ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2024
Multimorbidity patterns and health-related quality of life among community-dwelling older adults: evidence from a rural town in Suzhou, China.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The association between disease status and health-related quality of life: evidence from a cross-sectional survey across mainland China.Health and quality of life outcomes · 2026Article
- Health-related quality of life in poverty-alleviated individuals living with chronic conditions: a cross-sectional survey from an impoverished county in China.Scientific reports · 2026Article
- The impact of self-efficacy on health-related quality of life among community-dwelling older adults with chronic diseases: the mediating role of self-management behaviour.Frontiers in public health · 2026Article
- The association between treatment burden and quality of life in older adults with multimorbidity: the mediating role of personal mastery and the moderating role of social support-a cross-sectional study in China.Frontiers in public health · 2026Article
- Exploration of subgroups and predictors of health-promoting lifestyle among older adults in the community: a latent profile analysis.Frontiers in public health · 2026Article
- Development and psychometric testing of symptom severity scale in older patients with cardiometabolic multimorbidity.BMC geriatrics · 2025Article
- Prevalence of depression and anxiety and related influencing factors in the Chinese population with noncommunicable chronic diseases: A network perspective.World journal of psychiatry · 2025Article
- Prevalence, combination patterns, and quality of life factors of multimorbidity among older adults in southern China based on the health ecological model.Journal of global health · 2025Article
- Longitudinal study on health-related quality of life and multimorbidity: from trajectories to outcomes in China.Frontiers in public health · 2025Article
- Multimorbidity and health related quality of life in U.S. adults: A population-based study.Journal of multimorbidity and comorbidityArticle
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6 authors.
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Abstract
purposeThe high prevalence of multimorbidity in aging societies has posed tremendous challenges to the healthcare system. The aim of our study was to comprehensively assess the association of multimorbidity patterns and health-related quality of life (HRQOL) among rural Chinese older adults.
methodsThis was a cross-sectional study. Data from 4,579 community-dwelling older adults aged 60 years and above was collected by the clinical examination and questionnaire survey. Information on 10 chronic conditions was collected and the 3-Level EQ-5D (EQ-5D-3L) was adopted to measure the HRQOL of older adults. An exploratory factor analysis was performed to determine multimorbidity patterns. Regression models were fitted to explore the associations of multimorbidity patterns with specific health dimensions and overall HRQOL.
resultsA total of 2,503 (54.7%) participants suffered from multimorbidity, and they reported lower HRQOL compared to those without multimorbidity. Three kinds of multimorbidity patterns were identified including cardiovascular-metabolic diseases, psycho-cognitive diseases and organic diseases. The associations between psycho-cognitive diseases/organic diseases and overall HRQOL assessed by EQ-5D-3L index score were found to be significant (β = - 0.097, 95% CI - 0.110, - 0.084; β = - 0.030, 95% CI - 0.038, - 0.021, respectively), and psycho-cognitive diseases affected more health dimensions. The impact of cardiovascular-metabolic diseases on HRQOL was largely non-significant.
conclusionMultimorbidity was negatively associated with HRQOL among older adults from rural China. The presence of the psycho-cognitive diseases pattern or the organic diseases pattern contributed to worse HRQOL. The remarkable negative impact of psycho-cognitive diseases on HRQOL necessiates more attention and relevant medical assistance to older rural adults.
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