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Outline
The aim of this study was to analyze the prevalence of multimorbidity of five chronic non-communicable diseases (hypertension, diabetes, coronary heart disease, stroke, and chronic obstructive pulmonary disease) and its influencing factors among male detoxification addicts under compulsory isolations in Yunnan Province.
The multistage random cluster sampling method was adopted to select 1 021 male detoxification addicts under compulsory isolation from compulsory detoxification centers in Yunnan Province, and each participant received on-site questionnaire surveys and physical examinations. The Structure Equation Modeling (SEM) was used to analyze the influencing factors of multimorbidity of five chronic non-communicable diseases (NCDs).
Among the study population, the prevalence of individuals who suffered from chronic NCDs mutimorbidity was 6.6%. The results of the SEM analysis indicated that age, sleep quality, and self-rated health status had both direct and indirect effects on mutimorbidity of chronic NCDs, with standardized total effects of 0.474(95% CI: 0.290-0.680), 0.257 (95% CI: 0.076-0.486), and 0.293 (95% CI: 0.130-0.483), respectively. Age had an indirect effect through mental health and self-rated health on chronic NCDs mutimorbidity, with standardized indirect effects of 0.046(95% CI: 0.016-0.095), and 0.066 (95% CI: 0.033-0.103), respectively. Sleep quality had an indirect effect through mental health and self-rated health, with standardized indirect effects of 0.043 (95% CI: 0.018-0.081), and 0.033 (95% CI: 0.015-0.058), respectively. Self-rated health status had an indirect effect through mental health, with standardized indirect effects of 0.073 (95% CI: 0.033-0.138). Mental health and central obesity had direct effect on chronic NCDs mutimorbidity, with standardized direct effects of 0.229 (95% CI: 0.111-0.348), 0.198 (95% CI: 0.085-0.310), respectively.
The findings suggest future measures to strengthen the prevention, control, and management of chronic NCDs should focus more on male detoxification addicts who are older and have poor sleep quality, poor mental health, central obesity, and poor self-rated health, to reduce the risk of NCD multimorbidity.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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