PDF(Pubmed)
Abstract：
We characterized comorbidity profiles and cardiometabolic risk factors among older adults with multiple chronic conditions (MCCs) in New York City using an intersectionality approach. Electronic health record data were obtained from the INSIGHT Clinical Research Network on 367,901 New York City residents aged 50 years or older with MCCs. Comorbidity profiles were heterogeneous. The most common profile across sex and racial and ethnic groups was co-occurring hypertension and hyperlipidemia; prevalence of these 2 conditions differed across groups (4.7%-7.3% co-occurrence alone, 65.1%-88.0% with other conditions). Significant sex and racial and ethnic differences were observed, which may reflect accumulated disparities in risk factors and health care access across the life course.
摘要：
我们使用交叉方法对纽约市患有多种慢性疾病（MCC）的老年人的合并症特征和心脏代谢危险因素进行了表征。电子健康记录数据来自INSIGHT临床研究网络，涉及367,901名年龄在50岁或以上的MCC纽约市居民。合并症分布是不均匀的。性别，种族和族裔群体中最常见的情况是同时发生的高血压和高脂血症；这两种情况的患病率在各组之间有所不同（仅同时发生4.7％-7.3％，65.1%-88.0%与其他条件）。观察到显著的性别和种族和民族差异，这可能反映了整个生命过程中风险因素和医疗保健获取方面的累积差异。
