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</div> <div class="pre-content heading-holder"> <div class="page-heading"> <h1 id="firstHeading" class="firstHeading mw-first-heading">Chronic condition</h1> <div class="tagline"></div> </div> <ul id="p-associated-pages" class="minerva__tab-container"> <li class="minerva__tab selected"> <a class="minerva__tab-text" href="/wiki/Chronic_condition" rel="" data-event-name="tabs.subject">Article</a> </li> <li class="minerva__tab "> <a class="minerva__tab-text" href="/wiki/Talk:Chronic_condition" rel="discussion" data-event-name="tabs.talk">Talk</a> </li> </ul> <nav class="page-actions-menu"> <ul id="p-views" class="page-actions-menu__list"> <li id="language-selector" class="page-actions-menu__list-item"> <a role="button" href="#p-lang" data-mw="interface" data-event-name="menu.languages" title="Language" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet language-selector"> Language </a> </li> <li id="page-actions-watch" class="page-actions-menu__list-item"> <a role="button" id="ca-watch" href="/w/index.php?title=Special:UserLogin&returnto=Chronic+condition" data-event-name="menu.watch" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet menu__item--page-actions-watch"> Watch </a> </li> <li id="page-actions-edit" class="page-actions-menu__list-item"> <a role="button" id="ca-edit" href="/w/index.php?title=Chronic_condition&action=edit" data-event-name="menu.edit" data-mw="interface" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet edit-page menu__item--page-actions-edit"> Edit </a> </li> </ul> </nav>  <div id="mw-content-subtitle"></div> </div> <div id="bodyContent" class="content"> <div id="mw-content-text" class="mw-body-content"><script>function mfTempOpenSection(id){var block=document.getElementById("mf-section-"+id);block.className+=" open-block";block.previousSibling.className+=" open-block";}</script><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><section class="mf-section-0" id="mf-section-0"> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">Not to be confused with <a href="/wiki/Chronic_toxicity" title="Chronic toxicity">Chronic toxicity</a>.</div> A chronic condition (also known as chronic disease or chronic illness) is a health condition or <a href="/wiki/Disease" title="Disease">disease</a> that is persistent or otherwise long-lasting in <a href="/wiki/Natural_history_of_disease" title="Natural history of disease">its effects</a> or a disease that comes with time. The term chronic is often applied when the <a href="/wiki/Course_(medicine)" title="Course (medicine)">course</a> of the disease lasts for more than three months. Common chronic diseases include <a href="/wiki/Diabetes" title="Diabetes">diabetes</a>, <a href="/wiki/Functional_gastrointestinal_disorder" title="Functional gastrointestinal disorder">functional gastrointestinal disorder</a>, <a href="/wiki/Dermatitis" title="Dermatitis">eczema</a>, <a href="/wiki/Arthritis" title="Arthritis">arthritis</a>, <a href="/wiki/Asthma" title="Asthma">asthma</a>, <a href="/wiki/Chronic_obstructive_pulmonary_disease" title="Chronic obstructive pulmonary disease">chronic obstructive pulmonary disease</a>, <a href="/wiki/Cancer" title="Cancer">autoimmune diseases</a>, <a href="/wiki/Japanese_Americans" title="Japanese Americans">genetic disorders</a> and some <a href="/wiki/Viral_disease" title="Viral disease">viral diseases</a> such as <a href="/wiki/Hepatitis_C" title="Hepatitis C">hepatitis C</a> and <a href="/wiki/HIV/AIDS" title="HIV/AIDS">acquired immunodeficiency syndrome</a>. An illness which is lifelong because it ends in death is a <a href="/wiki/Terminal_illness" title="Terminal illness">terminal illness</a>. It is possible and not unexpected for an illness to change in definition from terminal to chronic. Diabetes and HIV for example were once terminal yet are now considered chronic due to the availability of insulin for diabetics and daily drug treatment for individuals with HIV which allow these individuals to live while managing symptoms.<a href="#cite_note-1">[1]</a> In <a href="/wiki/Medicine" title="Medicine">medicine</a>, chronic conditions are distinguished from those that are acute. An <a href="/wiki/Acute_(medicine)" title="Acute (medicine)">acute condition</a> typically affects one portion of the body and responds to treatment. A chronic condition, on the other hand, usually affects multiple areas of the body, is not fully responsive to treatment, and persists for an extended period of time.<a href="#cite_note-2">[2]</a> Chronic conditions may have periods of <a href="/wiki/Remission_(medicine)" title="Remission (medicine)">remission</a> or <a href="/wiki/Relapse" title="Relapse">relapse</a> where the disease temporarily goes away, or subsequently reappears. Periods of remission and relapse are commonly discussed when referring to substance abuse disorders which some consider to fall under the category of chronic condition.<a href="#cite_note-3">[3]</a> Chronic conditions are often associated with <a href="/wiki/Non-communicable_disease" title="Non-communicable disease">non-communicable diseases</a> which are distinguished by their <a href="/wiki/Non-communicable_disease" title="Non-communicable disease">non-infectious</a> causes. Some chronic conditions though, are caused by transmissible infections such as HIV/AIDS.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] 63% of all deaths worldwide are from chronic conditions.<a href="#cite_note-4">[4]</a> Chronic <a href="/wiki/Disease" title="Disease">diseases</a> constitute a major cause of <a href="/wiki/Mortality_rate" title="Mortality rate">mortality</a>, and the <a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organization</a> (WHO) attributes 38 million deaths a year to non-communicable diseases.<a href="#cite_note-WHO_NCD_factsheet-5">[5]</a> In the United States approximately 40% of adults have at least two chronic conditions.<a href="#cite_note-6">[6]</a><a href="#cite_note-7">[7]</a> Living with two or more chronic conditions is referred to as <a href="/wiki/Multimorbidity" title="Multimorbidity">multimorbidity</a>.<a href="#cite_note-8">[8]</a> <div id="toc" class="toc" role="navigation" aria-labelledby="mw-toc-heading"><input type="checkbox" role="button" id="toctogglecheckbox" class="toctogglecheckbox" style="display:none"><div class="toctitle" lang="en" dir="ltr"><h2 id="mw-toc-heading">Contents</h2><label class="toctogglelabel" for="toctogglecheckbox"></label></div> <ul> <li class="toclevel-1 tocsection-1"><a href="#Types">1 Types</a></li> <li class="toclevel-1 tocsection-2"><a href="#Risk_factors">2 Risk factors</a></li> <li class="toclevel-1 tocsection-3"><a href="#Prevention">3 Prevention</a></li> <li class="toclevel-1 tocsection-4"><a href="#Nursing">4 Nursing</a></li> <li class="toclevel-1 tocsection-5"><a href="#Epidemiology">5 Epidemiology</a> <ul> <li class="toclevel-2 tocsection-6"><a href="#United_States">5.1 United States</a></li> </ul> </li> <li class="toclevel-1 tocsection-7"><a href="#Economic_impact">6 Economic impact</a> <ul> <li class="toclevel-2 tocsection-8"><a href="#United_States_2">6.1 United States</a></li> </ul> </li> <li class="toclevel-1 tocsection-9"><a href="#Social_and_personal_impact">7 Social and personal impact</a> <ul> <li class="toclevel-2 tocsection-10"><a href="#Mental_health">7.1 Mental health</a></li> <li class="toclevel-2 tocsection-11"><a href="#Financial_cost">7.2 Financial cost</a></li> <li class="toclevel-2 tocsection-12"><a href="#Gender">7.3 Gender</a></li> <li class="toclevel-2 tocsection-13"><a href="#Socioeconomic_class_and_race">7.4 Socioeconomic class and race</a></li> </ul> </li> <li class="toclevel-1 tocsection-14"><a href="#Advocacy_and_research_organizations">8 Advocacy and research organizations</a></li> <li class="toclevel-1 tocsection-15"><a href="#See_also">9 See also</a></li> <li class="toclevel-1 tocsection-16"><a href="#References">10 References</a></li> <li class="toclevel-1 tocsection-17"><a href="#Further_reading">11 Further reading</a></li> <li class="toclevel-1 tocsection-18"><a href="#External_links">12 External links</a></li> </ul> </div> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(1)"><h2 id="Types">Types</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=1" title="Edit section: Types" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-1 collapsible-block" id="mf-section-1"> <style data-mw-deduplicate="TemplateStyles:r1251242444">.mw-parser-output .ambox{border:1px solid #a2a9b1;border-left:10px solid #36c;background-color:#fbfbfb;box-sizing:border-box}.mw-parser-output .ambox+link+.ambox,.mw-parser-output .ambox+link+style+.ambox,.mw-parser-output .ambox+link+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+style+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+link+.ambox{margin-top:-1px}html body.mediawiki .mw-parser-output .ambox.mbox-small-left{margin:4px 1em 4px 0;overflow:hidden;width:238px;border-collapse:collapse;font-size:88%;line-height:1.25em}.mw-parser-output .ambox-speedy{border-left:10px solid #b32424;background-color:#fee7e6}.mw-parser-output .ambox-delete{border-left:10px solid #b32424}.mw-parser-output .ambox-content{border-left:10px solid #f28500}.mw-parser-output .ambox-style{border-left:10px solid #fc3}.mw-parser-output .ambox-move{border-left:10px solid #9932cc}.mw-parser-output .ambox-protection{border-left:10px solid #a2a9b1}.mw-parser-output .ambox .mbox-text{border:none;padding:0.25em 0.5em;width:100%}.mw-parser-output .ambox .mbox-image{border:none;padding:2px 0 2px 0.5em;text-align:center}.mw-parser-output .ambox .mbox-imageright{border:none;padding:2px 0.5em 2px 0;text-align:center}.mw-parser-output .ambox .mbox-empty-cell{border:none;padding:0;width:1px}.mw-parser-output .ambox .mbox-image-div{width:52px}@media(min-width:720px){.mw-parser-output .ambox{margin:0 10%}}@media print{body.ns-0 .mw-parser-output .ambox{display:none!important}}</style><table class="box-Example_farm plainlinks metadata ambox ambox-content" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span">This section may contain <a href="/wiki/Wikipedia:Manual_of_Style/Lists#List_size" title="Wikipedia:Manual of Style/Lists">excessive</a> or <a href="/wiki/Wikipedia:Neutral_point_of_view#Due_and_undue_weight" title="Wikipedia:Neutral point of view">irrelevant</a> examples. Please help <a class="external text" href="https://en.wikipedia.org/w/index.php?title=Chronic_condition&action=edit">improve the article</a> by adding descriptive text and removing <a href="/wiki/Wikipedia:Example_cruft" title="Wikipedia:Example cruft">less pertinent examples</a>. (September 2021)</div></td></tr></tbody></table> Chronic conditions have often been used to describe the various health related states of the human body such as syndromes, physical impairments, disabilities as well as diseases. Epidemiologists have found interest in chronic conditions due to the fact they contribute to disease, disability, and diminished physical and/or mental capacity.