A Multi-State Model Study of the Disability-Free Life Expectancy Among Older Adults with Chronic Multimorbidity Based on CHARLS - China, 2011-2020

China CDC Wkly. 2024 Jul 12;6(28):695-698. doi: 10.46234/ccdcw2024.156.

Abstract

What is already known about this topic?: Chronic disease multimorbidity is prevalent among older Chinese people, seriously affecting their well-being and quality of life.

What is added by this report?: This study estimated the impact of multimorbidity on the risk of health state transitions and health expectancy among older adults in China. It used population-representative, long-term longitudinal data and multi-state Markov modeling along with microsimulation methods.

What are the implications for public health practice?: The study results suggest that the Chinese government should strengthen the prevention and management of multimorbidity and accelerate the transition from chronic disease management to multimorbidity management.

Keywords: Disability-Free Life Expectancy; Multimorbidity; Older Adults.

Grants and funding

Supported by the National Key Research and Development Program of China [No.2022YFC3600800], the Postdoctoral Fellowship Program of CPSF under Grant Number GZC20240134 & GZC20240155