{"id":306,"date":"2021-03-22T17:24:25","date_gmt":"2021-03-22T17:24:25","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/?post_type=chapter&#038;p=306"},"modified":"2021-03-31T16:44:16","modified_gmt":"2021-03-31T16:44:16","slug":"chronic-condition","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/chapter\/chronic-condition\/","title":{"raw":"Chronic condition","rendered":"Chronic condition"},"content":{"raw":"A\u00a0<b>chronic condition<\/b>\u00a0is a\u00a0<a title=\"Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health\">human health<\/a>\u00a0condition or\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">disease<\/a>\u00a0that is persistent or otherwise long-lasting in\u00a0<a title=\"Natural history of disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Natural_history_of_disease\">its effects<\/a>\u00a0or a disease that comes with time. The term\u00a0<i>chronic<\/i>\u00a0is often applied when the\u00a0<a title=\"Course (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Course_(medicine)\">course<\/a>\u00a0of the disease lasts for more than three months. Common chronic diseases include\u00a0<a title=\"Arthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Arthritis\">arthritis<\/a>,\u00a0<a title=\"Asthma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Asthma\">asthma<\/a>,\u00a0<a title=\"Cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer\">cancer<\/a>,\u00a0<a title=\"Chronic obstructive pulmonary disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_obstructive_pulmonary_disease\">chronic obstructive pulmonary disease<\/a>,\u00a0<a title=\"Diabetes\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes\">diabetes<\/a>,\u00a0<a title=\"Lyme disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Lyme_disease\">Lyme disease<\/a>,<a class=\"mw-redirect\" title=\"Autoimmune diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Autoimmune_diseases\">autoimmune diseases<\/a>,<a class=\"mw-redirect\" title=\"Genetic disorders\" href=\"https:\/\/en.wikipedia.org\/wiki\/Genetic_disorders\">genetic disorders<\/a>\u00a0and some\u00a0<a class=\"mw-redirect\" title=\"Viral diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Viral_diseases\">viral diseases<\/a>\u00a0such as\u00a0<a title=\"Hepatitis C\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hepatitis_C\">hepatitis C<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"Acquired immunodeficiency syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Acquired_immunodeficiency_syndrome\">acquired immunodeficiency syndrome<\/a>. An illness which is lifelong because it ends in death is a\u00a0<a title=\"Terminal illness\" href=\"https:\/\/en.wikipedia.org\/wiki\/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.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-1\">[1]<\/a><\/sup>\r\n\r\nIn\u00a0<a title=\"Medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medicine\">medicine<\/a>, a chronic condition can be distinguished from one that is\u00a0<a title=\"Acute (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Acute_(medicine)\">acute<\/a>. An acute condition 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.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-2\">[2]<\/a><\/sup>\r\n\r\nChronic conditions may have periods of\u00a0<a title=\"Remission (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Remission_(medicine)\">remission<\/a>\u00a0or\u00a0<a title=\"Relapse\" href=\"https:\/\/en.wikipedia.org\/wiki\/Relapse\">relapse<\/a>\u00a0where 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.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-3\">[3]<\/a><\/sup>\r\n\r\nChronic conditions are often associated with\u00a0<a title=\"Non-communicable disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-communicable_disease\">non-communicable diseases<\/a>\u00a0which are distinguished by their\u00a0<a class=\"mw-redirect\" title=\"Non-infectious disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-infectious_disease\">non-infectious<\/a>\u00a0causes. Some chronic conditions though, are caused by transmissible infections such as HIV\/AIDS.\r\n\r\n63% of all death's worldwide are from chronic conditions.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-4\">[4]<\/a><\/sup>\u00a0Chronic\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">diseases<\/a>\u00a0constitute a major cause of\u00a0<a title=\"Mortality rate\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mortality_rate\">mortality<\/a>, and the\u00a0<a title=\"World Health Organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/World_Health_Organization\">World Health Organization<\/a>\u00a0(WHO) attributes 38 million deaths a year to non-communicable diseases.<sup id=\"cite_ref-WHO_NCD_factsheet_5-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-WHO_NCD_factsheet-5\">[5]<\/a><\/sup>\u00a0In the United States approximately 40% of adults have at least two chronic conditions.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-6\">[6]<\/a><\/sup><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-7\">[7]<\/a><\/sup>\r\n\r\n&nbsp;\r\n<h2><span id=\"Types\" class=\"mw-headline\">Types<\/span><\/h2>\r\nChronic 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.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-8\">[8]<\/a><\/sup>\r\n\r\nFor example, high blood pressure or\u00a0<a title=\"Hypertension\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypertension\">hypertension<\/a>\u00a0is considered to be not only a chronic condition itself but also correlated to diseases such as\u00a0<a title=\"Myocardial infarction\" href=\"https:\/\/en.wikipedia.org\/wiki\/Myocardial_infarction\">heart attack<\/a>\u00a0or\u00a0<a title=\"Stroke\" href=\"https:\/\/en.wikipedia.org\/wiki\/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\u00a0<a title=\"Chronic poverty\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_poverty\">chronic poverty<\/a>.