Abstract:
:The aim of this study was to explore the prevalence, pattern, and social determinants of chronic conditions multimorbidity among chronic disease primary care patients in four Greater Mekong countries (Cambodia, Myanmar, Thailand, and Vietnam). In a cross-sectional survey, chronic disease patients accessing primary care were recruited if they had been diagnosed with any of 21 chronic conditions in the past 12 months, and were interviewed with a structured questionnaire on anxiety, depression, alcohol use, tobacco use, dietary behaviour, physical activity, and quality of life. The sample included 6236 public primary care patients (32.8% men and 67.2% women), with a mean age of 53.0 years (SD = 16.8). From 21 chronic conditions, the three most common were hypertension (37.4%), depression (34.4%), and digestive diseases (32.0%). In all, 27.4% had one chronic condition, 28.6% had two, 22.4% had three, and 21.6% had four or more chronic conditions. The percentage with the highest comorbidity was depression (47.3%), hypertension (43.4%), and digestive diseases (34.1%). The highest mean multimorbidity reported was for mental illness (4.44), kidney disease (4.11), and Parkinson's disease (4.10), and the lowest multimorbidity for epilepsy (2.43) and cancer (2.80). Compared to those who had only one chronic condition, being male, older age, lower education, and lower quality of life were associated with having two and three or more chronic conditions. Multimorbidity is a prevalent problem among chronic condition primary care patients-a finding with implications for health care delivery, management, and research.
journal_name
Int J Environ Res Public Healthauthors
Pengpid S,Peltzer Kdoi
10.3390/ijerph14091019subject
Has Abstractpub_date
2017-09-06 00:00:00issue
9eissn
1661-7827issn
1660-4601pii
ijerph14091019journal_volume
14pub_type
杂志文章abstract::Aboriginal people across Australia suffer significant health inequalities compared with the non-Indigenous population. Evidence indicates that inroads can be made to reduce these inequalities by better understanding social and cultural determinants of health, applying holistic notions of health and developing less rig...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph10020678
更新日期:2013-02-07 00:00:00
abstract::In this study, using the medical expenditures of the Taiwanese government and gross domestic product (GDP) as variables, the wavelet analysis method was used to empirically study the correlations and lead-lag relationships in quarterly data in the period from 1996 to 2016. In addition, the dependent population of the ...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph16245095
更新日期:2019-12-13 00:00:00
abstract::The assessment of work-related functioning is a key process in vocational rehabilitation to identify specific domains of disability that can be considered within return to work strategies. The Work Rehabilitation Questionnaire (WORQ) was developed to evaluate work-related functioning based on the International Classif...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph16152795
更新日期:2019-08-05 00:00:00
abstract::The cost-benefit and cost-effectiveness of a work-directed intervention implemented by the occupational health service (OHS) for employees with common mental disorders (CMD) or stress related problems at work were investigated. The economic evaluation was conducted in a two-armed clustered RCT. Employees received eith...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph17145234
更新日期:2020-07-20 00:00:00
abstract::Objective: The objectives of this study were to determine the degree and risk factors of the inequity in the childhood coverage of full primary immunization (FPI) in Zhejiang province. Method: We used data from two rounds of vaccination coverage surveys among children aged 24⁻35 months conducted in 2014 and 2017, resp...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15092000
更新日期:2018-09-13 00:00:00
abstract::Cooking with kerosene emits toxic pollutants that may impact pregnancy outcomes. Sixty-eight women in their first trimester of pregnancy, kerosene users (n = 42) and liquefied natural gas (LNG) users (n = 26), were followed until birth. Maternal and cord blood were collected immediately after birth. Levels of micronut...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15122891
更新日期:2018-12-17 00:00:00
abstract::Pyrolysis(pyr)-GC/MS analysis of characteristic thermal decomposition fragments has been previously used for qualitative fingerprinting of organic sources in environmental samples. A quantitative pyr-GC/MS method based on characteristic tire polymer pyrolysis products was developed for tread particle quantification in...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph9114033
更新日期:2012-11-08 00:00:00
