ArticleFrontiers in public health2024
Association between chronic conditions, multimorbidity, and dependence levels in Chinese community-dwelling older adults with functional dependence: a cross-sectional study in south-central China.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Tailored video-based lifestyle intervention for overweight or obese adults in Phnom Penh, Cambodia: a pilot cluster randomized controlled trial.Health policy and planning · 2026Trial
- Article
- Real-world medical and long-term care service utilization patterns among older adults with complex needs in China: a latent class analysis.BMC geriatrics · 2026Article
- Physical activity, chronic disease, depression, and health-related quality of life among Chinese older adults: a two-wave longitudinal panel study before and during COVID-19.Frontiers in public health · 2026Article
- Oral frailty and activities of daily living among community-dwelling older adults: the indirect association of nutritional status.Frontiers in public health · 2026Observational
- The relationship between sleep health characteristics and risk of multimorbidity: A cross-sectional study based on public health surveillance system in southern Tehran-Iran.Preventive medicine reports · 2025Article
- Healthcare and Social Needs of Older Adults in Underserved Urban Communities: Insights from Community Health Workers.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Associations between reversible and potentially reversible cognitive frailty and falls in community-dwelling older adults in China: a longitudinal study.BMC geriatrics · 2025Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: The rising prevalence of multimorbidity and functional dependence in community-dwelling older adults contribute to the demand for home care services. Evidence on how chronic conditions, especially multimorbidity, affect dependence levels among older adults with functional dependence in a socio-cultural context is much needed to inform policy, workforce, aged care service development to meet the care needs of this population. Objectives: This study aimed to determine the association between chronic conditions, multimorbidity and dependence levels among Chinese community-dwelling older adults with functional dependence. Methods: A cross-sectional study was conducted with 1,235 community-dwelling older adults with functional dependence in Hunan province, China, from June to October 2018. Data on socio-demographic factors, cognitive function, vision and hearing conditions, activities of daily living (ADLs), and health conditions were collected, and binary logistic regression analyses were used to determine the association between chronic conditions, multimorbidity and dependence levels, with adjustments for relevant covariates. Results: Among the participants, 62.9% had multimorbidity. Parkinson's disease, stroke, COPD, hypertension, mood and psychotic disorders (Anx/Sch/Dep) were significantly associated with high levels of functional dependence. After adjusting for demographic variables, cognitive function, vision, and hearing conditions, we observed a significant relationship between multimorbidity and higher functional dependence, but this association became insignificant when including certain chronic diseases closely associated with high-level dependence. Study revealed that Parkinson's disease and stroke notably increase dependency risk across seven ADL domains, demonstrating their extensive impact on daily functioning. Conclusion: The prevalence of multimorbidity among Chinese community-dwelling older adults with functional dependence is very high. The association of multimorbidity with functional dependence is mediated by specific chronic conditions. These findings highlight the necessity of adopting an integrated care model that combines medical and social care, with a particular emphasis on managing multimorbidity and critical chronic conditions that lead to severe functional dependence to preventing and diminish the onset of disabilities.
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