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-9\">[9]<\/a><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-10\">[10]<\/a><\/sup>\r\n\r\nResearchers, particularly those studying the United States, utilize the\u00a0<a title=\"Healthcare Cost and Utilization Project\" href=\"https:\/\/en.wikipedia.org\/wiki\/Healthcare_Cost_and_Utilization_Project#Chronic_Condition_Indicator\">Chronic Condition Indicator<\/a>\u00a0(CCI) which maps\u00a0<a class=\"mw-redirect\" title=\"International Statistical Classification of Diseases and Related Health Problems\" href=\"https:\/\/en.wikipedia.org\/wiki\/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems\">ICD<\/a>\u00a0codes as \"chronic\" or non-chronic\".<sup id=\"cite_ref-RobertWood_11-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-RobertWood-11\">[11]<\/a><\/sup>\r\n\r\nThe list below includes these chronic conditions and diseases:\r\n\r\nIn 2015 the World Health Organization produced a report on non-communicable diseases, citing the four major types as:<sup id=\"cite_ref-WHO_NCD_12-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-WHO_NCD-12\">[12]<\/a><\/sup>\r\n<ul>\r\n \t<li><a title=\"Cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer\">Cancers<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Cardiovascular diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cardiovascular_diseases\">Cardiovascular diseases<\/a>, including\u00a0<a title=\"Cerebrovascular disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cerebrovascular_disease\">cerebrovascular disease<\/a>,\u00a0<a title=\"Heart failure\" href=\"https:\/\/en.wikipedia.org\/wiki\/Heart_failure\">heart failure<\/a>, and\u00a0<a class=\"mw-redirect\" title=\"Ischemic cardiopathy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ischemic_cardiopathy\">ischemic cardiopathy<\/a><\/li>\r\n \t<li>Chronic respiratory diseases, such as\u00a0<a title=\"Asthma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Asthma\">asthma<\/a>\u00a0and\u00a0<a title=\"Chronic obstructive pulmonary disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_obstructive_pulmonary_disease\">chronic obstructive pulmonary disease<\/a>\u00a0(COPD)<\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Diabetes mellitus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes_mellitus\">Diabetes mellitus<\/a>\u00a0(<a class=\"mw-redirect\" title=\"Diabetes mellitus type 1\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes_mellitus_type_1\">type 1<\/a>,\u00a0<a class=\"mw-redirect\" title=\"Diabetes mellitus type 2\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes_mellitus_type_2\">type 2<\/a>,\u00a0<a title=\"Prediabetes\" href=\"https:\/\/en.wikipedia.org\/wiki\/Prediabetes\">pre-diabetes<\/a>,\u00a0<a title=\"Gestational diabetes\" href=\"https:\/\/en.wikipedia.org\/wiki\/Gestational_diabetes\">gestational diabetes<\/a>)<\/li>\r\n<\/ul>\r\nOther examples of chronic diseases and health conditions include:\r\n<ul>\r\n \t<li><a title=\"Alzheimer's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alzheimer%27s_disease\">Alzheimer's disease<\/a><\/li>\r\n \t<li><a title=\"Atrial fibrillation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Atrial_fibrillation\">Atrial fibrillation<\/a><\/li>\r\n \t<li><a title=\"Attention deficit hyperactivity disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Attention_deficit_hyperactivity_disorder\">Attention deficit hyperactivity disorder<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Autoimmune diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Autoimmune_diseases\">Autoimmune diseases<\/a>, such as\u00a0<a title=\"Ulcerative colitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ulcerative_colitis\">ulcerative colitis<\/a>,\u00a0<a title=\"Lupus erythematosus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Lupus_erythematosus\">lupus erythematosus<\/a>,\u00a0<a title=\"Crohn's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Crohn%27s_disease\">Crohn's disease<\/a>,\u00a0<a title=\"Coeliac disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Coeliac_disease\">coeliac disease<\/a>,\u00a0<a title=\"Hashimoto's thyroiditis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hashimoto%27s_thyroiditis\">Hashimoto's thyroiditis<\/a>, and\u00a0<a title=\"Relapsing polychondritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Relapsing_polychondritis\">relapsing polychondritis<\/a><\/li>\r\n \t<li><a title=\"Autism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Autism\">Autism<\/a>\u00a0or\u00a0<a class=\"mw-redirect\" title=\"Asperger's Syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Asperger%27s_Syndrome\">Asperger's Syndrome<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Blindness\" href=\"https:\/\/en.wikipedia.org\/wiki\/Blindness\">Blindness<\/a><\/li>\r\n \t<li><a title=\"Cerebral palsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cerebral_palsy\">Cerebral palsy<\/a>\u00a0(all types)<\/li>\r\n \t<li>Chronic\u00a0<a title=\"Graft-versus-host disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Graft-versus-host_disease\">graft-versus-host disease<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Chronic hepatitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_hepatitis\">Chronic hepatitis<\/a><\/li>\r\n \t<li><a title=\"Chronic kidney disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_kidney_disease\">Chronic kidney disease<\/a><\/li>\r\n \t<li>Chronic osteoarticular diseases, such as\u00a0<a title=\"Osteoarthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Osteoarthritis\">osteoarthritis<\/a>\u00a0and\u00a0<a title=\"Rheumatoid arthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Rheumatoid_arthritis\">rheumatoid arthritis<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Chronic pain syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_pain_syndrome\">Chronic pain syndromes<\/a>, such as\u00a0<a title=\"Post-vasectomy pain syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Post-vasectomy_pain_syndrome\">post-vasectomy pain syndrome<\/a>\u00a0and\u00a0<a title=\"Complex