Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, China
BackgroundChronic conditions among middle-aged and older adults from ethnic minority backgrounds is becoming increasingly prominent, while there is limited evidence available regarding the influence of NCDs on ethnic minority groups in later life. This study aims to examine the characteristics of NC...
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Frontiers Media S.A.
2025-06-01
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| author | Rui Deng Rui Deng Rui Deng Jie Chen Xinping Wang Xinping Wang Xinping Wang Yan Xiao Ying Chen Ying Chen Ying Chen Chaofang Yan Chaofang Yan Chaofang Yan Yuan Huang Yuan Huang Yuan Huang |
| author_facet | Rui Deng Rui Deng Rui Deng Jie Chen Xinping Wang Xinping Wang Xinping Wang Yan Xiao Ying Chen Ying Chen Ying Chen Chaofang Yan Chaofang Yan Chaofang Yan Yuan Huang Yuan Huang Yuan Huang |
| author_sort | Rui Deng |
| collection | DOAJ |
| description | BackgroundChronic conditions among middle-aged and older adults from ethnic minority backgrounds is becoming increasingly prominent, while there is limited evidence available regarding the influence of NCDs on ethnic minority groups in later life. This study aims to examine the characteristics of NCDs and health status among adults aged ≥45 in multi-ethnic settlement, as well as explore the disparate impacts of chronic condition on ethnically diverse populations.MethodsThis cross-sectional study was conducted in Yunnan Province, China from July to December 2022. Intergroup comparisons were performed using chi-square tests and Kruskal-Wallis H test. Multivariable linear regression and Tobit regression were used to assess the impact of NCDs on health status indicators.ResultsOut of the total 2,710 participants, approximately 57.90% exhibited at least one NCD, with individuals from the Han majority exhibiting a higher prevalence (p < 0.001). Individuals belong to Zhiguo ethnic minority groups had higher mean scores for ADL (15.92, SD = 3.80), chronic pain (2.27, SD = 2.28), and frailty (3.37, SD = 2.61). A significantly negative association was observed between the number of NCDs and the health utility value across all ethnic groups (p < 0.001). Conversely, there was a positive relationship between scores for chronic pain and frailty with the number of NCDs for all three ethnic groups respectively; within Zhiguo ethnic minority groups alone, there was also a positive correlation between ADL scores and the number of NCDs (p < 0.001).ConclusionThe prevalence of NCDs among adults aged ≥45 in Yunnan province is significantly higher, indicating a substantial burden of NCDs in underdeveloped areas. Although the chronic condition is more prominent among Han majority, individuals belonging to Zhiguo ethnic minority exhibit poorer health outcomes. And the negative health effects from NCDs to health status are more severe among ethnic minority groups, indicating an urgent need for targeted interventions to address health disparities in multi-ethnic regions. |
| format | Article |
| id | doaj-art-fa5aa6076b964ebd867fdea056570ee8 |
| institution | DOAJ |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-fa5aa6076b964ebd867fdea056570ee82025-08-20T03:10:21ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-06-011310.3389/fpubh.2025.15587041558704Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, ChinaRui Deng0Rui Deng1Rui Deng2Jie Chen3Xinping Wang4Xinping Wang5Xinping Wang6Yan Xiao7Ying Chen8Ying Chen9Ying Chen10Chaofang Yan11Chaofang Yan12Chaofang Yan13Yuan Huang14Yuan Huang15Yuan Huang16School of Public Health, Kunming Medical University, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Public Health and Biosafety, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Cross-border Infectious Disease Prevention and New Drug Development, Kunming, Yunnan, ChinaChengdu Seventh People’ s Hospital, Chengdu, Sichuan, ChinaSchool of Public Health, Kunming Medical University, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Public Health and Biosafety, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Cross-border Infectious Disease Prevention and New Drug Development, Kunming, Yunnan, ChinaDepartment of Foreign Languages, Kunming Medical University, Kunming, Yunnan, ChinaSchool of Public Health, Kunming Medical University, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Public Health and Biosafety, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Cross-border Infectious Disease Prevention and New Drug Development, Kunming, Yunnan, ChinaSchool of Public Health, Kunming Medical University, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Public Health and Biosafety, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Cross-border Infectious Disease Prevention and New Drug Development, Kunming, Yunnan, ChinaSchool of Public Health, Kunming Medical University, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Public Health and Biosafety, Kunming, Yunnan, ChinaYunnan Provincial Key Laboratory of Cross-border Infectious Disease Prevention and New Drug Development, Kunming, Yunnan, ChinaBackgroundChronic conditions among middle-aged and older adults from ethnic minority backgrounds is becoming increasingly prominent, while there is limited evidence available regarding the influence of NCDs on ethnic minority groups in later life. This study aims to examine the characteristics of NCDs and health status among adults aged ≥45 in multi-ethnic settlement, as well as explore the disparate impacts of chronic condition on ethnically diverse populations.MethodsThis cross-sectional study was conducted in Yunnan Province, China from July to December 2022. Intergroup comparisons were performed using chi-square tests and Kruskal-Wallis H test. Multivariable linear regression and Tobit regression were used to assess the impact of NCDs on health status indicators.ResultsOut of the total 2,710 participants, approximately 57.90% exhibited at least one NCD, with individuals from the Han majority exhibiting a higher prevalence (p < 0.001). Individuals belong to Zhiguo ethnic minority groups had higher mean scores for ADL (15.92, SD = 3.80), chronic pain (2.27, SD = 2.28), and frailty (3.37, SD = 2.61). A significantly negative association was observed between the number of NCDs and the health utility value across all ethnic groups (p < 0.001). Conversely, there was a positive relationship between scores for chronic pain and frailty with the number of NCDs for all three ethnic groups respectively; within Zhiguo ethnic minority groups alone, there was also a positive correlation between ADL scores and the number of NCDs (p < 0.001).ConclusionThe prevalence of NCDs among adults aged ≥45 in Yunnan province is significantly higher, indicating a substantial burden of NCDs in underdeveloped areas. Although the chronic condition is more prominent among Han majority, individuals belonging to Zhiguo ethnic minority exhibit poorer health outcomes. And the negative health effects from NCDs to health status are more severe among ethnic minority groups, indicating an urgent need for targeted interventions to address health disparities in multi-ethnic regions.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1558704/fullchronic non-communicable diseaseshealth utility valueactivities of daily livingchronic painfrailtyethnic minority |
| spellingShingle | Rui Deng Rui Deng Rui Deng Jie Chen Xinping Wang Xinping Wang Xinping Wang Yan Xiao Ying Chen Ying Chen Ying Chen Chaofang Yan Chaofang Yan Chaofang Yan Yuan Huang Yuan Huang Yuan Huang Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, China Frontiers in Public Health chronic non-communicable diseases health utility value activities of daily living chronic pain frailty ethnic minority |
| title | Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, China |
| title_full | Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, China |
| title_fullStr | Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, China |
| title_full_unstemmed | Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, China |
| title_short | Ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in Yunnan Province, China |
| title_sort | ethnic disparities in the relationship between the number of chronic diseases and health status among adults aged ≥45 in yunnan province china |
| topic | chronic non-communicable diseases health utility value activities of daily living chronic pain frailty ethnic minority |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1558704/full |
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