<a href="#cite_note-9">[9]</a> For example, high blood pressure or <a href="/wiki/Hypertension" title="Hypertension">hypertension</a> is considered to be not only a chronic condition itself but also correlated with diseases such as <a href="/wiki/Myocardial_infarction" title="Myocardial infarction">heart attack</a> or <a href="/wiki/Stroke" title="Stroke">stroke</a>. Additionally, some socioeconomic factors may be considered as a chronic condition as they lead to disability in daily life. An important one that public health officials in the social science setting have begun highlighting is <a href="/wiki/Chronic_poverty" title="Chronic poverty">chronic poverty</a>.<a href="#cite_note-10">[10]</a><a href="#cite_note-11">[11]</a><a href="#cite_note-12">[12]</a> Researchers, particularly those studying the United States, utilize the <a href="/wiki/Healthcare_Cost_and_Utilization_Project#Chronic_Condition_Indicator" title="Healthcare Cost and Utilization Project">Chronic Condition Indicator</a> (CCI) which maps <a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a> codes as "chronic" or "non-chronic".<a href="#cite_note-RobertWood-13">[13]</a> The list below includes these chronic conditions and diseases: In 2015 the World Health Organization produced a report on non-communicable diseases, citing the four major types as:<a href="#cite_note-WHO_NCD-14">[14]</a> <ul><li><a href="/wiki/Cancer" title="Cancer">Cancers</a></li> <li><a href="/wiki/Saturated_fat" title="Saturated fat">Cardiovascular diseases</a>, including <a href="/wiki/Cerebrovascular_disease" title="Cerebrovascular disease">cerebrovascular disease</a>, <a href="/wiki/Heart_failure" title="Heart failure">heart failure</a>, and <a href="/wiki/Coronary_artery_disease" title="Coronary artery disease">ischemic cardiopathy</a></li> <li>Chronic respiratory diseases, such as <a href="/wiki/Asthma" title="Asthma">asthma</a> and <a href="/wiki/Chronic_obstructive_pulmonary_disease" title="Chronic obstructive pulmonary disease">chronic obstructive pulmonary disease</a> (COPD)</li> <li><a href="/wiki/Diabetes" title="Diabetes">Diabetes mellitus</a> (<a href="/wiki/Type_1_diabetes" title="Type 1 diabetes">type 1</a>, <a href="/wiki/Type_2_diabetes" title="Type 2 diabetes">type 2</a>, <a href="/wiki/Prediabetes" title="Prediabetes">pre-diabetes</a>, <a href="/wiki/Gestational_diabetes" title="Gestational diabetes">gestational diabetes</a>)</li></ul> Other examples of chronic diseases and health conditions include: <ul><li><a href="/wiki/Alzheimer%27s_disease" title="Alzheimer's disease">Alzheimer's disease</a></li> <li><a href="/wiki/Atrial_fibrillation" title="Atrial fibrillation">Atrial fibrillation</a></li> <li><a href="/wiki/Attention_deficit_hyperactivity_disorder" title="Attention deficit hyperactivity disorder">Attention deficit hyperactivity disorder</a></li> <li><a href="/wiki/Cancer" title="Cancer">Autoimmune diseases</a>, such as <a href="/wiki/Ulcerative_colitis" title="Ulcerative colitis">ulcerative colitis</a>, <a href="/wiki/Lupus_erythematosus" title="Lupus erythematosus">lupus erythematosus</a>, <a href="/wiki/Crohn%27s_disease" title="Crohn's disease">Crohn's disease</a>, <a href="/wiki/Coeliac_disease" title="Coeliac disease">coeliac disease</a>, <a href="/wiki/Hashimoto%27s_thyroiditis" title="Hashimoto's thyroiditis">Hashimoto's thyroiditis</a>, and <a href="/wiki/Relapsing_polychondritis" title="Relapsing polychondritis">relapsing polychondritis</a></li> <li><a href="/wiki/Visual_impairment" title="Visual impairment">Blindness</a></li> <li><a href="/wiki/Cerebral_palsy" title="Cerebral palsy">Cerebral palsy</a> (all types)</li> <li>Chronic <a href="/wiki/Graft-versus-host_disease" title="Graft-versus-host disease">graft-versus-host disease</a></li> <li><a href="/wiki/Hepatitis" title="Hepatitis">Chronic hepatitis</a></li> <li><a href="/wiki/Chronic_pancreatitis" title="Chronic pancreatitis">Chronic pancreatitis</a></li> <li><a href="/wiki/Chronic_kidney_disease" title="Chronic kidney disease">Chronic kidney disease</a></li> <li>Chronic osteoarticular diseases, such as <a href="/wiki/Osteoarthritis" title="Osteoarthritis">osteoarthritis</a> and <a href="/wiki/Rheumatoid_arthritis" title="Rheumatoid arthritis">rheumatoid arthritis</a></li> <li><a href="/wiki/Chronic_pain" title="Chronic pain">Chronic pain syndromes</a>, such as <a href="/wiki/Post-vasectomy_pain_syndrome" title="Post-vasectomy pain syndrome">post-vasectomy pain syndrome</a> and <a href="/wiki/Complex_regional_pain_syndrome" title="Complex regional pain syndrome">complex regional pain syndrome</a></li> <li>Dermatological conditions such as <a href="/wiki/Atopic_dermatitis" title="Atopic dermatitis">atopic dermatitis</a> and <a href="/wiki/Psoriasis" title="Psoriasis">psoriasis</a></li> <li><a href="/wiki/Hearing_loss" title="Hearing loss">Deafness and hearing impairment</a></li> <li><a href="/wiki/Ehlers%E2%80%93Danlos_syndrome" title="Ehlers–Danlos syndrome">Ehlers–Danlos syndrome</a> (various types)</li> <li><a href="/wiki/Endometriosis" title="Endometriosis">Endometriosis</a></li> <li><a href="/wiki/Epilepsy" title="Epilepsy">Epilepsy</a></li> <li><a href="/wiki/Fetal_alcohol_spectrum_disorder" title="Fetal alcohol spectrum disorder">Fetal alcohol spectrum disorder</a></li> <li><a href="/wiki/Fibromyalgia" title="Fibromyalgia">Fibromyalgia</a></li> <li><a href="/wiki/HIV/AIDS" title="HIV/AIDS">HIV/AIDS</a></li> <li><a href="/wiki/Hereditary_spherocytosis" title="Hereditary spherocytosis">Hereditary spherocytosis</a></li> <li><a href="/wiki/Huntington%27s_disease" title="Huntington's disease">Huntington's disease</a></li> <li><a href="/wiki/Hypertension" title="Hypertension">Hypertension</a></li> <li><a href="/wiki/Mental_disorder" title="Mental disorder">Mental illness</a></li> <li><a href="/wiki/Migraine_surgery" title="Migraine surgery">Migraines</a></li> <li><a href="/wiki/Multiple_sclerosis" title="Multiple sclerosis">Multiple sclerosis</a></li> <li><a href="/wiki/Myalgic_encephalomyelitis/chronic_fatigue_syndrome" title="Myalgic encephalomyelitis/chronic fatigue syndrome">Myalgic encephalomyelitis</a> (<abbr title="also known as">a.k.a.</abbr> chronic fatigue syndrome)</li> <li><a href="/wiki/Narcolepsy" title="Narcolepsy">Narcolepsy</a></li> <li><a href="/wiki/Obesity" title="Obesity">Obesity</a></li> <li><a href="/wiki/Osteoporosis" title="Osteoporosis">Osteoporosis</a></li> <li><a href="/wiki/Parkinson%27s_disease" title="Parkinson's disease">Parkinson's disease</a></li> <li><a href="/wiki/Periodontal_disease" title="Periodontal disease">Periodontal disease</a></li> <li><a href="/wiki/Polycystic_ovary_syndrome" title="Polycystic ovary syndrome">Polycystic Ovarian Syndrome</a></li> <li><a href="/wiki/Postural_orthostatic_tachycardia_syndrome" title="Postural orthostatic tachycardia syndrome">Postural orthostatic tachycardia syndrome</a></li> <li><a href="/wiki/Sickle_cell_disease" title="Sickle cell disease">Sickle cell anemia</a> and other hemoglobin disorders</li> <li><a href="/wiki/Substance_use_disorder" title="Substance use disorder">Substance Abuse Disorders</a></li> <li><a href="/wiki/Sleep_apnea" title="Sleep apnea">Sleep apnea</a></li> <li><a href="/wiki/Thyroid_disease" title="Thyroid disease">Thyroid disease</a></li> <li><a href="/wiki/Tuberculosis" title="Tuberculosis">Tuberculosis</a></li> <li>And many more.</li></ul> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(2)"><h2 id="Risk_factors">Risk factors</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=2" title="Edit section: Risk factors" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-2 collapsible-block" id="mf-section-2"> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-Globalize plainlinks metadata ambox ambox-content ambox-globalize" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span">The examples and perspective in this section may not represent a <a href="/wiki/Wikipedia:WikiProject_Countering_systemic_bias" title="Wikipedia:WikiProject Countering systemic bias">worldwide view</a> of the subject. You may <a class="external text" href="https://en.wikipedia.org/w/index.php?title=Chronic_condition&action=edit">improve this section</a>, discuss the issue on the <a href="/wiki/Talk:Chronic_condition" title="Talk:Chronic condition">talk page</a>, or create a new section, as appropriate. (April 2015) (<a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a>)</div></td></tr></tbody></table> While risk factors vary with age and gender, many of the common chronic diseases in the US are caused by dietary, lifestyle and metabolic risk factors.