regional pain syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Complex_regional_pain_syndrome\">complex regional pain syndrome<\/a><\/li>\r\n \t<li>Dermatological conditions such as\u00a0<a title=\"Atopic dermatitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Atopic_dermatitis\">atopic dermatitis<\/a>\u00a0and\u00a0<a title=\"Psoriasis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Psoriasis\">psoriasis<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Hearing impairment\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hearing_impairment\">Deafness and hearing impairment<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Ehlers\u2013Danlos syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ehlers%E2%80%93Danlos_syndrome\">Ehlers\u2013Danlos syndrome<\/a>\u00a0(various types)<\/li>\r\n \t<li><a title=\"Endometriosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Endometriosis\">Endometriosis<\/a><\/li>\r\n \t<li><a title=\"Epilepsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Epilepsy\">Epilepsy<\/a><\/li>\r\n \t<li><a title=\"Fetal alcohol spectrum disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fetal_alcohol_spectrum_disorder\">Fetal alcohol spectrum disorder<\/a><\/li>\r\n \t<li><a title=\"Fibromyalgia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fibromyalgia\">Fibromyalgia<\/a><\/li>\r\n \t<li><a title=\"HIV\/AIDS\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\/AIDS\">HIV\/AIDS<\/a><\/li>\r\n \t<li><a title=\"Hereditary spherocytosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hereditary_spherocytosis\">Hereditary spherocytosis<\/a><\/li>\r\n \t<li><a title=\"Huntington's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Huntington%27s_disease\">Huntington's disease<\/a><\/li>\r\n \t<li><a title=\"Hypertension\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypertension\">Hypertension<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Lyme Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Lyme_Disease\">Lyme Disease<\/a><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-13\">[13]<\/a><\/sup><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Mental illness\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mental_illness\">Mental illness<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Migraines\" href=\"https:\/\/en.wikipedia.org\/wiki\/Migraines\">Migraines<\/a><\/li>\r\n \t<li><a title=\"Multiple sclerosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Multiple_sclerosis\">Multiple sclerosis<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Myalgic encephalomyelitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Myalgic_encephalomyelitis\">Myalgic encephalomyelitis<\/a>\u00a0(<abbr title=\"also known as\">a.k.a.<\/abbr>\u00a0chronic fatigue syndrome)<\/li>\r\n \t<li><a title=\"Narcolepsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Narcolepsy\">Narcolepsy<\/a><\/li>\r\n \t<li><a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">Obesity<\/a><\/li>\r\n \t<li><a title=\"Osteoporosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Osteoporosis\">Osteoporosis<\/a><\/li>\r\n \t<li><a title=\"Parkinson's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Parkinson%27s_disease\">Parkinson's disease<\/a><\/li>\r\n \t<li><a title=\"Periodontal disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Periodontal_disease\">Periodontal disease<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Polycystic Ovarian Syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Polycystic_Ovarian_Syndrome\">Polycystic Ovarian Syndrome<\/a><\/li>\r\n \t<li><a title=\"Postural orthostatic tachycardia syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Postural_orthostatic_tachycardia_syndrome\">Postural orthostatic tachycardia syndrome<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Sickle cell anemia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sickle_cell_anemia\">Sickle cell anemia<\/a>\u00a0and other hemoglobin disorders<\/li>\r\n \t<li><a title=\"Substance use disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Substance_use_disorder\">Substance Abuse Disorders<\/a><\/li>\r\n \t<li><a title=\"Sleep apnea\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sleep_apnea\">Sleep apnea<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Tick-borne illness\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tick-borne_illness\">Tick-borne illness<\/a>\u00a0<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-14\">[14]<\/a><\/sup><\/li>\r\n \t<li><a title=\"Thyroid disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Thyroid_disease\">Thyroid disease<\/a><\/li>\r\n \t<li><a title=\"Tuberculosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tuberculosis\">Tuberculosis<\/a><\/li>\r\n<\/ul>\r\n<h2><span id=\"Risk_factors\" class=\"mw-headline\">Risk factors<\/span><\/h2>\r\n<table class=\"box-Globalize plainlinks metadata ambox ambox-content ambox-globalize\" role=\"presentation\">\r\n<tbody>\r\n<tr>\r\n<td class=\"mbox-image\">\r\n<div><img src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/b\/bd\/Ambox_globe_content.svg\/48px-Ambox_globe_content.svg.png\" alt=\"Globe icon.\" width=\"48\" height=\"40\" \/><\/div><\/td>\r\n<td class=\"mbox-text\">\r\n<div class=\"mbox-text-span\">The examples and perspective in this section\u00a0<b>may not represent a\u00a0<a title=\"Wikipedia:WikiProject Countering systemic bias\" href=\"https:\/\/en.wikipedia.org\/wiki\/Wikipedia:WikiProject_Countering_systemic_bias\">worldwide view<\/a>\u00a0of the subject<\/b>.<span class=\"hide-when-compact\">\u00a0<\/span><\/div><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\nWhile risk factors vary with age and gender, most of the common chronic diseases in the US are caused by dietary, lifestyle and metabolic risk factors that are also responsible for the resulting mortality.