Key result
Hypertension comorbidity was associated with increased overall health services use compared to having no chronic condition (OR 2.18; 95% CI 1.57-3.03).
Why the study?
Hypertension is the most prevalent chronic condition in China and increases comorbidity risk, but health services use and expenditures among community-dwelling residents with hypertension comorbidity needed investigation.
Does hypertension comorbidity increase health services use and expenditures in middle-aged and elderly residents?
Cohort (n=503)
Does hypertension comorbidity increase health services use and expenditures in middle-aged and elderly residents?
Odds Ratio: 2.18 (95% CI 1.57–3.03)
Hypertension comorbidity is highly prevalent and significantly increases health services use and expenditures compared to hypertension alone or no chronic conditions.
Comorbidity with hypertension was associated with higher service use and costs in Chinese adults; supports integrated care models but leaves causal effects and practice change open.
Hypertension is the most prevalent chronic condition in China and is associated with an increased risk of comorbidity. This study aims to investigate health services use and expenditures among community-dwelling residents with hypertension comorbidity. Data is from a 7-month follow-up study of 503 community-dwelling residents aged ≥45 years in Jiangsu Province, China. These participants were stratified into three categories based on their disease status at baseline (no chronic condition, hypertension, hypertension with one or more comorbidities), and followed up monthly to gather information on their health services use and expenditures (including self-medication, outpatient and inpatient services). We used generalized estimating equations to estimate the association between disease status and health services use. 58.1% of individuals with hypertension had a comorbidity. Compared with individuals without any condition, the fully adjusted odds ratio (OR) for those with hypertension comorbidity was 2.18 (95% confidence interval [95% CI] 1.57–3.03) in overall health services use. Rural residents with hypertension comorbidity had a greater odds of health services use compared with their urban counterparts (age and sex-adjusted OR 4.21, 95% CI 2.56–6.93). The median monthly expenditure for individuals with hypertension comorbidity was 172 Chinese Yuan (CNY), which was much higher than those with no condition and those with hypertension only (90 and 91 CNY, respectively). Comorbidity in individuals with hypertension is highly prevalent and associated with elevated health services use and expenditures. These findings emphasize the importance of secondary prevention and integrated care for comorbidity in the population with hypertension.
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Xu et al. (2021) conducted a cohort in Hypertension (n=503). Hypertension comorbidity vs. No chronic condition was evaluated on Overall health services use (OR 2.18, 95% CI 1.57-3.03). Hypertension comorbidity was associated with increased overall health services use compared to having no chronic condition (OR 2.18; 95% CI 1.57-3.03).
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