<a href="#cite_note-pmid19399161-15">[15]</a> Therefore, these conditions might be prevented by <a href="/wiki/Behavior_change_(public_health)" title="Behavior change (public health)">behavioral changes</a>, such as quitting smoking, adopting a healthy diet, and increasing physical activity. <a href="/wiki/Social_determinants_of_health" title="Social determinants of health">Social determinants</a> are important risk factors for chronic diseases.<a href="#cite_note-Braveman-16">[16]</a> <a href="/wiki/Inequality_in_disease" title="Inequality in disease">Social factors</a>, e.g., socioeconomic status, education level, and race/ethnicity, are a major cause for the <a href="/wiki/Health_equity" title="Health equity">disparities</a> observed in the care of chronic disease.<a href="#cite_note-Braveman-16">[16]</a> Lack of access and delay in receiving care result in worse outcomes for patients from minorities and underserved populations.<a href="#cite_note-17">[17]</a> Those barriers to medical care complicate patients monitoring and continuity in treatment.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] In the US, <a href="/wiki/Minority_group" title="Minority group">minorities</a> and low-income populations are less likely to seek, access and receive preventive services necessary to detect conditions at an early stage.<a href="#cite_note-Sondik-18">[18]</a> The majority of US health care and economic costs associated with medical conditions are incurred by chronic diseases and conditions and associated health risk behaviors. Eighty-four percent of all health care spending in 2006 was for the 50% of the population who have one or more common chronic medical conditions (CDC, 2014). There are several psychosocial risk and resistance factors among children with chronic illness and their family members. Adults with chronic illness were significantly more likely to report life dissatisfaction than those without chronic illness.<a href="#cite_note-19">[19]</a> Compared to their healthy peers, children with chronic illness have about a twofold increase in psychiatric disorders.<a href="#cite_note-20">[20]</a> Higher parental depression and other family stressors predicted more problems among patients.<a href="#cite_note-Daniels_295%E2%80%93308-21">[21]</a> In addition, sibling problems along with the burden of illness on the family as a whole led to more psychological strain on the patients and their families.<a href="#cite_note-Daniels_295%E2%80%93308-21">[21]</a> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(3)"><h2 id="Prevention">Prevention</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=3" title="Edit section: Prevention" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-3 collapsible-block" id="mf-section-3"> A growing body of <a href="/wiki/Evidence-based_medicine" title="Evidence-based medicine">evidence</a> supports that <a href="/wiki/Preventive_healthcare" title="Preventive healthcare">prevention</a> is effective in reducing the effect of chronic conditions; in particular, early detection results in less severe outcomes. Clinical preventive services include <a href="/wiki/Screening_(medicine)" title="Screening (medicine)">screening</a> for the existence of the disease or <a href="/wiki/Genetic_predisposition" title="Genetic predisposition">predisposition</a> to its development, counseling and immunizations against infectious agents. Despite their effectiveness, the utilization of preventive services is typically lower than for regular medical services. In contrast to their apparent cost in time and money, the benefits of preventive services are not directly perceived by patient because their effects are on the long term or might be greater for society as a whole than at the individual level.<a href="#cite_note-22">[22]</a> Therefore, <a href="/wiki/Public_health" title="Public health">public health</a> programs are important in <a href="/wiki/Health_education" title="Health education">educating</a> the public, and promoting healthy lifestyles and awareness about chronic diseases. While those programs can benefit from funding at different levels (state, federal, private) their implementation is mostly in charge of local agencies and <a href="/wiki/Community_health" title="Community health">community-based</a> organizations.<a href="#cite_note-pmid10158617-23">[23]</a> Studies have shown that public health programs are effective in reducing mortality rates associated to cardiovascular disease, diabetes and cancer, but the results are somewhat heterogeneous depending on the type of condition and the type of programs involved.<a href="#cite_note-pmid21778174-24">[24]</a> For example, results from different approaches in cancer prevention and screening depended highly on the type of cancer.<a href="#cite_note-pmid19768842-25">[25]</a> The rising number of patient with chronic diseases has renewed the interest in prevention and its potential role in helping control costs. In 2008, the <a href="/wiki/Trust_for_America%27s_Health" title="Trust for America's Health">Trust for America's Health</a> produced a report that estimated investing $10 per person annually in community-based programs of proven effectiveness and promoting healthy lifestyle (increase in physical activity, healthier diet and preventing tobacco use) could save more than $16 billion annually within a period of just five years.<a href="#cite_note-26">[26]</a> A 2017 review (updated in 2022) found that it is uncertain whether school-based policies on targeting risk factors on chronic diseases such as healthy eating policies, physical activity policies, and tobacco policies can improve student health behaviours or knowledge of staffs and students.<a href="#cite_note-:1-27">[27]</a> The updated review in 2022 did determine a slight improvement in measures of obesity and physical activity as the use of improved strategies lead to increased implementation interventions but continued to call for additional research to address questions related to alcohol use and risk.<a href="#cite_note-:1-27">[27]</a> Encouraging those with chronic conditions to continue with their outpatient (<a href="/wiki/Ambulatory_care" title="Ambulatory care">ambulatory</a>) medical care and attend scheduled medical appointments may help improve outcomes and reduce medical costs due to missed appointments.<a href="#cite_note-:0-28">[28]</a> Finding patient-centered alternatives to doctors or consultants scheduling medical appointments has been suggested as a means of improving the number of people with chronic conditions that miss medical appointments, however there is no strong evidence that these approaches make a difference.<a href="#cite_note-:0-28">[28]</a> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(4)"><h2 id="Nursing">Nursing</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=4" title="Edit section: Nursing" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-4 collapsible-block" id="mf-section-4"> Nursing can play an important role in assisting patients with chronic diseases achieve longevity and experience wellness.<a href="#cite_note-29">[29]</a> Scholars point out that the current neoliberal era emphasizes self-care, in both affluent and low-income communities.<a href="#cite_note-Wilkinson_2009-30">[30]</a> This self-care focus extends to the nursing of patients with chronic diseases, replacing a more holistic role for nursing with an emphasis on patients managing their own health conditions. Critics note that this is challenging if not impossible for patients with chronic disease in low-income communities where health care systems, and economic and social structures do not fully support this practice.<a href="#cite_note-Wilkinson_2009-30">[30]</a> A study in Ethiopia showcases a nursing-heavy approach to the management of chronic disease. Foregrounding the problem of distance from healthcare facility, the study recommends patients increase their request for care. It uses nurses and health officers to fill, in a cost-efficient way, the large unmet need for chronic disease treatment.<a href="#cite_note-Mamo_2007-31">[31]</a> They led their health centers staffed by nurses and health officers; so, there are specific training required for involvement in the programmed must be carried out regularly, to ensure that new staff is educated in administering chronic disease care.<a href="#cite_note-Mamo_2007-31">[31]</a> The program shows that community-based care and education, primarily driven by nurses and health officers, works.<a href="#cite_note-Mamo_2007-31">[31]</a> It highlights the importance of nurses following up with individuals in the community, and allowing nurses flexibility in meeting their patients' needs and educating them for self-care in their homes.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(5)"><h2 id="Epidemiology">Epidemiology</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=5" title="Edit section: Epidemiology" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-5 collapsible-block" id="mf-section-5"> The epidemiology of chronic disease is diverse and the epidemiology of some chronic diseases can change in response to new treatments. In the treatment of HIV, the success of <a href="/wiki/Management_of_HIV/AIDS" title="Management of HIV/AIDS">anti-retroviral</a> therapies means that many patients will experience this infection as a chronic disease that for many will span several decades of their chronic life.<a href="#cite_note-32">[32]</a> Some epidemiology of chronic disease can apply to multiple diagnosis. Obesity and body fat distribution for example contribute and are risk factors for many chronic diseases such as diabetes, heart, and kidney disease.<a href="#cite_note-33">[33]</a> Other epidemiological factors, such as social, socioeconomic, and environment do not have a straightforward cause and effect relationship with chronic disease diagnosis. While typically higher socioeconomic status is correlated with lower occurrence of chronic disease, it is not known is there is a direct cause and effect relationship between these two variables.