<sup id=\"cite_ref-pmid19399161_15-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid19399161-15\">[15]<\/a><\/sup>\u00a0Therefore, these conditions might be prevented by\u00a0<a title=\"Behavior change (public health)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Behavior_change_(public_health)\">behavioral changes<\/a>, such as quitting smoking, adopting a healthy diet, and increasing physical activity.\u00a0<a title=\"Social determinants of health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_determinants_of_health\">Social determinants<\/a>\u00a0are important risk factors for chronic diseases.<sup id=\"cite_ref-Braveman_16-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Braveman-16\">[16]<\/a><\/sup>\u00a0<a title=\"Inequality in disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Inequality_in_disease\">Social factors<\/a>, e.g., socioeconomic status, education level, and race\/ethnicity, are a major cause for the\u00a0<a title=\"Health equity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_equity\">disparities<\/a>\u00a0observed in the care of chronic disease.<sup id=\"cite_ref-Braveman_16-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Braveman-16\">[16]<\/a><\/sup>\u00a0Lack of access and delay in receiving care result in worse outcomes for patients from minorities and underserved populations.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-17\">[17]<\/a><\/sup>\u00a0Those barriers to medical care complicate patients monitoring and continuity in treatment.\r\n\r\nIn the US,\u00a0<a title=\"Minority group\" href=\"https:\/\/en.wikipedia.org\/wiki\/Minority_group\">Minorities<\/a>\u00a0and low-income populations are less likely to access and receive preventive services necessary to detect conditions at an early stage.<sup id=\"cite_ref-Sondik_18-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Sondik-18\">[18]<\/a><\/sup>\r\n\r\nThe majority of US health care and economic costs associated with medical conditions are for the costs of 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 chronic medical conditions (CDC, 2014).\r\n\r\nThere 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.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-19\">[19]<\/a><\/sup>\u00a0Compared to their healthy peers, children with chronic illness have about a twofold increase in psychiatric disorders.<sup id=\"cite_ref-20\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-20\">[20]<\/a><\/sup>\u00a0Higher parental depression and other family stressors predicted more problems among patients.<sup id=\"cite_ref-Daniels_295\u2013308_21-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Daniels_295%E2%80%93308-21\">[21]<\/a><\/sup>\u00a0In 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.<sup id=\"cite_ref-Daniels_295\u2013308_21-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Daniels_295%E2%80%93308-21\">[21]<\/a><\/sup>\r\n<h2><span id=\"Prevention\" class=\"mw-headline\">Prevention<\/span><\/h2>\r\nA growing body of\u00a0<a title=\"Evidence-based medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Evidence-based_medicine\">evidence<\/a>\u00a0supports that\u00a0<a class=\"mw-redirect\" title=\"Preventive medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Preventive_medicine\">prevention<\/a>\u00a0is effective in reducing the effect of chronic conditions; in particular, early detection results in less severe outcomes. Clinical preventive services include\u00a0<a title=\"Screening (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)\">screening<\/a>\u00a0for the existence of the disease or\u00a0<a title=\"Genetic predisposition\" href=\"https:\/\/en.wikipedia.org\/wiki\/Genetic_predisposition\">predisposition<\/a>\u00a0to 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.<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-22\">[22]<\/a><\/sup>\r\n\r\nTherefore,\u00a0<a title=\"Public health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health\">public health<\/a>\u00a0programs are important in\u00a0<a title=\"Health education\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_education\">educating<\/a>\u00a0the 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\u00a0<a title=\"Community health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Community_health\">community-based<\/a>\u00a0organizations.<sup id=\"cite_ref-pmid10158617_23-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid10158617-23\">[23]<\/a><\/sup>\r\n\r\nStudies 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.<sup id=\"cite_ref-pmid21778174_24-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid21778174-24\">[24]<\/a><\/sup>\u00a0For example, results from different approaches in cancer prevention and screening depended highly on the type of cancer.<sup id=\"cite_ref-pmid19768842_25-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid19768842-25\">[25]<\/a><\/sup>\u00a0The rising number of patient with chronic diseases has renewed the interest in prevention and its potential role in helping control costs. In 2008, the\u00a0<a title=\"Trust for America's Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Trust_for_America%27s_Health\">Trust for America's Health<\/a>\u00a0produced 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.<sup id=\"cite_ref-26\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-26\">[26]<\/a><\/sup>\r\n\r\nIt 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.<sup id=\"cite_ref-27\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-27\">[27]<\/a><\/sup>\u00a0Encouraging those with chronic conditions to continue with their outpatient (<a title=\"Ambulatory care\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ambulatory_care\">ambulatory<\/a>) medical care and attend scheduled medical appointments may help improve outcomes and reduce medical costs due to missed appointments.<sup id=\"cite_ref-:0_28-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-:0-28\">[28]<\/a><\/sup>\u00a0Finding 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.