abstract::Menopause is associated with depressive symptoms that can significantly affect a woman's quality of life. The objective of this study was to evaluate the association between depression and health-related quality of life (HRQoL) in postmenopausal women. In this cross-sectional descriptive study, participants (n = 3860)...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15112327
更新日期:2018-10-23 00:00:00
abstract::The small peptides representation of the original proteins are a valuable source of information that can be used as biomarkers involved in toxicity mechanism for chemical exposure. The aim of this study is to investigate serum peptide biomarkers of benzene exposure. C57BL/6 mice were enrolled into control group and be...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph120911241
更新日期:2015-09-10 00:00:00
abstract::Although the hand is an important organ in interpersonal interactions, focusing on this body part explicitly is less common in daily life compared with the face. We investigated (i) whether a person's recognition of their own hand is different from their recognition of another person's hand (i.e., self hand vs. other'...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph17218256
更新日期:2020-11-09 00:00:00
abstract::Some manufacturers of electronic nicotine delivery systems (ENDS) voluntarily carried health warnings in their advertisements. This study examined these voluntary warnings in magazine ads and plotted their trends between 2012 and early 2015. ENDS magazine ads were obtained through Kantar media and warnings were collec...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph14010062
更新日期:2017-01-10 00:00:00
abstract::Green development has been of particular interest to a range of industries worldwide, one of which being the air transportation industry (ATI). The energy conservation and emission reduction (ECER) projects of the ATI have a huge impact on the local economy. In this study, the input-output method was used to analyze t...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15040812
更新日期:2018-04-20 00:00:00
abstract::This review aimed to systematically evaluate the rehabilitatitive effect of Virtual Reality Games (VRGs) for gross motor skills of children with cerebral palsy (CP), and to give scientific grounds for the formulation of rehabilitation therapy for these children. To this end, the literature in Chinese databases (CNKI a...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章,meta分析,评审
doi:10.3390/ijerph16203885
更新日期:2019-10-14 00:00:00
abstract::The main routes of lead (Pb) absorption are through the airways and orally, and through consumption of contaminated food and beverage, with Pb mainly being absorbed in the atmospheric particulate form. In 2012, a cross-sectional study was performed to evaluate the Pb environmental exposure in two Amazonian districts, ...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph16173047
更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:The purpose of the study is to evaluate the association between cognitive function and risk of all-cause and cardiovascular disease mortality during 10 years of the follow-up. METHODS:7087 participants were assessed in the baseline survey of the Health Alcohol Psychosocial Factors in Eastern Europe (HAPIEE)...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph17072397
更新日期:2020-04-01 00:00:00
abstract::Previous research has found churches to be effective at delivering physical activity (PA) programs to their congregants. Mosques, however, have not been extensively studied. Therefore, we quantified U.S. Islamic centers' advertisement of PA programming and examined their programming characteristics. We conducted a con...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15112581
更新日期:2018-11-18 00:00:00
abstract::Decisional balance (DB) is the perceived positive aspects (advantages) and negative aspects (disadvantages) that are associated with behavioural change. Behavioural change is dependent on an individual's thoughts after considering the advantages of engaging in exercise. When the benefits exceed the barriers, people ar...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph17082748
更新日期:2020-04-16 00:00:00
abstract::Globalization and environmental change, social and demographic determinants and health system capacity are significant drivers of infectious diseases which can also act as epidemic precursors. Thus, monitoring changes in these drivers can help anticipate, or even forecast, an upsurge of infectious diseases. The Europe...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章,评审
doi:10.3390/ijerph120606333
更新日期:2015-06-02 00:00:00
abstract::Background In China, income levels and living standards have improved significantly, but many Chinese citizens still do not feel any happier. This phenomenon may be attributed to increased income inequality. Methods Using data from the 2013 Chinese General Social Survey (CGSS), we employed multilevel structural equati...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15122667
