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Distress, multimorbidity, and complex multimorbidity among Chinese and Korean American older adults.
Oh, Hannah; Morey, Brittany N; Shi, Yuxi; Lee, Sunmin.
Afiliación
  • Oh H; Department of Public Health Sciences, Interdisciplinary Program in Precision Public Health, Graduate School of Korea University, Seoul, Republic of Korea.
  • Morey BN; Department of Health Policy and Management, College of Health Sciences, Korea University, Seoul, Republic of Korea.
  • Shi Y; Department of Medicine, School of Medicine, University of California, Irvine, Irvine, California, United States of America.
  • Lee S; Department of Health, Society and Behavior, Program in Public Health, University of California, Irvine, Irvine, California, United States of America.
PLoS One ; 19(1): e0297035, 2024.
Article en En | MEDLINE | ID: mdl-38295036
ABSTRACT

BACKGROUND:

Studies suggest that distress is associated with various health conditions such as hypertension, asthma, diabetes, and coronary heart disease. However, only few studies focused on Asian Americans and little is known about the association with multiple comorbidity.

METHODS:

We conducted a cross-sectional analysis among 400 Chinese and Korean American participants (aged 50-75 years) of the STOP CRC randomized controlled trial. Perceived distress was assessed using the distress thermometer scale (range 0-10). Disease diagnosis was self-reported by the participants. Multimorbidity (MM) was defined as having ≥2 chronic conditions. Complex multimorbidity (CMM) was defined as having ≥3 of the following body system disorders circulation disorder, endocrine-metabolic disorder, cancer, anxiety or depression, breathing problem, and other health problems. We performed logistic regression for CMM and Poisson regression with robust error variance for MM to estimate associations with distress, adjusting for potential confounders.

RESULTS:

The mean age was 58.4 years and mean distress score was 3.65. One-unit increase in distress score was associated with a 1.22-fold increase in the odds of having CMM (95% CI 1.04-1.42). The magnitude of association slightly increased after additional adjustment for socioeconomic factors and health insurance status (OR 1.29; 95% CI 1.10-1.52). Higher distress score was positively associated with MM but the association was only marginally significant (PR 1.04; 95% CI 0.99-1.10), adjusting for socioeconomic factors and health insurance status.

CONCLUSION:

Our data suggest that higher perceived distress may be associated with simultaneous dysfunction of multiple distinct body systems among Chinese and Korean American older adults.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asiático / Multimorbilidad Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Equity_inequality Límite: Aged / Humans / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asiático / Multimorbilidad Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Equity_inequality Límite: Aged / Humans / Middle aged Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos