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

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

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Official URL: http://dx.doi.org/10.1016/j.maturitas.2016.08.016

Abstract

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.

Item Type: Article
Additional Information: First and second authors are with Population Studies Unit, Faculty of Economics and Administration, University of Malaya; third author is with the Centre for Actuarial Studies, Applied Finance and Statistics, Sunway University Business School.
Uncontrolled Keywords: chronic diseases; non-communicable diseases (NCD); disability; older adults; China
Subjects: H Social Sciences > HA Statistics
R Medicine > RA Public aspects of medicine
Divisions: Others > Non Sunway Academics
Sunway University > Sunway University Business School > Centre for Actuarial Studies, Applied Finance & Statistics
Depositing User: Ms. Molly Chuah
Date Deposited: 04 Oct 2016 01:59
Last Modified: 04 Oct 2016 02:17
URI: http://eprints.sunway.edu.my/id/eprint/409

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