<sup id=\"cite_ref-:0_28-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-:0-28\">[28]<\/a><\/sup>\r\n<h2><span id=\"Nursing\" class=\"mw-headline\">Nursing<\/span><\/h2>\r\nNursing can play an important role in assisting patients with chronic diseases achieve longevity and experience wellness.<sup id=\"cite_ref-29\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-29\">[29]<\/a><\/sup>\u00a0Scholars point out that the current neoliberal era emphasizes self-care, in both affluent and low-income communities.<sup id=\"cite_ref-Wilkinson_2009_30-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Wilkinson_2009-30\">[30]<\/a><\/sup>\u00a0This 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.<sup id=\"cite_ref-Wilkinson_2009_30-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Wilkinson_2009-30\">[30]<\/a><\/sup>\r\n\r\nA 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.<sup id=\"cite_ref-Mamo_2007_31-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Mamo_2007-31\">[31]<\/a><\/sup>\u00a0They led their health centers manned 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.<sup id=\"cite_ref-Mamo_2007_31-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Mamo_2007-31\">[31]<\/a><\/sup>\u00a0The program shows that community-based care and education, primarily driven by nurses and health officers, works.<sup id=\"cite_ref-Mamo_2007_31-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Mamo_2007-31\">[31]<\/a><\/sup>\u00a0It 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.\r\n<h2><span id=\"Epidemiology\" class=\"mw-headline\">Epidemiology<\/span><\/h2>\r\nThe 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\u00a0<a class=\"mw-redirect\" title=\"Antiretroviral\" href=\"https:\/\/en.wikipedia.org\/wiki\/Antiretroviral\">anti-retroviral<\/a>\u00a0therapies means that many patients will experience this infection as a chronic disease that for many will span several decades of their chronic life.<sup id=\"cite_ref-32\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-32\">[32]<\/a><\/sup>\r\n\r\nSome 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.<sup id=\"cite_ref-33\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-33\">[33]<\/a><\/sup>\u00a0Other 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.<sup id=\"cite_ref-Lowry_1996_34-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Lowry_1996-34\">[34]<\/a><\/sup>\r\n\r\nThe epidemiology of communicable chronic diseases such as AIDS is also different than 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.<sup id=\"cite_ref-35\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-35\">[35]<\/a><\/sup>\r\n<h3><span id=\"United_States\" class=\"mw-headline\">United States<\/span><\/h3>\r\nAs 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.<sup id=\"cite_ref-36\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-36\">[36]<\/a><\/sup>\r\n\r\nIn 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.<sup id=\"cite_ref-RobertWood_11-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-RobertWood-11\">[11]<\/a><\/sup>\u00a0The number is projected to increase by more than one percent per year by 2030, resulting in an estimated chronically ill population of 171 million.<sup id=\"cite_ref-RobertWood_11-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-RobertWood-11\">[11]<\/a><\/sup>\u00a0The most common chronic conditions are\u00a0<a title=\"Hypertension\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypertension\">high blood pressure<\/a>,\u00a0<a title=\"Arthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Arthritis\">arthritis<\/a>, respiratory diseases like\u00a0<a class=\"mw-redirect\" title=\"Emphysema\" href=\"https:\/\/en.wikipedia.org\/wiki\/Emphysema\">emphysema<\/a>, and\u00a0<a title=\"Hypercholesterolemia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypercholesterolemia\">high cholesterol<\/a>.\r\n\r\nBased on data from 2014\u00a0<a title=\"Medical Expenditure Panel Survey\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_Expenditure_Panel_Survey\">Medical Expenditure Panel Survey<\/a>\u00a0(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.<sup id=\"cite_ref-37\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-37\">[37]<\/a><\/sup>\u00a0MEPS data from 1998 showed 45% of adult Americans had at least one chronic illness, and 21% had more than one.<sup id=\"cite_ref-38\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-38\">[38]<\/a><\/sup>\r\n\r\nAccording to research by the\u00a0<a title=\"Centers for Disease Control and Prevention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Centers_for_Disease_Control_and_Prevention\">CDC<\/a>, chronic disease is also especially a concern in the elderly population 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.<sup id=\"cite_ref-cdc.gov_39-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup>\u00a0It 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.<sup id=\"cite_ref-cdc.gov_39-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup>\u00a0The 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.<sup id=\"cite_ref-40\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-40\">[40]<\/a><\/sup>\r\n\r\nIn 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.<sup id=\"cite_ref-cdc.gov_39-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup>\u00a0Though 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.<sup id=\"cite_ref-cdc.gov_39-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup>\r\n\r\nChronic 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 6 of the top ten causes of mortality in the general US population.<sup id=\"cite_ref-41\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-41\">[41]<\/a><\/sup>\r\n<h2><span id=\"Economic_impact\" class=\"mw-headline\">Economic impact<\/span><\/h2>\r\n<table class=\"box-Globalize plainlinks metadata ambox ambox-content ambox-globalize\" role=\"presentation\">\r\n<tbody>\r\n<tr>\r\n<td class=\"mbox-image\">\r\n<div><img src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/b\/bd\/Ambox_globe_content.svg\/48px-Ambox_globe_content.svg.png\" alt=\"Globe icon.