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.
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。