更新日期:2018-11-27 00:00:00
abstract::Stress, and stress-related health complaints, are common among young people, especially girls. Since studies have shown that school demands are an important driver of stress in adolescents, identifying if school-based resources can protect against stress is highly relevant. The aim of this study was to analyse task-re...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15102143
更新日期:2018-09-29 00:00:00
abstract::This study aimed to identify the non-linear association between population density and obesity in China and to provide empirical evidence for the public health orientated guideline of urban planning. By conducting a longitudinal study with data collected from the China Health and Nutrition Survey (CHNS) between 2004 a...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph17217746
更新日期:2020-10-23 00:00:00
abstract::Background: Older adults in rural areas have unique transportation barriers to accessing medical care, which include a lack of mass transit options and considerable distances to health-related services. This study contrasts non-emergency medical transportation (NEMT) service utilization patterns and associated costs f...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph14020174
更新日期:2017-02-10 00:00:00
abstract::Tobacco use has been implicated as an immunomodulator in the oral cavity and contributes to the development of oral cancer. In the present study, we investigated the effects of cigarette smoking on bacterial diversity and host responses compared to healthy nonsmoking controls. Saliva samples were collected from eighte...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph15112479
更新日期:2018-11-07 00:00:00
abstract::Postal delivery workers have substantial sun exposure. In the United Kingdom (UK) a high proportion of workers possesses a sun sensitive skin type. This population is at elevated risk for skin cancer, yet uptake of sun safety practices is low. Studies are needed to identify the underlying factors that contribute to th...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph16193712
更新日期:2019-10-02 00:00:00
abstract::Sub-Saharan African (SSA) countries face a growing burden of cardiovascular disease (CVD), attributed to economic, nutritional, demographic, and epidemiological transitions. These factors increase the prevalence of CVD risk factors, and the CVD burden overlaps with a high prevalence of infectious diseases. This review...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章,评审
doi:10.3390/ijerph16030419
更新日期:2019-02-01 00:00:00
abstract::The geological prospecting industry has developed rapidly in China over the past few years. It has made outstanding contributions to the discovery of new mineral resources, new energy sources, and the excavation and utilization of resources. However, geological prospecting projects do not have effective safety managem...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph16061082
更新日期:2019-03-26 00:00:00
abstract::The purpose of the study was to assess the association between physical fitness and the lifestyle determinants of elite junior table tennis players. The basic anthropometric characteristics (body height and body weight) were collected of 87 Polish table tennis players (girls, n = 38 and boys, n = 49, at different stag...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph17165733
更新日期:2020-08-08 00:00:00
abstract::(1) Background: Welding fumes (WFs) are composed of fine and ultrafine particles, which may reach the distal airways and represent a risk factor for respiratory diseases. (2) Methods: In vitro and in vivo studies to understand WFs pathogenesis were selected. Epidemiological studies, original articles, review, and meta...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章,meta分析
doi:10.3390/ijerph17072552
更新日期:2020-04-08 00:00:00
abstract::Little information is available on relationships between the biophysical environment and antibiotic resistance. This study was conducted to investigate the antibiotic resistance pattern of Escherichia coli isolated from child stool samples, cow-dung and drinking water from the non-coastal (230 households) and coastal ...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章
doi:10.3390/ijerph9030746
更新日期:2012-03-01 00:00:00
abstract::Smoking is a major risk factor of morbidity and mortality. It is well established that monoamine oxidase (MAO) activity is decreased in smokers. Serotonin (5-HT), a major substrate for MAO that circulates as a reserve pool stored in platelets, is a marker of platelet activation. We recently reported that smoking durab...
journal_title:International journal of environmental research and public health
pub_type: 杂志文章,评审
doi:10.3390/ijerph8010136
更新日期:2011-01-01 00:00:00