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

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  • Hsin-En Ho

    (Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Family Medicine, Taichung Armed Forces General Hospital, Taichung 41152, Taiwan
    School of Medicine, National Defense Medical Center, Taipei 11490, 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
    Department of Allergy, Immunology & Rheumatology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    Graduate Institute of Integrated Medicine, China Medical University, Taichung 40402, Taiwan)

  • Wei-Min Chu

    (Department of Family Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
    Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan
    School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Meng-Chih Lee

    (Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Family Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung 40343, Taiwan
    Institute of Population Sciences, National Health Research Institutes, Miaoli 35053, Taiwan
    College of Management, Chaoyang University of Technology, Taichung 41349, Taiwan)

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.

Suggested Citation

  • Hsin-En Ho & Chih-Jung Yeh & James Cheng-Chung Wei & Wei-Min Chu & Meng-Chih Lee, 2022. "Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3317-:d:769033
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    References listed on IDEAS

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    1. Bomi Park & Hye Ah Lee & Hyesook Park, 2019. "Use of latent class analysis to identify multimorbidity patterns and associated factors in Korean adults aged 50 years and older," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-13, November.
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    Cited by:

    1. Yiming Chen & Lei Shi & Xiao Zheng & Juan Yang & Yaqing Xue & Shujuan Xiao & Benli Xue & Jiachi Zhang & Xinru Li & Huang Lin & Chao Ma & Chichen Zhang, 2022. "Patterns and Determinants of Multimorbidity in Older Adults: Study in Health-Ecological Perspective," IJERPH, MDPI, vol. 19(24), pages 1-15, December.

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