TY - JOUR
T1 - Prevalence of somatic-mental multimorbidity and its prospective association with disability among older adults in China
AU - Li, Haibin
AU - Wang, Anxin
AU - Gao, Qi
AU - Wang, Xiaonan
AU - Luo, Yanxia
AU - Yang, Xinghua
AU - Li, Xia
AU - Wang, Wei
AU - Zheng, Deqiang
AU - Guo, Xiuhua
N1 - Publisher Copyright:
© 2020, Li et al.
PY - 2020/4/30
Y1 - 2020/4/30
N2 - We aimed to identify prevalent somatic-mental multimorbidity (SMM) and examine its prospective association with disability among a nationally representative sample. A total of 6728 participants aged 60 years and older in the China Health and Retirement Longitudinal Study were included. A total of 14 somatic or mental conditions were assessed in 2013. SMM was defined as any combination of two or more conditions in which at least one condition was somatic and at least one condition was mental. Disability risk was measured using the combined Activities of Daily Living (ADL)-Instrumental Activities of Daily Living (IADL) index (range 0-11; higher index indicates higher disability) in 2013 and 2015. Overall, the prevalence of SMM was 35.7% (95% confidence interval (CI): 34.1%-37.3%) in 2013. After adjustment for sociodemographic characteristics, lifestyles and baseline ADL-IADL index, over a maximum follow-up period of 2 years, SMM was associated with a 2.61 (95% CI: 2.12-3.22)-fold increase in ADL-IADL disability risk compared with that of healthy participants. In conclusion, SMM was prevalent in older Chinese adults, and it was associated with a higher risk of prospective disability. Li et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
AB - We aimed to identify prevalent somatic-mental multimorbidity (SMM) and examine its prospective association with disability among a nationally representative sample. A total of 6728 participants aged 60 years and older in the China Health and Retirement Longitudinal Study were included. A total of 14 somatic or mental conditions were assessed in 2013. SMM was defined as any combination of two or more conditions in which at least one condition was somatic and at least one condition was mental. Disability risk was measured using the combined Activities of Daily Living (ADL)-Instrumental Activities of Daily Living (IADL) index (range 0-11; higher index indicates higher disability) in 2013 and 2015. Overall, the prevalence of SMM was 35.7% (95% confidence interval (CI): 34.1%-37.3%) in 2013. After adjustment for sociodemographic characteristics, lifestyles and baseline ADL-IADL index, over a maximum follow-up period of 2 years, SMM was associated with a 2.61 (95% CI: 2.12-3.22)-fold increase in ADL-IADL disability risk compared with that of healthy participants. In conclusion, SMM was prevalent in older Chinese adults, and it was associated with a higher risk of prospective disability. Li et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
KW - Disability
KW - Mental conditions
KW - Multimorbidity
KW - Somatic conditions
UR - http://www.scopus.com/inward/record.url?scp=85084272697&partnerID=8YFLogxK
U2 - 10.18632/AGING.103070
DO - 10.18632/AGING.103070
M3 - Article
C2 - 32335543
AN - SCOPUS:85084272697
SN - 1945-4589
VL - 12
SP - 7218
EP - 7231
JO - Aging
JF - Aging
IS - 8
ER -
