Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality

Hsin-En Ho, Chih-Jung Yeh, James Cheng-Chung Wei, Wei-Min Chu and Meng-Chih Lee
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Hsin-En Ho: Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Chih-Jung Yeh: School of Public Health, Chung-Shan Medical University, Taichung 40201, Taiwan
James Cheng-Chung Wei: Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Wei-Min Chu: Department of Family Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Meng-Chih Lee: Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan

IJERPH, 2022, vol. 19, issue 6, 1-12

Abstract: Understanding multimorbidity patterns is important in finding a common etiology and developing prevention strategies. Our aim was to identify the multimorbidity patterns of Taiwanese people aged over 50 years and to explore their relationship with health outcomes. This longitudinal cohort study used data from the Taiwan Longitudinal Study on Aging. The data were obtained from wave 3, and the multimorbidity patterns in 1996, 1999, 2003, 2007, and 2011 were analyzed separately by latent class analysis (LCA). The association between each disease group and mortality was examined using logistic regression. Four disease patterns were identified in 1996, namely, the cardiometabolic (18.57%), arthritis–cataract (15.61%), relatively healthy (58.92%), and multimorbidity (6.9%) groups. These disease groups remained similar in the following years. After adjusting all the confounders, the cardiometabolic group showed the highest risk for mortality (odds ratio: 1.237, 95% confidence interval: 1.040–1.472). This longitudinal study reveals the trend of multimorbidity among older adults in Taiwan for 16 years. Older adults with a cardiometabolic multimorbidity pattern had a dismal outcome. Thus, healthcare professionals should put more emphasis on the prevention and identification of cardiometabolic multimorbidity.

Keywords: multimorbidity; trend; elderly; mortality; latent class analysis; chronic diseases (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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Citations: View citations in EconPapers (1)

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