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The debilitating effects of chronic diseases among the oldest old in China

Objectives The aims of this study were to assess the current sharp rise in chronic diseases and disabilities with advancing age, and to examine the debilitating effects of chronic diseases among the oldest old in China. Study design and outcome variables This study used data from four waves of...

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Main Authors:	Tey, Nai Peng, Lai, Siow Li, Teh, Jane Kimm Lii *
Format:	Article
Published:	Elsevier 2016
Subjects:	HA Statistics RA Public aspects of medicine
Online Access:	http://eprints.sunway.edu.my/409/ http://dx.doi.org/10.1016/j.maturitas.2016.08.016
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id	my.sunway.eprints.409
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spelling	my.sunway.eprints.4092019-05-02T07:11:28Z http://eprints.sunway.edu.my/409/ The debilitating effects of chronic diseases among the oldest old in China Tey, Nai Peng Lai, Siow Li Teh, Jane Kimm Lii * HA Statistics RA Public aspects of medicine Objectives The aims of this study were to assess the current sharp rise in chronic diseases and disabilities with advancing age, and to examine the debilitating effects of chronic diseases among the oldest old in China. Study design and outcome variables This study used data from four waves of the Chinese Longitudinal Health and Longevity Survey (CLHLS) conducted in 2002, 2005, 2008 and 2011. The sample comprised 2137 older adults who were interviewed in 2002 and re-interviewed in the following waves. Cross-tabulations were run to show the rise in chronic disease and disability with age. Ordinal logistic regression was run to examine the debilitating effects of these diseases in terms of the ability of the oldest old to perform activities of daily living. Results The prevalence of chronic diseases rose sharply with age. The prevalence rate of six major diseases increased between 38% (respiratory diseases) and 533% (neurological disorder) among respondents who were re-interviewed nine years later. Cardiovascular diseases were the most common. Neurological disorder and cancer were less common, but had the most debilitating effects on patients. Overall, 10.0%, 3.1% and 3.1% of the respondents were disabled by cardiovascular, musculoskeletal and sensorial diseases, respectively. Ordinal logistic regression showed that neurological disorder had the strongest debilitating effects, followed by musculoskeletal and cardiovascular diseases among 2137 older persons who had survived and were followed up from the base year (2002) through 2011. Conclusion The rapid rise in chronic diseases has resulted in an increased burden of disability among the oldest old in China. There is a need to improve health care systems for the prevention and management of chronic diseases. Elsevier 2016 Article PeerReviewed Tey, Nai Peng and Lai, Siow Li and Teh, Jane Kimm Lii * (2016) The debilitating effects of chronic diseases among the oldest old in China. Maturitas, 94. pp. 39-45. ISSN 03785122 http://dx.doi.org/10.1016/j.maturitas.2016.08.016 doi:10.1016/j.maturitas.2016.08.016
institution	Sunway University
building	Sunway Campus Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Sunway University
content_source	Sunway Institutional Repository
url_provider	http://eprints.sunway.edu.my/
topic	HA Statistics RA Public aspects of medicine
spellingShingle	HA Statistics RA Public aspects of medicine Tey, Nai Peng Lai, Siow Li Teh, Jane Kimm Lii * The debilitating effects of chronic diseases among the oldest old in China
description	Objectives The aims of this study were to assess the current sharp rise in chronic diseases and disabilities with advancing age, and to examine the debilitating effects of chronic diseases among the oldest old in China. Study design and outcome variables This study used data from four waves of the Chinese Longitudinal Health and Longevity Survey (CLHLS) conducted in 2002, 2005, 2008 and 2011. The sample comprised 2137 older adults who were interviewed in 2002 and re-interviewed in the following waves. Cross-tabulations were run to show the rise in chronic disease and disability with age. Ordinal logistic regression was run to examine the debilitating effects of these diseases in terms of the ability of the oldest old to perform activities of daily living. Results The prevalence of chronic diseases rose sharply with age. The prevalence rate of six major diseases increased between 38% (respiratory diseases) and 533% (neurological disorder) among respondents who were re-interviewed nine years later. Cardiovascular diseases were the most common. Neurological disorder and cancer were less common, but had the most debilitating effects on patients. Overall, 10.0%, 3.1% and 3.1% of the respondents were disabled by cardiovascular, musculoskeletal and sensorial diseases, respectively. Ordinal logistic regression showed that neurological disorder had the strongest debilitating effects, followed by musculoskeletal and cardiovascular diseases among 2137 older persons who had survived and were followed up from the base year (2002) through 2011. Conclusion The rapid rise in chronic diseases has resulted in an increased burden of disability among the oldest old in China. There is a need to improve health care systems for the prevention and management of chronic diseases.
format	Article
author	Tey, Nai Peng Lai, Siow Li Teh, Jane Kimm Lii *
author_facet	Tey, Nai Peng Lai, Siow Li Teh, Jane Kimm Lii *
author_sort	Tey, Nai Peng
title	The debilitating effects of chronic diseases among the oldest old in China
title_short	The debilitating effects of chronic diseases among the oldest old in China
title_full	The debilitating effects of chronic diseases among the oldest old in China
title_fullStr	The debilitating effects of chronic diseases among the oldest old in China
title_full_unstemmed	The debilitating effects of chronic diseases among the oldest old in China
title_sort	debilitating effects of chronic diseases among the oldest old in china
publisher	Elsevier
publishDate	2016
url	http://eprints.sunway.edu.my/409/ http://dx.doi.org/10.1016/j.maturitas.2016.08.016
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score	13.211869

The debilitating effects of chronic diseases among the oldest old in China

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