\" width=\"48\" height=\"40\" \/><\/div><\/td>\r\n<td class=\"mbox-text\">\r\n<div class=\"mbox-text-span\">The examples and perspective in this section\u00a0<b>may not represent a\u00a0<a title=\"Wikipedia:WikiProject Countering systemic bias\" href=\"https:\/\/en.wikipedia.org\/wiki\/Wikipedia:WikiProject_Countering_systemic_bias\">worldwide view<\/a>\u00a0of the subject<\/b>.<\/div><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3><span id=\"United_States_2\" class=\"mw-headline\">United States<\/span><\/h3>\r\nChronic diseases are a major factor in the continuous growth of medical care spending.<sup id=\"cite_ref-pmid19240056_42-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid19240056-42\">[42]<\/a><\/sup>\u00a0In 2002, 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.<sup id=\"cite_ref-43\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-43\">[43]<\/a><\/sup>\u00a0Healthy People 2010 reported that more than 75% of the $2 trillion spent annually in US medical care are due to chronic conditions; spending are even higher in proportion for Medicare beneficiaries (aged 65 years and older).<sup id=\"cite_ref-Sondik_18-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Sondik-18\">[18]<\/a><\/sup>\u00a0Furthermore, in 2017 it was estimated that 90% of the $3.3 billion dollars spent on healthcare in the United States was due to the treatment of chronic diseases ad conditions.<sup id=\"cite_ref-44\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-44\">[44]<\/a><\/sup><sup id=\"cite_ref-45\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-45\">[45]<\/a><\/sup>\u00a0Spending 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 life spans of patients with chronic diseases but results in additional costs over long period of time. A striking success is the development of combined\u00a0<a class=\"mw-redirect\" title=\"Antiviral drugs\" href=\"https:\/\/en.wikipedia.org\/wiki\/Antiviral_drugs\">antiviral therapies<\/a>\u00a0that led to remarkable improvement in survival rates and quality of life of\u00a0<a title=\"HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\">HIV<\/a>-infected patients.\r\n\r\nIn 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\u00a0<a title=\"Obesity in the United States\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity_in_the_United_States\">obesity<\/a>\u00a0in all segments of the US population.<sup id=\"cite_ref-Sondik_18-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Sondik-18\">[18]<\/a><\/sup>\u00a0<a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">Obesity<\/a>\u00a0itself 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.<sup id=\"cite_ref-46\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-46\">[46]<\/a><\/sup>\r\n<h2><span id=\"Social_and_personal_impact\" class=\"mw-headline\">Social and personal impact<\/span><\/h2>\r\nThere have been recent links between social factors and prevalence as well as outcome of chronic conditions.\r\n<h3><span id=\"Mental_health\" class=\"mw-headline\">Mental health<\/span><\/h3>\r\nSpecifically, the connection between loneliness and health and chronic condition has recently been highlighted. Some studies have shown that loneliness has detrimental health effects similar to that of smoking and obesity.<sup id=\"cite_ref-47\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-47\">[47]<\/a><\/sup>\u00a0One 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.<sup id=\"cite_ref-48\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-48\">[48]<\/a><\/sup>\u00a0The 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.<sup id=\"cite_ref-Theeke_387\u2013396_49-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Theeke_387%E2%80%93396-49\">[49]<\/a><\/sup>\u00a0Some 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.<sup id=\"cite_ref-Theeke_387\u2013396_49-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Theeke_387%E2%80%93396-49\">[49]<\/a><\/sup>\u00a0There 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 \u201cpatient's personality, family, culture, and health dynamics.\u201d<sup id=\"cite_ref-50\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-50\">[50]<\/a><\/sup>\u00a0Physicians 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<sup id=\"cite_ref-51\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-51\">[51]<\/a><\/sup>\u00a0or psychological types of support for patients.<sup id=\"cite_ref-52\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-52\">[52]<\/a><\/sup>\r\n\r\nThe mental toll of chronic illness 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.<sup id=\"cite_ref-53\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-53\">[53]<\/a><\/sup>\u00a0The emotional influence of chronic illness also has an effect on the intellectual and educational development of the individual.<sup id=\"cite_ref-54\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-54\">[54]<\/a><\/sup>\u00a0For 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.<sup id=\"cite_ref-55\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-55\">[55]<\/a><\/sup>\r\n<h3><span id=\"Financial_cost\" class=\"mw-headline\">Financial cost<\/span><\/h3>\r\nPeople with chronic conditions pay more out-of-pocket; a study of the United States found that people spent $2,243 more on average.<sup id=\"cite_ref-56\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-56\">[56]<\/a><\/sup>\u00a0The financial burden can increase medication non-adherence.<sup id=\"cite_ref-57\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-57\">[57]<\/a><\/sup>\r\n\r\nIn 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.<sup id=\"cite_ref-58\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-58\">[58]<\/a><\/sup>\r\n<h3><span id=\"Gender\" class=\"mw-headline\">Gender<\/span><\/h3>\r\nGender 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 \u201chalf of a woman\u201d 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.<sup id=\"cite_ref-59\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-59\">[59]<\/a><\/sup>\r\n<h3><span id=\"Socioeconomic_class_and_race\" class=\"mw-headline\">Socioeconomic class and race<\/span><\/h3>\r\nRace is also allegedly implicated 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.