<a href="#cite_note-Lowry_1996-34">[34]</a> The epidemiology of communicable chronic diseases such as AIDS is also different from that of noncommunicable chronic disease. While Social factors do play a role in AIDS prevalence, only exposure is truly needed to contract this chronic disease. Communicable chronic diseases are also typically only treatable with medication intervention, rather than lifestyle change as some non-communicable chronic diseases can be treated.<a href="#cite_note-35">[35]</a> <div class="mw-heading mw-heading3"><h3 id="United_States">United States</h3> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=6" title="Edit section: United States" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div> As of 2003, there are a few programs which aim to gain more knowledge on the epidemiology of chronic disease using data collection. The hope of these programs is to gather epidemiological data on various chronic diseases across the United States and demonstrate how this knowledge can be valuable in addressing chronic disease.<a href="#cite_note-36">[36]</a> In the United States, as of 2004 nearly one in two Americans (133 million) has at least one chronic medical condition, with most subjects (58%) between the ages of 18 and 64.<a href="#cite_note-RobertWood-13">[13]</a> The number is projected to increase by more than one percent per year by 2030, resulting in an estimated chronically ill population of 171 million.<a href="#cite_note-RobertWood-13">[13]</a> The most common chronic conditions are <a href="/wiki/Hypertension" title="Hypertension">high blood pressure</a>, <a href="/wiki/Arthritis" title="Arthritis">arthritis</a>, respiratory diseases like <a href="/wiki/Emphysema" title="Emphysema">emphysema</a>, and <a href="/wiki/Hypercholesterolemia" title="Hypercholesterolemia">high cholesterol</a>.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] Based on data from 2014 <a href="/wiki/Medical_Expenditure_Panel_Survey" title="Medical Expenditure Panel Survey">Medical Expenditure Panel Survey</a> (MEPS), about 60% of adult Americans were estimated to have one chronic illness, with about 40% having more than one; this rate appears to be mostly unchanged from 2008.<a href="#cite_note-Buttorff_2017-37">[37]</a> MEPS data from 1998 showed 45% of adult Americans had at least one chronic illness, and 21% had more than one.<a href="#cite_note-38">[38]</a> According to research by the <a href="/wiki/Centers_for_Disease_Control_and_Prevention" title="Centers for Disease Control and Prevention">CDC</a>, chronic disease is also especially a concern in the <a href="/wiki/Aging_of_the_United_States" title="Aging of the United States">elderly population</a> in America. Chronic diseases like stroke, heart disease, and cancer were among the leading causes of death among Americans aged 65 or older in 2002, accounting for 61% of all deaths among this subset of the population.<a href="#cite_note-cdc.gov-39">[39]</a> It is estimated that at least 80% of older Americans are currently living with some form of a chronic condition, with 50% of this population having two or more chronic conditions.<a href="#cite_note-cdc.gov-39">[39]</a> The two most common chronic conditions in the elderly are high blood pressure and arthritis, with diabetes, coronary heart disease, and cancer also being reported among the elder population.<a href="#cite_note-ParentGiving-40">[40]</a> In examining the statistics of chronic disease among the living elderly, it is also important to make note of the statistics pertaining to fatalities as a result of chronic disease. Heart disease is the leading cause of death from chronic disease for adults older than 65, followed by cancer, stroke, diabetes, chronic lower respiratory diseases, influenza and pneumonia, and, finally, Alzheimer's disease.<a href="#cite_note-cdc.gov-39">[39]</a> Though the rates of chronic disease differ by race for those living with chronic illness, the statistics for leading causes of death among elderly are nearly identical across racial/ethnic groups.<a href="#cite_note-cdc.gov-39">[39]</a> Chronic illnesses cause about 70% of deaths in the US and in 2002 chronic conditions (heart disease, cancers, stroke, chronic respiratory diseases, diabetes, Alzheimer's disease, mental illness and kidney diseases) were six of the top ten causes of mortality in the general US population.<a href="#cite_note-41">[41]</a> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(6)"><h2 id="Economic_impact">Economic impact</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=7" title="Edit section: Economic impact" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-6 collapsible-block" id="mf-section-6"> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-Globalize plainlinks metadata ambox ambox-content ambox-globalize" role="presentation"><tbody><tr><td class="mbox-text"><div class="mbox-text-span">The examples and perspective in this section may not represent a <a href="/wiki/Wikipedia:WikiProject_Countering_systemic_bias" title="Wikipedia:WikiProject Countering systemic bias">worldwide view</a> of the subject. You may <a class="external text" href="https://en.wikipedia.org/w/index.php?title=Chronic_condition&action=edit">improve this section</a>, discuss the issue on the <a href="/wiki/Talk:Chronic_condition" title="Talk:Chronic condition">talk page</a>, or create a new section, as appropriate. (June 2015) (<a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a>)</div></td></tr></tbody></table> <div class="mw-heading mw-heading3"><h3 id="United_States_2">United States</h3> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=8" title="Edit section: United States" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div> Chronic diseases are a major factor in the continuous growth of medical care spending.<a href="#cite_note-pmid19240056-42">[42]</a> In 2002, the U.S. Department of Health and Human Services stated that the health care for chronic diseases cost the most among all health problems in the U.S.<a href="#cite_note-43">[43]</a> Healthy People 2010 reported that more than 75% of the $2 trillion spent annually in U.S. medical care are due to chronic conditions; spending are even higher in proportion for Medicare beneficiaries (aged 65 years and older).<a href="#cite_note-Sondik-18">[18]</a> Furthermore, in 2017 it was estimated that 90% of the $3.3 billion spent on healthcare in the United States was due to the treatment of chronic diseases and conditions.<a href="#cite_note-44">[44]</a><a href="#cite_note-Buttorff_2017-37">[37]</a> Spending growth is driven in part by the greater prevalence of chronic illnesses and the longer life expectancy of the population. Also, improvement in treatments has significantly extended the lifespans of patients with chronic diseases but results in additional costs over long period of time. A striking success is the development of combined <a href="/wiki/Antiviral_drugs" class="mw-redirect" title="Antiviral drugs">antiviral therapies</a> that led to remarkable improvement in survival rates and quality of life of <a href="/wiki/HIV" title="HIV">HIV</a>-infected patients.[<a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed">citation needed</a>] In addition to direct costs in health care, chronic diseases are a significant burden to the economy, through limitations in daily activities, loss in productivity and loss of days of work. A particular concern is the rising rates of overweight and <a href="/wiki/Obesity_in_the_United_States" title="Obesity in the United States">obesity</a> in all segments of the U.S. population.<a href="#cite_note-Sondik-18">[18]</a> <a href="/wiki/Obesity" title="Obesity">Obesity</a> itself is a medical condition and not a disease, but it constitutes a major risk factor for developing chronic illnesses, such as diabetes, stroke, cardiovascular disease and cancers. Obesity results in significant health care spending and indirect costs, as illustrated by a recent study from the Texas comptroller reporting that obesity alone cost Texas businesses an extra $9.5 billion in 2009, including more than $4 billion for health care, $5 billion for lost productivity and absenteeism, and $321 million for disability.<a href="#cite_note-45">[45]</a> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(7)"><h2 id="Social_and_personal_impact">Social and personal impact</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=9" title="Edit section: Social and personal impact" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-7 collapsible-block" id="mf-section-7"> There have been recent links between social factors and prevalence as well as outcome of chronic conditions. <div class="mw-heading mw-heading3"><h3 id="Mental_health">Mental health</h3> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=10" title="Edit section: Mental health" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div> The connection between loneliness, overall health, and chronic conditions has recently been highlighted. Some studies have shown that loneliness has detrimental health effects similar to that of smoking and obesity.<a href="#cite_note-46">[46]</a> One study found that feelings of isolation are associated with higher self reporting of health as poor, and feelings of loneliness increased the likelihood of mental health disorders in individuals.<a href="#cite_note-47">[47]</a> The connection between chronic illness and loneliness is established, yet oftentimes ignored in treatment. One study for example found that a greater number of chronic illnesses per individual were associated with feelings of loneliness.