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

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.