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Prevalence of chronic diseases among physicians in Taiwan: a population-based cross-sectional study
  1. Li-Ting Kao1,2,3,
  2. Yu-Lung Chiu1,2,3,
  3. Herng-Ching Lin3,
  4. Hsin-Chien Lee4,
  5. Shiu-Dong Chung3,5,6
  1. 1Graduate Institute of Life Science, National Defense Medical Center, Taipei, Taiwan
  2. 2School of Public Health, National Defense Medical Center, Taipei, Taiwan
  3. 3Sleep Research Center, Taipei Medical University Hospital, Taipei, Taiwan
  4. 4Department of Psychiatry and Medical Humanities, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
  5. 5Graduate Program in Biomedical Informatics, College of Informatics, Yuan-Ze University, Chungli, Taiwan
  6. 6Department of Surgery, Far Eastern Memorial Hospital, Banciao, Taipei, Taiwan
  1. Correspondence to Dr Shiu-Dong Chung; chungshiudong{at}gmail.com

Abstract

Objectives The health of physicians is an important topic which needs to be addressed in order to provide the best quality of patient care. However, there are few studies on the prevalence of chronic diseases among physicians. In this study, we explored the prevalence of chronic diseases among physicians and compared the probability of chronic diseases between physicians and the general population using a population-based data set in Taiwan.

Study design A cross-sectional study.

Setting Taiwan.

Participants Our study consisted of 1426 practising physicians and 5704 general participants.

Primary outcome measures We chose 22 chronic diseases from the Elixhauser Comorbidity index and nine highly prevalent medical conditions in an Asian population for analysis. We used conditional logistic regression analyses to investigate the OR and its corresponding 95% CI of chronic diseases between these two groups.

Results The conditional logistic regression analyses showed that physicians had lower odds of peripheral vascular disorders (OR=0.41, 95% CI=0.19 to 0.90), uncomplicated diabetes (OR=0.76, 95% CI=0.60 to 0.97), complicated diabetes (OR=0.53, 95% CI=0.34 to 0.83), renal failure (OR=0.41, 95% CI=0.19 to 0.90), liver diseases (OR=0.78, 95% CI=0.66 to 0.94), and hepatitis B or C (OR=0.62, 95% CI=0.49 to 0.77) and higher odds of hypertension (OR=1.21, 95% CI=1.03 to 1.41), hyperlipidaemia (OR=1.43, 95% CI=1.23 to 1.67) and asthma (OR=1.59, 95% CI=1.16 to 2.18) than the general population.

Conclusions We concluded that although physicians had decreased prevalence of some chronic diseases, they had a significantly increased prevalence of hypertension, hyperlipidaemia and asthma.

  • EPIDEMIOLOGY
  • GENERAL MEDICINE (see Internal Medicine)

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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