PDF(Pubmed)
Abstract：
UNASSIGNED: Chronic conditions and multimorbidity affect care needs and prevention opportunities.
UNASSIGNED: We studied 2,246 men and women aged ≥40 years within the Dar es Salaam Urban Cohort Study from June 2017 to July 2018. Seventeen chronic conditions were assessed based on self-report, body and blood pressure measurement, blood tests, and screening instruments.
UNASSIGNED: Hypertension (51.3%), anemia (34.1%), obesity (32.2%), diabetes (31.6%), depressive symptoms (31.5%), low grip strength (21.2%), and ischemic heart disease (11.9%) were widespread. Multimorbidity was common (73.7%). Women had higher odds of obesity, ischemic heart disease, and high cholesterol (adjusted OR: 2.08-4.16) and lower odds of underweight, low grip strength, alcohol problems, and smoking (adjusted OR: 0.04-0.45). Ten years of age were associated with higher odds of low grip strength, cognitive problems, hypertension, kidney disease, chronic cough, diabetes, high cholesterol, ischemic heart disease, and multimorbidity (adjusted OR: 1.21-1.81) and lower odds of HIV infection (adjusted OR: 0.51).
UNASSIGNED: We found a higher prevalence of multimorbidity than previously estimated for middle-aged and elderly people in sub-Saharan Africa. The chronic conditions underlying multimorbidity differed by sex.
UNASSIGNED: We studied 2,246 men and women aged ≥40 years within the Dar es Salaam Urban Cohort Study from June 2017 to July 2018. Seventeen chronic conditions were assessed based on self-report, body and blood pressure measurement, blood tests, and screening instruments.
UNASSIGNED: Hypertension (51.3%), anemia (34.1%), obesity (32.2%), diabetes (31.6%), depressive symptoms (31.5%), low grip strength (21.2%), and ischemic heart disease (11.9%) were widespread. Multimorbidity was common (73.7%). Women had higher odds of obesity, ischemic heart disease, and high cholesterol (adjusted OR: 2.08-4.16) and lower odds of underweight, low grip strength, alcohol problems, and smoking (adjusted OR: 0.04-0.45). Ten years of age were associated with higher odds of low grip strength, cognitive problems, hypertension, kidney disease, chronic cough, diabetes, high cholesterol, ischemic heart disease, and multimorbidity (adjusted OR: 1.21-1.81) and lower odds of HIV infection (adjusted OR: 0.51).
UNASSIGNED: We found a higher prevalence of multimorbidity than previously estimated for middle-aged and elderly people in sub-Saharan Africa. The chronic conditions underlying multimorbidity differed by sex.
摘要：
慢性疾病和多重性疾病会影响护理需求和预防机会。
我们在2017年6月至2018年7月的达累斯萨拉姆城市队列研究中研究了2,246名年龄≥40岁的男性和女性。根据自我报告评估了17种慢性病，身体和血压测量，验血,和筛选仪器。
■高血压（51.3%），贫血（34.1%），肥胖(32.2%)，糖尿病（31.6%），抑郁症状（31.5%），低抓地力（21.2%），缺血性心脏病(11.9%)广泛存在。多症是常见的（73.7%）。女性肥胖的几率更高，缺血性心脏病,和高胆固醇（调整后的OR：2.08-4.16）和较低的体重不足的几率，低握力，酒精问题,和吸烟（调整OR：0.04-0.45）。10岁与低握力的可能性较高相关，认知问题，高血压,肾病,慢性咳嗽,糖尿病,高胆固醇,缺血性心脏病,和多重性（校正OR：1.21-1.81）和较低的HIV感染几率（校正OR：0.51）。
■我们发现，在撒哈拉以南非洲，中老年人的多发病率高于先前估计的。多发病率的慢性病因性别而异。
我们在2017年6月至2018年7月的达累斯萨拉姆城市队列研究中研究了2,246名年龄≥40岁的男性和女性。根据自我报告评估了17种慢性病，身体和血压测量，验血,和筛选仪器。
■高血压（51.3%），贫血（34.1%），肥胖(32.2%)，糖尿病（31.6%），抑郁症状（31.5%），低抓地力（21.2%），缺血性心脏病(11.9%)广泛存在。多症是常见的（73.7%）。女性肥胖的几率更高，缺血性心脏病,和高胆固醇（调整后的OR：2.08-4.16）和较低的体重不足的几率，低握力，酒精问题,和吸烟（调整OR：0.04-0.45）。10岁与低握力的可能性较高相关，认知问题，高血压,肾病,慢性咳嗽,糖尿病,高胆固醇,缺血性心脏病,和多重性（校正OR：1.21-1.81）和较低的HIV感染几率（校正OR：0.51）。
■我们发现，在撒哈拉以南非洲，中老年人的多发病率高于先前估计的。多发病率的慢性病因性别而异。
