KEY FINDINGS: Data from the National Health Interview Survey, 1999-2000 and 2009-2010 Between 1999-2000 and 2009-2010, the percentage of adults aged 45-64 and 65 and over with two or more of nine selected chronic conditions increased for both men and women, all racial and ethnic groups examined, and most income groups. During the 10-year period, the percentage of adults aged 65 and over with both hypertension and diabetes increased from 9% to 15%; prevalence of hypertension and heart disease increased from 18% to 21%; and prevalence of hypertension and cancer increased from 8% to 11%. The percentage of adults aged 45-64 with two or more of nine selected chronic conditions who did not receive or delayed needed medical care due to cost increased from 17% to 23%, and the percentage who did not receive needed prescription drugs due to cost increased from 14% to 22%.
"As reported above, 43.3 per cent of these respondents (n = 30) report taking medication for hypertension, 33.3 per cent report taking medication for diabetes, and 33 per cent report taking medication for depression. However, the number of adults aged 45 years and older with two or more chronic conditions increased across all racial and ethnic groups in the United States between 2000 and 2010 (Freid et al. 2012). The increasing commonality of chronic illnesses and the medications associated with their management among older adults makes issues of identity and medication broadly relevant. "
"The prevalence of multimorbidity (≥ 2 conditions) was 22.5%, which is comparable to that of the United States (about 26%) (17). Other studies in low- and middle-income countries (18) and in high-income countries have reported even higher prevalences of multimorbidity (19–21). A systematic review has also reported wide ranges in the prevalence of multimorbidity, especially in the older age groups (22). "
[Show abstract][Hide abstract] ABSTRACT: Introduction
Little is known about the prevalence and predictors of chronic non-communicable diseases (NCDs) of older adults in South Africa. This study aims to investigate the self-reported prevalences of major chronic NCDs and their predictors among older South Africans.
We conducted a national population-based cross-sectional survey with a sample of 3,840 individuals aged 50 years or above in South Africa in 2008. The outcome variable was the self-reported presence of chronic NCDs suffered, namely, arthritis, stroke, angina, diabetes, chronic lung disease, asthma, depression, and hypertension. The exposure variables were sociodemographic characteristics: age, gender, education, wealth status, race, marital status, and residence. Multivariate logistic regression was used to determine sociodemographic factors predictive of the presence of chronic NCDs.
The prevalence of chronic NCDs was 51.8%. The prevalence of multimorbidity (≥2 chronic conditions) was 22.5%. Multivariate logistic regression analysis showed that being female, being in age groups 60–79 and 70–79, being Coloured or Asian, having no schooling, having greater wealth, and residing in an urban area were associated with the presence of NCDs.
The rising burden of chronic NCDs affecting older people places a heavy burden on the healthcare system as a result of increased demand and access to healthcare services. Concerted effort is needed to develop strategies for the prevention and management of NCDs, especially among economically disadvantaged individuals who need these services the most.
Global Health Action 09/2013; 6(20936). DOI:10.3402/gha.v6i0.20936 · 1.93 Impact Factor
"Recent national data reported that around 63 million Americans had MCCs, and this number is projected to grow to 81 million by 2020  . For people aged 45–64 years old, the percentage of adults with two or more of nine selected chronic conditions has increased 5 percent from 1999 to 2009 . This number is more than 8 percent for the group of people older than 65 years of age. "
[Show abstract][Hide abstract] ABSTRACT: The current aging trends accompanying the increasing prevalence of multiple chronic conditions (MCCs) and decreasing participation in physical activity (PA) have swept the United States. In light of the magnitude of this phenomenon, this study seeks to identify the most common MCC combinations and their relationships with PA level. A cross-sectional study, Brazos Valley Health Assessment, was conducted between October 2009 and July 2010. All data analyses were performed by STATA 12.0. The overall sample which met the inclusion criteria is 2,603. Among people older than 45 years, chronic conditions of cardiovascular, endocrine, and musculoskeletal systems were the most prevalent. Participants with three chronic conditions were less likely to meet the PA standard than those with only two chronic conditions. Younger age, women, rural residence, and unsafe environments were related to the lower PA level. After adjusting for seven covariates, all MCCs combinations adversely affect the level of PA (OR < 1.0, P < 0.05). People with MCCs were among the least active subgroups despite the health benefits of doing exercise. Given the well-documented benefits of physical activity for delaying the onset or progression of MCCs, public health efforts to enhance regular PA in middle-aged and older adults are recommended.
Journal of aging research 09/2013; 2013(2):152868. DOI:10.1155/2013/152868
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.