<sup id=\"cite_ref-60\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-60\">[60]<\/a><\/sup>\u00a0Some of this prevalence has been suggested to be in part from\u00a0<a title=\"Environmental racism\" href=\"https:\/\/en.wikipedia.org\/wiki\/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.<sup id=\"cite_ref-61\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-61\">[61]<\/a><\/sup>\u00a0There 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.<sup id=\"cite_ref-pmid12791488_62-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid12791488-62\">[62]<\/a><\/sup><sup id=\"cite_ref-63\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-63\">[63]<\/a><\/sup>\r\n<h2><span id=\"Advocacy_and_research_organizations\" class=\"mw-headline\">Advocacy and research organizations<\/span><\/h2>\r\nIn Europe, the European Chronic Disease Alliance was formed in 2011, which represents over 100,000 healthcare workers.<sup id=\"cite_ref-64\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-64\">[64]<\/a><\/sup>\r\n\r\nIn the United States, there are a number of nonprofits focused on chronic conditions, including entities focused on specific diseases such as the\u00a0<a title=\"American Diabetes Association\" href=\"https:\/\/en.wikipedia.org\/wiki\/American_Diabetes_Association\">American Diabetes Association<\/a>,\u00a0<a title=\"Alzheimer's Association\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alzheimer%27s_Association\">Alzheimer's Association<\/a>, or\u00a0<a title=\"Crohn's &amp; Colitis Foundation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Crohn%27s_%26_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,\u00a0<a class=\"external text\" href=\"https:\/\/www.fightchronicdisease.org\/\" rel=\"nofollow\">Partnership to FIght Chronic Disease<\/a>, the Chronic Disease Coalition which arose in Oregon in 2015,<sup id=\"cite_ref-65\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-65\">[65]<\/a><\/sup>\u00a0and the Chronic Policy Care Alliance.<sup id=\"cite_ref-66\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-66\">[66]<\/a><\/sup>","rendered":"<p>A\u00a0<b>chronic condition<\/b>\u00a0is a\u00a0<a title=\"Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health\">human health<\/a>\u00a0condition or\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">disease<\/a>\u00a0that is persistent or otherwise long-lasting in\u00a0<a title=\"Natural history of disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Natural_history_of_disease\">its effects<\/a>\u00a0or a disease that comes with time. The term\u00a0<i>chronic<\/i>\u00a0is often applied when the\u00a0<a title=\"Course (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Course_(medicine)\">course<\/a>\u00a0of the disease lasts for more than three months. Common chronic diseases include\u00a0<a title=\"Arthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Arthritis\">arthritis<\/a>,\u00a0<a title=\"Asthma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Asthma\">asthma<\/a>,\u00a0<a title=\"Cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer\">cancer<\/a>,\u00a0<a title=\"Chronic obstructive pulmonary disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_obstructive_pulmonary_disease\">chronic obstructive pulmonary disease<\/a>,\u00a0<a title=\"Diabetes\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes\">diabetes<\/a>,\u00a0<a title=\"Lyme disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Lyme_disease\">Lyme disease<\/a>,<a class=\"mw-redirect\" title=\"Autoimmune diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Autoimmune_diseases\">autoimmune diseases<\/a>,<a class=\"mw-redirect\" title=\"Genetic disorders\" href=\"https:\/\/en.wikipedia.org\/wiki\/Genetic_disorders\">genetic disorders<\/a>\u00a0and some\u00a0<a class=\"mw-redirect\" title=\"Viral diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Viral_diseases\">viral diseases<\/a>\u00a0such as\u00a0<a title=\"Hepatitis C\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hepatitis_C\">hepatitis C<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"Acquired immunodeficiency syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Acquired_immunodeficiency_syndrome\">acquired immunodeficiency syndrome<\/a>. An illness which is lifelong because it ends in death is a\u00a0<a title=\"Terminal illness\" href=\"https:\/\/en.wikipedia.org\/wiki\/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.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-1\">[1]<\/a><\/sup><\/p>\n<p>In\u00a0<a title=\"Medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medicine\">medicine<\/a>, a chronic condition can be distinguished from one that is\u00a0<a title=\"Acute (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Acute_(medicine)\">acute<\/a>. An acute condition 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.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-2\">[2]<\/a><\/sup><\/p>\n<p>Chronic conditions may have periods of\u00a0<a title=\"Remission (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Remission_(medicine)\">remission<\/a>\u00a0or\u00a0<a title=\"Relapse\" href=\"https:\/\/en.wikipedia.org\/wiki\/Relapse\">relapse<\/a>\u00a0where 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.<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-3\">[3]<\/a><\/sup><\/p>\n<p>Chronic conditions are often associated with\u00a0<a title=\"Non-communicable disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-communicable_disease\">non-communicable diseases<\/a>\u00a0which are distinguished by their\u00a0<a class=\"mw-redirect\" title=\"Non-infectious disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-infectious_disease\">non-infectious<\/a>\u00a0causes. Some chronic conditions though, are caused by transmissible infections such as HIV\/AIDS.<\/p>\n<p>63% of all death&#8217;s worldwide are from chronic conditions.