<a href="#cite_note-Theeke_387%E2%80%93396-48">[48]</a> Some of the possible reasons for this listed are an inability to maintain independence as well as the chronic illness being a source of stress for the individual. A study of loneliness in adults over age 65 found that low levels of loneliness as well as high levels of familial support were associated with better outcomes of multiple chronic conditions such as hypertension and diabetes.<a href="#cite_note-Theeke_387%E2%80%93396-48">[48]</a> There are some recent movements in the medical sphere to address these connections when treating patients with chronic illness. The biopsychosocial approach for example, developed in 2006 focuses on patients "patient's personality, family, culture, and health dynamics."<a href="#cite_note-49">[49]</a> Physicians are leaning more towards a psychosocial approach to chronic illness to aid the increasing number of individuals diagnosed with these conditions. Despite this movement, there is still criticism that chronic conditions are not being treated appropriately, and there is not enough emphasis on the behavioral aspects of chronic conditions<a href="#cite_note-50">[50]</a> or psychological types of support for patients.<a href="#cite_note-51">[51]</a> The mental health intersectionality on those with chronic conditions is a large aspect often overlooked by doctors. And chronic illness therapists are available for support to help with the mental toll of chronic illness a it is often underestimated in society. Adults with chronic illness that restrict their daily life present with more depression and lower self-esteem than healthy adults and adults with non-restricting chronic illness.<a href="#cite_note-52">[52]</a> The emotional influence of chronic illness also has an effect on the intellectual and educational development of the individual.<a href="#cite_note-53">[53]</a> For example, people living with type 1 diabetes endure a lifetime of monotonous and rigorous health care management usually involving daily blood glucose monitoring, insulin injections, and constant self-care. This type of constant attention that is required by type 1 diabetes and other chronic illness can result in psychological maladjustment. There have been several theories, namely one called diabetes resilience theory, that posit that protective processes buffer the impact of risk factors on the individual's development and functioning.<a href="#cite_note-54">[54]</a> <div class="mw-heading mw-heading3"><h3 id="Financial_cost">Financial cost</h3> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=11" title="Edit section: Financial cost" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div> People with chronic conditions pay more out-of-pocket; a study found that Americans spent $2,243 more on average.<a href="#cite_note-55">[55]</a> The financial burden can increase medication non-adherence.<a href="#cite_note-56">[56]</a><a href="#cite_note-57">[57]</a> In some countries, laws protect patients with chronic conditions from excessive financial responsibility; for example, as of 2008 France limited copayments for those with chronic conditions, and Germany limits cost sharing to 1% of income versus 2% for the general public.<a href="#cite_note-58">[58]</a> Within the <a href="/wiki/Medical%E2%80%93industrial_complex" title="Medical–industrial complex">medical-industrial complex</a>, chronic illnesses can impact the relationship between <a href="/wiki/Pharmaceutical_industry" title="Pharmaceutical industry">pharmaceutical companies</a> and people with chronic conditions. Life-saving drugs, or life-extending drugs, can be inflated for a <a href="/wiki/Profit_(economics)" title="Profit (economics)">profit</a>.<a href="#cite_note-59">[59]</a> There is little regulation on the cost of chronic illness drugs, which suggests that abusing the lack of a drug cap can create a large market for drug revenue.<a href="#cite_note-60">[60]</a> Likewise, certain chronic conditions can last throughout one's lifetime and create pathways for pharmaceutical companies to take advantage of this.<a href="#cite_note-61">[61]</a> <div class="mw-heading mw-heading3"><h3 id="Gender">Gender</h3> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=12" title="Edit section: Gender" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div> Gender influences how chronic disease is viewed and treated in society. Women's chronic health issues are often considered to be most worthy of treatment or most severe when the chronic condition interferes with a woman's fertility. Historically, there is less of a focus on a woman's chronic conditions when it interferes with other aspects of her life or well-being. Many women report feeling less than or even "half of a woman" due to the pressures that society puts on the importance of fertility and health when it comes to typically feminine ideals. These kinds of social barriers interfere with women's ability to perform various other activities in life and fully work toward their aspirations.<a href="#cite_note-62">[62]</a> <div class="mw-heading mw-heading3"><h3 id="Socioeconomic_class_and_race">Socioeconomic class and race</h3> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=13" title="Edit section: Socioeconomic class and race" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div> <a href="/wiki/Race_and_health" title="Race and health">Race is also implicated</a> in chronic illness, although there may be many other factors involved. Racial minorities are 1.5-2 times more likely to have most chronic diseases than white individuals. Non-Hispanic blacks are 40% more likely to have high blood pressure that non-Hispanic whites, diagnosed diabetes is 77% higher among non-Hispanic blacks, and American Indians and Alaska Natives are 60% more likely to be obese than non-Hispanic whites.<a href="#cite_note-63">[63]</a> Some of this prevalence has been suggested to be in part from <a href="/wiki/Environmental_racism" title="Environmental racism">environmental racism</a>. Flint, Michigan, for example, had high levels of lead poisoning in their drinkable water after waste was dumped into low-value housing areas.<a href="#cite_note-64">[64]</a> There are also higher rates of asthma in children who live in lower income areas due to an abundance of pollutants being released on a much larger scale in these areas.<a href="#cite_note-pmid12791488-65">[65]</a><a href="#cite_note-66">[66]</a> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(8)"><h2 id="Advocacy_and_research_organizations">Advocacy and research organizations</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=14" title="Edit section: Advocacy and research organizations" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-8 collapsible-block" id="mf-section-8"> In Europe, the European Chronic Disease Alliance was formed in 2011, which represents over 100,000 healthcare workers.<a href="#cite_note-67">[67]</a> In the United States, there are a number of nonprofits focused on chronic conditions, including entities focused on specific diseases such as the <a href="/wiki/American_Diabetes_Association" title="American Diabetes Association">American Diabetes Association</a>, <a href="/wiki/Alzheimer%27s_Association" title="Alzheimer's Association">Alzheimer's Association</a>, or <a href="/wiki/Crohn%27s_%26_Colitis_Foundation" title="Crohn's & Colitis Foundation">Crohn's and Colitis Foundation</a>. There are also broader groups focused on advocacy or research into chronic illness in general, such as the National Association of Chronic Disease Directors, Partnership to Fight Chronic Disease, the Chronic Disease Coalition which arose in Oregon in 2015,<a href="#cite_note-68">[68]</a> and the Chronic Policy Care Alliance.<a href="#cite_note-69">[69]</a> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(9)"><h2 id="See_also">See also</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=15" title="Edit section: See also" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-9 collapsible-block" id="mf-section-9"> <ul><li><a href="/wiki/Chronic_care_management" title="Chronic care management">Chronic care management</a></li> <li><a href="/wiki/Chronic_disease_in_China" title="Chronic disease in China">Chronic disease in China</a></li> <li><a href="/wiki/Chronic_disease_in_Northern_Ontario" title="Chronic disease in Northern Ontario">Chronic disease in Northern Ontario</a></li> <li><a href="/wiki/Chronic_Illness_(journal)" title="Chronic Illness (journal)">Chronic Illness (journal)</a></li> <li><a href="/wiki/Chronic_pain" title="Chronic pain">Chronic pain</a></li> <li><a href="/wiki/Long_COVID" title="Long COVID">Long COVID</a></li> <li><a href="/wiki/Course_(medicine)" title="Course (medicine)">Course (medicine)</a></li> <li><a href="/wiki/Disability_studies" title="Disability studies">Disability studies</a></li> <li><a href="/wiki/Disease_management_(health)" title="Disease management (health)">Disease management (health)</a></li> <li><a href="/wiki/Dynamic_treatment_regimes" class="mw-redirect" title="Dynamic treatment regimes">Dynamic treatment regimes</a></li> <li><a href="/wiki/Medical_tattoo" title="Medical tattoo">Medical tattoo</a></li> <li><a href="/wiki/Multimorbidity" title="Multimorbidity">Multimorbidity</a></li> <li><a href="/wiki/Natural_history_of_disease" title="Natural history of disease">Natural history of disease</a></li> <li><a href="/wiki/Virtual_Wards" class="mw-redirect" title="Virtual Wards">Virtual Wards</a> (a UK term)</li></ul> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(10)"><h2 id="References">References</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=16" title="Edit section: References" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-10 collapsible-block" id="mf-section-10"> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output 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Retrieved 2019-06-13.