Analysis Of The Current Situation Of Coexistence Of Chronic Diseases In Nanshitou Street Community, Haizhu District, Guangzhou

Objective:To analyze the coexistence of multiple diseases and the influencing factors of people aged 60 years and above in the community of Nanshui Street,Haizhu District,Guangzhou,and to provide a theoretical basis for better prevention and intervention of comorbidity risk factors.Methods:1.The medical examination data of residents aged 60 and above from January2019 to December 2021 was collected,registered in the Community Health Service Center(EHC)of Nanshitou Street,Haizhu District,Guangzhou,including demographic characteristics,daily living behavior,and history of smoking and drinking,disease history and laboratory data.2.The research classified chronic diseases and analyzed the coexistence of multiple diseases according to the International Classification of Diseases(ICD-10)by SPSS 26.0 and SPSS Model 18.0.Statistical methods includedχ~2-test,and Spearman correlation analysis,Kruskal-Wallis H non-parametric test,Mann-Whitney U test,multivariate ordered logistic regression analysis,and correlation analysis.Results:1.Basic information:Of the 8,675 subjects surveyed,44.8%were male and55.2%were female.60～69 years old,70～79 years old,80～89 years old,90 years old and above accounted for 40.7%,37.3%,19.0%and 3.0%of the total number of people,respectively.Education level was concentrated in junior and senior secondary schools and primary schools and below,accounting for 57.0%and 25.7%of the total respectively;Production,transport equipment operators and related personnel accounted for 24.5%of the total number of people,inconvenient classification of other employees accounted for 10.1%,no occupational personnel accounted for 44.7%.The marital status of married persons accounted for 80.0%of the total number of persons.The people who never smoked accounted for 77.0%of the total,who never drank alcohol accounted for 86.4%,and who exercised daily accounted for 58.2%.Normal weight,overweight and obese accounted for 52.7%,32.9%,and 10.0%of the total number of people respectively.2.Chronic disease comorbidity in the elderly:Of the 8,675 study participants included,2,119(24.4%)did not have a chronic disease,3,587(41.3%)had one chronic disease and 2,969(34.3%)had multiple comorbidities.The number of study participants with at least one chronic disease was 6556(75.6%).Of those with multiple coexisting conditions,2096(70.5%)had two chronic conditions,720(24.3%)had three chronic conditions and 153(5.2%)had four or more chronic conditions.3.Among the common chronic disease combinations,the most common was 2comorbid combinations,and the top 3 in order were hypertension combined with diabetes(1405,16.2%),hypertension combined with coronary heart disease(768,8.9%),and hypertension combined with obesity(653,7.5%);followed by 3 comorbid combinations.The top 3 in order were hypertension+diabetes+coronary heart disease(252,2.9%),hypertension+diabetes+obesity(226,2.6%),and hypertension+coronary heart disease+obesity(207,1.2%).2.9%),hypertension+diabetes+obesity(226,2.6%),and hypertension+coronary heart disease+obesity(207,1.2%).4.According to the multivariate logistic result analysis,it was cleared that occupation,BMI,physical activity,smoking status,and frequency of alcohol consumption affected the coexistence of multiple diseases.Conclusion:1.Coexistence of multiple diseases is more common in people aged 60 years and above in the Nanshitou Street Health Service Centre in Haizhu District,Guangzhou.2.Age,occupation,education level,marital status,smoking status,physical activity,frequency of drinking and body mass index are associated with multimorbidity coexistence.