. While a lot of research has evaluated the direct economic burden of multimorbidity on health care utilization and cost, little attention has been given to the impacts on work productivity and functional limitations, as indirect indicators of disease burden.
objectivesThis study aims to examine the prevalence of multimorbidity among Chinese adults and its impact on functional disability and work productivity. It also investigates urban-rural differences in these relationships.
methodThis study utilized the data from the China Health and Retirement Longitudinal Study (CHARLS) in 2015, including 11,176 participants aged 45 years and older. Multivariable logistic regression models were used to estimate the effect of multimorbidity on functional disability (i.e. ADL: activities of daily life; IADL: instrumental activities of daily life), and work productivity loss due to health problems. Negative binomial regression models were used to assess the association of multimorbidity with sickness absences from agricultural work and employed non-agricultural work.
results68.8% of total participants in CHARLS had multimorbidity in China in 2015. Rural residents with multimorbidity reported higher proportions of physical functions and days of sick leave than urban residents. Multimorbidity was positively associated with ADL limitation (odds ratio 1.924, 95% CI 1.656-2.236), IADL limitation (1.522, 1.326-1.748), limited work due to health problems (1.868, 1.601-2.178) and days of sick leave (for agricultural work, incidence rate ratio 1.676, 95% CI 1.390-2.020; for employed non-agricultural work, 2.418, 1.245-4.696). For the rural group, the impact of multimorbidity on functional limitations and work productivity loss (except for early retirement), was less than the urban group.
conclusionsMultimorbidity poses significant challenges for functional health and work productivity These have significant negative economic consequences for individuals, the Chinese health system and the society.
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