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=unknown&rft.jtitle=STAT&rft.atitle=Has+your+insurer+denied+a+medical+claim%3F+Stand+up+for+your+rights&rft.date=2019-05-17&rft.aulast=Helms&rft.aufirst=L&rft_id=https%3A%2F%2Fwww.statnews.com%2F2019%2F05%2F17%2Fappeal-denied-medical-claim%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"> </li> </ol></div> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(11)"><h2 id="Further_reading">Further reading</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=17" title="Edit section: Further reading" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-11 collapsible-block" id="mf-section-11"> <style data-mw-deduplicate="TemplateStyles:r1239549316">.mw-parser-output .refbegin{margin-bottom:0.5em}.mw-parser-output .refbegin-hanging-indents>ul{margin-left:0}.mw-parser-output .refbegin-hanging-indents>ul>li{margin-left:0;padding-left:3.2em;text-indent:-3.2em}.mw-parser-output .refbegin-hanging-indents ul,.mw-parser-output .refbegin-hanging-indents ul li{list-style:none}@media(max-width:720px){.mw-parser-output .refbegin-hanging-indents>ul>li{padding-left:1.6em;text-indent:-1.6em}}.mw-parser-output .refbegin-columns{margin-top:0.3em}.mw-parser-output .refbegin-columns ul{margin-top:0}.mw-parser-output .refbegin-columns li{page-break-inside:avoid;break-inside:avoid-column}@media screen{.mw-parser-output .refbegin{font-size:90%}}</style><div class="refbegin refbegin-columns references-column-width" style="column-width: 30em"> <ul><li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFBerkowitz2015" class="citation book cs1">Berkowitz A (2015). Tender Points. Oakland, California: Timeless Infinite Light. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-1-937421-15-1" title="Special:BookSources/978-1-937421-15-1"><bdi>978-1-937421-15-1</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Tender+Points&rft.place=Oakland%2C+California&rft.pub=Timeless+Infinite+Light&rft.date=2015&rft.isbn=978-1-937421-15-1&rft.aulast=Berkowitz&rft.aufirst=A&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFCaron" class="citation book cs1">Caron D. <a rel="nofollow" class="external text" href="https://www.upress.umn.edu/book-division/books/the-nearness-of-others">The Nearness of Others: Searching for Tact and Contact in the Age of HIV</a>. University of Minnesota Press. <a href="/wiki/OCLC_(identifier)" class="mw-redirect" title="OCLC (identifier)">OCLC</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/oclc/943203014">943203014</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=The+Nearness+of+Others%3A+Searching+for+Tact+and+Contact+in+the+Age+of+HIV&rft.pub=University+of+Minnesota+Press&rft_id=info%3Aoclcnum%2F943203014&rft.aulast=Caron&rft.aufirst=D&rft_id=https%3A%2F%2Fwww.upress.umn.edu%2Fbook-division%2Fbooks%2Fthe-nearness-of-others&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFCharmaz1991" class="citation book cs1">Charmaz K (1991). <a rel="nofollow" class="external text" href="https://archive.org/details/gooddaysbaddayss00char">Good days, bad days: the self in chronic illness and time</a>. New Brunswick, N.J: Rutgers University Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-8135-1711-7" title="Special:BookSources/978-0-8135-1711-7"><bdi>978-0-8135-1711-7</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Good+days%2C+bad+days%3A+the+self+in+chronic+illness+and+time&rft.place=New+Brunswick%2C+N.J&rft.pub=Rutgers+University+Press&rft.date=1991&rft.isbn=978-0-8135-1711-7&rft.aulast=Charmaz&rft.aufirst=K&rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fgooddaysbaddayss00char&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFCharon2008" class="citation book cs1"><a href="/wiki/Rita_Charon" title="Rita Charon">Charon R</a> (2008). <a rel="nofollow" class="external text" href="https://global.oup.com/academic/product/narrative-medicine-9780195340228?cc=us&lang=en&">Narrative medicine: honoring the stories of illness</a> (First issued as an Oxford University Press paperback ed.). Oxford, New York: Oxford University Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-19-534022-8" title="Special:BookSources/978-0-19-534022-8"><bdi>978-0-19-534022-8</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Narrative+medicine%3A+honoring+the+stories+of+illness&rft.place=Oxford%2C+New+York&rft.edition=First+issued+as+an+Oxford+University+Press+paperback&rft.pub=Oxford+University+Press&rft.date=2008&rft.isbn=978-0-19-534022-8&rft.aulast=Charon&rft.aufirst=R&rft_id=https%3A%2F%2Fglobal.oup.com%2Facademic%2Fproduct%2Fnarrative-medicine-9780195340228%3Fcc%3Dus%26lang%3Den%26&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFConway2013" class="citation book cs1">Conway K (2013). <a rel="nofollow" class="external text" href="https://unmpress.com/books/beyond-words/9780826353245">Beyond Words: Illness and the Limits of Expression</a>. Albuquerque: University of New Mexico Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-8263-5324-5" title="Special:BookSources/978-0-8263-5324-5"><bdi>978-0-8263-5324-5</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Beyond+Words%3A+Illness+and+the+Limits+of+Expression&rft.place=Albuquerque&rft.pub=University+of+New+Mexico+Press&rft.date=2013&rft.isbn=978-0-8263-5324-5&rft.aulast=Conway&rft.aufirst=K&rft_id=https%3A%2F%2Funmpress.com%2Fbooks%2Fbeyond-words%2F9780826353245&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFConway1997" class="citation book cs1">Conway K (1997). Ordinary life: a memoir of illness. New York: W. H. Freeman Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-7167-3036-1" title="Special:BookSources/978-0-7167-3036-1"><bdi>978-0-7167-3036-1</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Ordinary+life%3A+a+memoir+of+illness&rft.place=New+York&rft.pub=W.+H.+Freeman+Press&rft.date=1997&rft.isbn=978-0-7167-3036-1&rft.aulast=Conway&rft.aufirst=K&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFEllis2018" class="citation book cs1"><a href="/wiki/Carolyn_Ellis" title="Carolyn Ellis">Ellis C</a> (2018). <a rel="nofollow" class="external text" href="http://tupress.temple.edu/book/20000000009518">Final Negotiations: A Story of Love, Loss, and Chronic Illness</a> (Revised and expanded ed.). Philadelphia: Temple University Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-1-4399-1715-2" title="Special:BookSources/978-1-4399-1715-2"><bdi>978-1-4399-1715-2</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Final+Negotiations%3A+A+Story+of+Love%2C+Loss%2C+and+Chronic+Illness&rft.place=Philadelphia&rft.edition=Revised+and+expanded&rft.pub=Temple+University+Press&rft.date=2018&rft.isbn=978-1-4399-1715-2&rft.aulast=Ellis&rft.aufirst=C&rft_id=http%3A%2F%2Ftupress.temple.edu%2Fbook%2F20000000009518&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFFrank2013" class="citation book cs1">Frank AW (2013). <a rel="nofollow" class="external text" href="https://press.uchicago.edu/ucp/books/book/chicago/W/bo14674212.html">The Wounded Storyteller: Body, Illness, and Ethics</a> (Second ed.). Chicago: The University of Chicago Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-226-00497-6" title="Special:BookSources/978-0-226-00497-6"><bdi>978-0-226-00497-6</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=The+Wounded+Storyteller%3A+Body%2C+Illness%2C+and+Ethics&rft.place=Chicago&rft.edition=Second&rft.pub=The+University+of+Chicago+Press&rft.date=2013&rft.isbn=978-0-226-00497-6&rft.aulast=Frank&rft.aufirst=AW&rft_id=https%3A%2F%2Fpress.uchicago.edu%2Fucp%2Fbooks%2Fbook%2Fchicago%2FW%2Fbo14674212.html&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFHeshusiusFishman2009" class="citation book cs1">Heshusius L, Fishman SM (2009-08-20). <a rel="nofollow" class="external text" href="https://archive.org/details/insidechronicpai0000hesh">Inside Chronic Pain: An Intimate and Critical Account</a>. The Culture and Politics of Health Care Work. Ithaca, NY: Cornell University Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-8014-4796-9" title="Special:BookSources/978-0-8014-4796-9"><bdi>978-0-8014-4796-9</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Inside+Chronic+Pain%3A+An+Intimate+and+Critical+Account&rft.place=Ithaca%2C+NY&rft.series=The+Culture+and+Politics+of+Health+Care+Work&rft.pub=Cornell+University+Press&rft.date=2009-08-20&rft.isbn=978-0-8014-4796-9&rft.aulast=Heshusius&rft.aufirst=L&rft.au=Fishman%2C+SM&rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Finsidechronicpai0000hesh&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFKroll-SmithFloyd1997" class="citation book cs1">Kroll-Smith S, Floyd HH (1997). Bodies in Protest: Environmental Illness and the Struggle Over Medical Knowledge. NYU Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-0-8147-4752-0" title="Special:BookSources/978-0-8147-4752-0"><bdi>978-0-8147-4752-0</bdi></a>. <a href="/wiki/JSTOR_(identifier)" class="mw-redirect" title="JSTOR (identifier)">JSTOR</a> <a rel="nofollow" class="external text" href="https://www.jstor.org/stable/j.ctt9qg6hq">j.ctt9qg6hq</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Bodies+in+Protest%3A+Environmental+Illness+and+the+Struggle+Over+Medical+Knowledge&rft.pub=NYU+Press&rft.date=1997&rft_id=https%3A%2F%2Fwww.jstor.org%2Fstable%2Fj.ctt9qg6hq%23id-name%3DJSTOR&rft.isbn=978-0-8147-4752-0&rft.aulast=Kroll-Smith&rft.aufirst=S&rft.au=Floyd%2C+HH&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSontag" class="citation book cs1"><a href="/wiki/Susan_Sontag" title="Susan Sontag">Sontag S</a>. <a href="/wiki/Illness_as_Metaphor" title="Illness as Metaphor">Illness as Metaphor</a>. Susan Sontag Foundation.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Illness+as+Metaphor&rft.pub=Susan+Sontag+Foundation&rft.aulast=Sontag&rft.aufirst=S&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSontag" class="citation book cs1"><a href="/wiki/Susan_Sontag" title="Susan Sontag">Sontag S</a>. <a href="/wiki/Regarding_the_Pain_of_Others" title="Regarding the Pain of Others">Regarding the Pain of Others</a>. Susan Sontag Foundation.