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首页> 外文期刊>International Journal of Environmental Research and Public Health >Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries
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Multimorbidity in Chronic Conditions: Public Primary Care Patients in Four Greater Mekong Countries

机译：慢性病的多发病：四个大湄公河国家的公共初级保健患者

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The aim of this study was to explore the prevalence, pattern, and social determinants of chronic conditions multimorbidity among chronic disease primary care patients in four Greater Mekong countries (Cambodia, Myanmar, Thailand, and Vietnam). In a cross-sectional survey, chronic disease patients accessing primary care were recruited if they had been diagnosed with any of 21 chronic conditions in the past 12 months, and were interviewed with a structured questionnaire on anxiety, depression, alcohol use, tobacco use, dietary behaviour, physical activity, and quality of life. The sample included 6236 public primary care patients (32.8% men and 67.2% women), with a mean age of 53.0 years (SD = 16.8). From 21 chronic conditions, the three most common were hypertension (37.4%), depression (34.4%), and digestive diseases (32.0%). In all, 27.4% had one chronic condition, 28.6% had two, 22.4% had three, and 21.6% had four or more chronic conditions. The percentage with the highest comorbidity was depression (47.3%), hypertension (43.4%), and digestive diseases (34.1%). The highest mean multimorbidity reported was for mental illness (4.44), kidney disease (4.11), and Parkinson’s disease (4.10), and the lowest multimorbidity for epilepsy (2.43) and cancer (2.80). Compared to those who had only one chronic condition, being male, older age, lower education, and lower quality of life were associated with having two and three or more chronic conditions. Multimorbidity is a prevalent problem among chronic condition primary care patients—a finding with implications for health care delivery, management, and research.
机译：这项研究的目的是探讨四个大湄公河国家（柬埔寨，缅甸，泰国和越南）的慢性病初级保健患者中慢性病多发病的流行率，模式和社会决定因素。在一项横断面调查中，如果过去12个月中被诊断出患有21种慢性病中的任何一种，则招募接受初级保健的慢性病患者，并接受有关焦虑，抑郁，饮酒，吸烟，饮食行为，体育锻炼和生活质量。该样本包括6236名公共初级保健患者（男性32.8％，女性67.2％），平均年龄53.0岁（SD = 16.8）。在21种慢性病中，最常见的三种是高血压（37.4％），抑郁症（34.4％）和消化系统疾病（32.0％）。总共有27.4％的人患有一种慢性病，有28.6％的人患有两种慢性病，22.4％的人患有3种慢性病，而21.6％的人患有4种或以上的慢性病。合并症最高的百分比是抑郁（47.3％），高血压（43.4％）和消化系统疾病（34.1％）。报告的平均多发病率最高的是精神疾病（4.44），肾脏疾病（4.11）和帕金森氏病（4.10），最低的是癫痫病（2.43）和癌症（2.80）。与仅患有一种慢性病的男性相比，年龄较大，受教育程度较低和生活质量较差的人患有两种，三种或三种以上慢性病。在慢性病初级保健患者中，多发病是一个普遍存在的问题，这一发现对医疗保健的提供，管理和研究都有影响。

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