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Regarding+the+Pain+of+Others&rft.pub=Susan+Sontag+Foundation&rft.aulast=Sontag&rft.aufirst=S&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li></ul> </div> </section><div class="mw-heading mw-heading2 section-heading" onclick="mfTempOpenSection(12)"><h2 id="External_links">External links</h2> <a role="button" href="/w/index.php?title=Chronic_condition&action=edit&section=18" title="Edit section: External links" class="cdx-button cdx-button--size-large cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--icon-only cdx-button--weight-quiet "> edit </a> </div><section class="mf-section-12 collapsible-block" id="mf-section-12"> <style data-mw-deduplicate="TemplateStyles:r1235681985">.mw-parser-output .side-box{margin:4px 0;box-sizing:border-box;border:1px solid #aaa;font-size:88%;line-height:1.25em;background-color:var(--background-color-interactive-subtle,#f8f9fa);display:flow-root}.mw-parser-output .side-box-abovebelow,.mw-parser-output .side-box-text{padding:0.25em 0.9em}.mw-parser-output .side-box-image{padding:2px 0 2px 0.9em;text-align:center}.mw-parser-output .side-box-imageright{padding:2px 0.9em 2px 0;text-align:center}@media(min-width:500px){.mw-parser-output .side-box-flex{display:flex;align-items:center}.mw-parser-output .side-box-text{flex:1;min-width:0}}@media(min-width:720px){.mw-parser-output .side-box{width:238px}.mw-parser-output .side-box-right{clear:right;float:right;margin-left:1em}.mw-parser-output .side-box-left{margin-right:1em}}</style><style data-mw-deduplicate="TemplateStyles:r1237033735">@media print{body.ns-0 .mw-parser-output .sistersitebox{display:none!important}}@media screen{html.skin-theme-clientpref-night .mw-parser-output .sistersitebox img[src*="Wiktionary-logo-en-v2.svg"]{background-color:white}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .sistersitebox img[src*="Wiktionary-logo-en-v2.svg"]{background-color:white}}</style><div class="side-box side-box-right plainlinks sistersitebox"><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style> <div class="side-box-flex"> <div class="side-box-image"><noscript><img alt="" src="//upload.wikimedia.org/wikipedia/commons/thumb/9/99/Wiktionary-logo-en-v2.svg/40px-Wiktionary-logo-en-v2.svg.png" decoding="async" width="40" height="40" class="mw-file-element" data-file-width="512" data-file-height="512"></noscript><span class="lazy-image-placeholder" style="width: 40px;height: 40px;" data-src="//upload.wikimedia.org/wikipedia/commons/thumb/9/99/Wiktionary-logo-en-v2.svg/40px-Wiktionary-logo-en-v2.svg.png" data-alt="" data-width="40" data-height="40" data-srcset="//upload.wikimedia.org/wikipedia/commons/thumb/9/99/Wiktionary-logo-en-v2.svg/60px-Wiktionary-logo-en-v2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/9/99/Wiktionary-logo-en-v2.svg/80px-Wiktionary-logo-en-v2.svg.png 2x" data-class="mw-file-element"> </div> <div class="side-box-text plainlist">Look up <a href="https://en.wiktionary.org/wiki/chronic" class="extiw" title="wiktionary:chronic">chronic</a> in Wiktionary, the free dictionary.</div></div> </div> <ul><li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://web.archive.org/web/20210118143620/https://sites.google.com/site/humandiseaseslinkedtopathogens/">"List of Chronic Human Diseases Linked to Infectious Pathogens"</a>. Archived from <a rel="nofollow" class="external text" href="https://sites.google.com/site/humandiseaseslinkedtopathogens/">the original</a> on 2021-01-18.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=unknown&rft.btitle=List+of+Chronic+Human+Diseases+Linked+to+Infectious+Pathogens&rft_id=https%3A%2F%2Fsites.google.com%2Fsite%2Fhumandiseaseslinkedtopathogens%2F&rfr_id=info%3Asid%2Fen.wikipedia.org%3AChronic+condition" class="Z3988"></li> <li><a rel="nofollow" class="external text" href="http://cmcd.sph.umich.edu/">Center for Managing Chronic Disease, University of Michigan</a></li> <li><a rel="nofollow" class="external text" href="http://www.chrodis.eu/">CHRODIS: EU Joint Action on Chronic Diseases and Promoting Healthy Ageing Across the Life-Cycle</a></li> <li><a rel="nofollow" class="external text" href="http://www.medicc.org/mediccreview/index.php?issue=18">MEDICC Review theme issue on Confronting Chronic Diseases</a> With longer life expectancies in most countries and the globalization of "Western" diets and sedentarism, the main burden of disease and death from these conditions is falling on already-disadvantaged developing countries and poor communities everywhere.</li> <li><a rel="nofollow" class="external text" href="http://www.phac-aspc.gc.ca/cd-mc/index-eng.php">Public Health Agency of Canada: Chronic Disease</a></li> <li><a rel="nofollow" class="external text" href="https://www.who.int/chp/en/index.html">World Health Organization: Chronic Disease and Health Promotion</a></li></ul> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1129693374">.mw-parser-output .hlist dl,.mw-parser-output .hlist ol,.mw-parser-output .hlist ul{margin:0;padding:0}.mw-parser-output .hlist dd,.mw-parser-output .hlist dt,.mw-parser-output .hlist li{margin:0;display:inline}.mw-parser-output .hlist.inline,.mw-parser-output .hlist.inline dl,.mw-parser-output .hlist.inline ol,.mw-parser-output .hlist.inline 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.navbar{float:left;text-align:left;margin-right:0.5em}body.skin--responsive .mw-parser-output .navbox-image img{max-width:none!important}@media print{body.ns-0 .mw-parser-output .navbox{display:none!important}}</style></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"><style data-mw-deduplicate="TemplateStyles:r1038841319">.mw-parser-output .tooltip-dotted{border-bottom:1px dotted;cursor:help}</style><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1038841319"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1038841319"></div>    </section></div> <noscript><img src="https://login.m.wikimedia.org/wiki/Special:CentralAutoLogin/start?type=1x1&mobile=1" alt="" width="1" height="1" style="border: none; position: absolute;"></noscript> <div class="printfooter" data-nosnippet="">Retrieved from "<a dir="ltr" href="https://en.wikipedia.org/w/index.php?title=Chronic_condition&oldid=1259575909">https://en.wikipedia.org/w/index.php?title=Chronic_condition&oldid=1259575909</a>"</div></div> </div> <div class="post-content" id="page-secondary-actions"> </div> </main> <footer class="mw-footer minerva-footer" role="contentinfo"> <a class="last-modified-bar" href="/w/index.php?title=Chronic_condition&action=history"> <div class="post-content last-modified-bar__content"> Last edited on 25 November 2024, at 22:23 </div> </a> <div class="post-content footer-content"> <div id='mw-data-after-content'> <div class="read-more-container"></div> </div> <div id="p-lang"> <h4>Languages</h4> <section> <ul id="p-variants" class="minerva-languages"></ul> <ul class="minerva-languages"><li class="interlanguage-link interwiki-af mw-list-item"><a href="https://af.wikipedia.org/wiki/Chroniese_siekte" title="Chroniese siekte – Afrikaans" lang="af" hreflang="af" data-title="Chroniese siekte" data-language-autonym="Afrikaans" data-language-local-name="Afrikaans" class="interlanguage-link-target">Afrikaans</a></li><li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D9%85%D8%B2%D9%85%D9%86_(%D8%B7%D8%A8)" title="مزمن (طب) – Arabic" lang="ar" hreflang="ar" data-title="مزمن (طب)" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target">العربية</a></li><li class="interlanguage-link interwiki-bs mw-list-item"><a href="https://bs.wikipedia.org/wiki/Hroni%C4%8Dno_stanje" title="Hronično stanje – Bosnian" lang="bs" hreflang="bs" data-title="Hronično stanje" data-language-autonym="Bosanski" data-language-local-name="Bosnian" class="interlanguage-link-target">Bosanski</a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Malaltia_cr%C3%B2nica" title="Malaltia crònica – Catalan" lang="ca" hreflang="ca" data-title="Malaltia crònica" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target">Català</a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Chronick%C3%A9_onemocn%C4%9Bn%C3%AD" title="Chronické onemocnění – Czech" lang="cs" hreflang="cs" data-title="Chronické onemocnění" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target">Čeština</a></li><li class="interlanguage-link interwiki-cy mw-list-item"><a href="https://cy.wikipedia.org/wiki/Clefyd_cronig" title="Clefyd cronig – Welsh" lang="cy" hreflang="cy" data-title="Clefyd cronig" data-language-autonym="Cymraeg" data-language-local-name="Welsh" class="interlanguage-link-target">Cymraeg</a></li><li class="interlanguage-link interwiki-da mw-list-item"><a href="https://da.wikipedia.org/wiki/Kronisk_sygdom" title="Kronisk sygdom – Danish" lang="da" hreflang="da" data-title="Kronisk sygdom" data-language-autonym="Dansk" data-language-local-name="Danish" class="interlanguage-link-target">Dansk</a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Enfermedad_cr%C3%B3nica" title="Enfermedad crónica – Spanish" lang="es" hreflang="es" data-title="Enfermedad crónica" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target">Español</a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Gaixotasun_kroniko" title="Gaixotasun kroniko – Basque" lang="eu" hreflang="eu" data-title="Gaixotasun kroniko" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target">Euskara</a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D9%85%D8%B2%D9%85%D9%86" title="مزمن – Persian" lang="fa" hreflang="fa" data-title="مزمن" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target">فارسی</a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Maladie_chronique" title="Maladie chronique – French" lang="fr" hreflang="fr" data-title="Maladie chronique" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target">Français</a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%A7%8C%EC%84%B1%EC%A7%88%ED%99%98" title="만성질환 – Korean" lang="ko" hreflang="ko" data-title="만성질환" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target">한국어</a></li><li class="interlanguage-link interwiki-hi mw-list-item"><a href="https://hi.wikipedia.org/wiki/%E0%A4%A6%E0%A5%80%E0%A4%B0%E0%A5%8D%E0%A4%98%E0%A4%95%E0%A4%BE%E0%A4%B2%E0%A4%BF%E0%A4%95_%E0%A4%B2%E0%A4%95%E0%A5%8D%E0%A4%B7%E0%A4%A3" title="दीर्घकालिक लक्षण – Hindi" lang="hi" hreflang="hi" data-title="दीर्घकालिक लक्षण" data-language-autonym="हिन्दी" data-language-local-name="Hindi" class="interlanguage-link-target">हिन्दी</a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Kronis" title="Kronis – Indonesian" lang="id" hreflang="id" data-title="Kronis" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target">Bahasa Indonesia</a></li><li class="interlanguage-link interwiki-ia mw-list-item"><a href="https://ia.wikipedia.org/wiki/Infirmitate" title="Infirmitate – Interlingua" lang="ia" hreflang="ia" data-title="Infirmitate" data-language-autonym="Interlingua" data-language-local-name="Interlingua" class="interlanguage-link-target">Interlingua</a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Malattia_cronica" title="Malattia cronica – Italian" lang="it" hreflang="it" data-title="Malattia cronica" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target">Italiano</a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%9E%D7%A6%D7%91_%D7%9B%D7%A8%D7%95%D7%A0%D7%99" title="מצב כרוני – Hebrew" lang="he" hreflang="he" data-title="מצב כרוני" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target">עברית</a></li><li class="interlanguage-link interwiki-pam mw-list-item"><a href="https://pam.wikipedia.org/wiki/Chronic_disease" title="Chronic disease – Pampanga" lang="pam" hreflang="pam" data-title="Chronic disease" data-language-autonym="Kapampangan" data-language-local-name="Pampanga" class="interlanguage-link-target">Kapampangan</a></li><li class="interlanguage-link interwiki-kk mw-list-item"><a href="https://kk.wikipedia.org/wiki/%D0%A1%D0%BE%D0%B7%D1%8B%D0%BB%D0%BC%D0%B0%D0%BB%D1%8B" title="Созылмалы – Kazakh" lang="kk" hreflang="kk" data-title="Созылмалы" data-language-autonym="Қазақша" data-language-local-name="Kazakh" class="interlanguage-link-target">Қазақша</a></li><li class="interlanguage-link interwiki-hu mw-list-item"><a href="https://hu.wikipedia.org/wiki/Kr%C3%B3nikus" title="Krónikus – Hungarian" lang="hu" hreflang="hu" data-title="Krónikus" data-language-autonym="Magyar" data-language-local-name="Hungarian" class="interlanguage-link-target">Magyar</a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%A5%D1%80%D0%BE%D0%BD%D0%B8%D1%87%D0%BD%D0%BE%D1%81%D1%82" title="Хроничност – Macedonian" lang="mk" hreflang="mk" data-title="Хроничност" data-language-autonym="Македонски" data-language-local-name="Macedonian" class="interlanguage-link-target">Македонски</a></li><li class="interlanguage-link interwiki-ml mw-list-item"><a href="https://ml.wikipedia.org/wiki/%E0%B4%B5%E0%B4%BF%E0%B4%9F%E0%B5%8D%E0%B4%9F%E0%B5%81%E0%B4%AE%E0%B4%BE%E0%B4%B1%E0%B4%BE%E0%B4%A4%E0%B5%8D%E0%B4%A4_%E0%B4%B0%E0%B5%8B%E0%B4%97%E0%B4%BE%E0%B4%B5%E0%B4%B8%E0%B5%8D%E0%B4%A5" title="വിട്ടുമാറാത്ത രോഗാവസ്ഥ – Malayalam" lang="ml" hreflang="ml" data-title="വിട്ടുമാറാത്ത രോഗാവസ്ഥ" data-language-autonym="മലയാളം" data-language-local-name="Malayalam" class="interlanguage-link-target">മലയാളം</a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Chronische_ziekte" title="Chronische ziekte – Dutch" lang="nl" hreflang="nl" data-title="Chronische ziekte" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target">Nederlands</a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E6%85%A2%E6%80%A7%E7%96%BE%E6%82%A3" title="慢性疾患 – Japanese" lang="ja" hreflang="ja" data-title="慢性疾患" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target">日本語</a></li><li class="interlanguage-link interwiki-no mw-list-item"><a href="https://no.wikipedia.org/wiki/Kronisk_sykdom" title="Kronisk sykdom – Norwegian Bokmål" lang="nb" hreflang="nb" data-title="Kronisk sykdom" data-language-autonym="Norsk bokmål" data-language-local-name="Norwegian Bokmål" class="interlanguage-link-target">Norsk bokmål</a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Choroba_przewlek%C5%82a" title="Choroba przewlekła – Polish" lang="pl" hreflang="pl" data-title="Choroba przewlekła" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target">Polski</a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Doen%C3%A7a_cr%C3%B4nica" title="Doença crônica – Portuguese" lang="pt" hreflang="pt" data-title="Doença crônica" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target">Português</a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Boal%C4%83_cronic%C4%83" title="Boală cronică – Romanian" lang="ro" hreflang="ro" data-title="Boală cronică" data-language-autonym="Română" data-language-local-name="Romanian" class="interlanguage-link-target">Română</a></li><li class="interlanguage-link interwiki-ru badge-Q70894304 mw-list-item" title=""><a href="https://ru.wikipedia.org/wiki/%D0%A5%D1%80%D0%BE%D0%BD%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%BE%D0%B5_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D0%B5" title="Хроническое заболевание – Russian" lang="ru" hreflang="ru" data-title="Хроническое заболевание" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target">Русский</a></li><li class="interlanguage-link interwiki-si mw-list-item"><a href="https://si.wikipedia.org/wiki/%E0%B6%B1%E0%B7%92%E0%B6%B0%E0%B6%B1%E0%B7%8A%E0%B6%9C%E0%B6%AD_%E0%B6%BB%E0%B7%9D%E0%B6%9C" title="නිධන්ගත රෝග – Sinhala" lang="si" hreflang="si" data-title="නිධන්ගත රෝග" data-language-autonym="සිංහල" data-language-local-name="Sinhala" class="interlanguage-link-target">සිංහල</a></li><li class="interlanguage-link interwiki-simple mw-list-item"><a href="https://simple.wikipedia.org/wiki/Chronic" title="Chronic – Simple English" lang="en-simple" hreflang="en-simple" data-title="Chronic" data-language-autonym="Simple English" data-language-local-name="Simple English" class="interlanguage-link-target">Simple English</a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Kroni%C4%8Dnost" title="Kroničnost – Slovenian" lang="sl" hreflang="sl" data-title="Kroničnost" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target">Slovenščina</a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Hroni%C4%8Dan_(medicina)" title="Hroničan (medicina) – Serbian" lang="sr" hreflang="sr" data-title="Hroničan (medicina)" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target">Српски / srpski</a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Hroni%C4%8Dan_(medicina)" title="Hroničan (medicina) – Serbo-Croatian" lang="sh" hreflang="sh" data-title="Hroničan (medicina)" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Serbo-Croatian" class="interlanguage-link-target">Srpskohrvatski / српскохрватски</a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Krooninen_tila" title="Krooninen tila – Finnish" lang="fi" hreflang="fi" data-title="Krooninen tila" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target">Suomi</a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Kroniska_sjukdomar" title="Kroniska sjukdomar – Swedish" lang="sv" hreflang="sv" data-title="Kroniska sjukdomar" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target">Svenska</a></li><li class="interlanguage-link interwiki-tl mw-list-item"><a href="https://tl.wikipedia.org/wiki/Malalang_sakit" title="Malalang sakit – Tagalog" lang="tl" hreflang="tl" data-title="Malalang sakit" data-language-autonym="Tagalog" data-language-local-name="Tagalog" class="interlanguage-link-target">Tagalog</a></li><li class="interlanguage-link interwiki-kab mw-list-item"><a href="https://kab.wikipedia.org/wiki/A%E1%B9%AD%E1%B9%ADan_amezray" title="Aṭṭan amezray – Kabyle" lang="kab" hreflang="kab" data-title="Aṭṭan amezray" data-language-autonym="Taqbaylit" data-language-local-name="Kabyle" class="interlanguage-link-target">Taqbaylit</a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Kronik" title="Kronik – Turkish" lang="tr" hreflang="tr" data-title="Kronik" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target">Türkçe</a></li><li class="interlanguage-link interwiki-ur mw-list-item"><a href="https://ur.wikipedia.org/wiki/%D9%85%D8%B2%D9%85%D9%86" title="مزمن – Urdu" lang="ur" hreflang="ur" data-title="مزمن" data-language-autonym="اردو" data-language-local-name="Urdu" class="interlanguage-link-target">اردو</a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/B%E1%BB%87nh_m%C3%A3n_t%C3%ADnh" title="Bệnh mãn tính – Vietnamese" lang="vi" hreflang="vi" data-title="Bệnh mãn tính" data-language-autonym="Tiếng Việt" data-language-local-name="Vietnamese" class="interlanguage-link-target">Tiếng Việt</a></li><li class="interlanguage-link interwiki-yi mw-list-item"><a href="https://yi.wikipedia.org/wiki/%D7%9B%D7%A8%D7%90%D7%A0%D7%99%D7%A9" title="כראניש – Yiddish" lang="yi" hreflang="yi" data-title="כראניש" data-language-autonym="ייִדיש" data-language-local-name="Yiddish" class="interlanguage-link-target">ייִדיש</a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E6%85%A2%E6%80%A7%E7%97%85" title="慢性病 – Chinese" lang="zh" hreflang="zh" data-title="慢性病" data-language-autonym="中文" data-language-local-name="Chinese" class="interlanguage-link-target">中文</a></li></ul> </section> </div> <div class="minerva-footer-logo"><img src="/static/images/mobile/copyright/wikipedia-wordmark-en.svg" alt="Wikipedia" width="120" height="18" style="width: 7.5em; height: 1.125em;"/> </div> <ul id="footer-info" class="footer-info hlist hlist-separated"> <li id="footer-info-lastmod"> This page was last edited on 25 November 2024, at 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