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-4\">[4]<\/a><\/sup>\u00a0Chronic\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">diseases<\/a>\u00a0constitute a major cause of\u00a0<a title=\"Mortality rate\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mortality_rate\">mortality<\/a>, and the\u00a0<a title=\"World Health Organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/World_Health_Organization\">World Health Organization<\/a>\u00a0(WHO) attributes 38 million deaths a year to non-communicable diseases.<sup id=\"cite_ref-WHO_NCD_factsheet_5-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-WHO_NCD_factsheet-5\">[5]<\/a><\/sup>\u00a0In the United States approximately 40% of adults have at least two chronic conditions.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-6\">[6]<\/a><\/sup><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-7\">[7]<\/a><\/sup><\/p>\n<p>&nbsp;<\/p>\n<h2><span id=\"Types\" class=\"mw-headline\">Types<\/span><\/h2>\n<p>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.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-8\">[8]<\/a><\/sup><\/p>\n<p>For example, high blood pressure or\u00a0<a title=\"Hypertension\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypertension\">hypertension<\/a>\u00a0is considered to be not only a chronic condition itself but also correlated to diseases such as\u00a0<a title=\"Myocardial infarction\" href=\"https:\/\/en.wikipedia.org\/wiki\/Myocardial_infarction\">heart attack<\/a>\u00a0or\u00a0<a title=\"Stroke\" href=\"https:\/\/en.wikipedia.org\/wiki\/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\u00a0<a title=\"Chronic poverty\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_poverty\">chronic poverty<\/a>.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-9\">[9]<\/a><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-10\">[10]<\/a><\/sup><\/p>\n<p>Researchers, particularly those studying the United States, utilize the\u00a0<a title=\"Healthcare Cost and Utilization Project\" href=\"https:\/\/en.wikipedia.org\/wiki\/Healthcare_Cost_and_Utilization_Project#Chronic_Condition_Indicator\">Chronic Condition Indicator<\/a>\u00a0(CCI) which maps\u00a0<a class=\"mw-redirect\" title=\"International Statistical Classification of Diseases and Related Health Problems\" href=\"https:\/\/en.wikipedia.org\/wiki\/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems\">ICD<\/a>\u00a0codes as &#8220;chronic&#8221; or non-chronic&#8221;.<sup id=\"cite_ref-RobertWood_11-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-RobertWood-11\">[11]<\/a><\/sup><\/p>\n<p>The list below includes these chronic conditions and diseases:<\/p>\n<p>In 2015 the World Health Organization produced a report on non-communicable diseases, citing the four major types as:<sup id=\"cite_ref-WHO_NCD_12-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-WHO_NCD-12\">[12]<\/a><\/sup><\/p>\n<ul>\n<li><a title=\"Cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer\">Cancers<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Cardiovascular diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cardiovascular_diseases\">Cardiovascular diseases<\/a>, including\u00a0<a title=\"Cerebrovascular disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cerebrovascular_disease\">cerebrovascular disease<\/a>,\u00a0<a title=\"Heart failure\" href=\"https:\/\/en.wikipedia.org\/wiki\/Heart_failure\">heart failure<\/a>, and\u00a0<a class=\"mw-redirect\" title=\"Ischemic cardiopathy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ischemic_cardiopathy\">ischemic cardiopathy<\/a><\/li>\n<li>Chronic respiratory diseases, such as\u00a0<a title=\"Asthma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Asthma\">asthma<\/a>\u00a0and\u00a0<a title=\"Chronic obstructive pulmonary disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_obstructive_pulmonary_disease\">chronic obstructive pulmonary disease<\/a>\u00a0(COPD)<\/li>\n<li><a class=\"mw-redirect\" title=\"Diabetes mellitus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes_mellitus\">Diabetes mellitus<\/a>\u00a0(<a class=\"mw-redirect\" title=\"Diabetes mellitus type 1\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes_mellitus_type_1\">type 1<\/a>,\u00a0<a class=\"mw-redirect\" title=\"Diabetes mellitus type 2\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetes_mellitus_type_2\">type 2<\/a>,\u00a0<a title=\"Prediabetes\" href=\"https:\/\/en.wikipedia.org\/wiki\/Prediabetes\">pre-diabetes<\/a>,\u00a0<a title=\"Gestational diabetes\" href=\"https:\/\/en.wikipedia.org\/wiki\/Gestational_diabetes\">gestational diabetes<\/a>)<\/li>\n<\/ul>\n<p>Other examples of chronic diseases and health conditions include:<\/p>\n<ul>\n<li><a title=\"Alzheimer's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alzheimer%27s_disease\">Alzheimer&#8217;s disease<\/a><\/li>\n<li><a title=\"Atrial fibrillation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Atrial_fibrillation\">Atrial fibrillation<\/a><\/li>\n<li><a title=\"Attention deficit hyperactivity disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Attention_deficit_hyperactivity_disorder\">Attention deficit hyperactivity disorder<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Autoimmune diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Autoimmune_diseases\">Autoimmune diseases<\/a>, such as\u00a0<a title=\"Ulcerative colitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ulcerative_colitis\">ulcerative colitis<\/a>,\u00a0<a title=\"Lupus erythematosus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Lupus_erythematosus\">lupus erythematosus<\/a>,\u00a0<a title=\"Crohn's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Crohn%27s_disease\">Crohn&#8217;s disease<\/a>,\u00a0<a title=\"Coeliac disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Coeliac_disease\">coeliac disease<\/a>,\u00a0<a title=\"Hashimoto's thyroiditis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hashimoto%27s_thyroiditis\">Hashimoto&#8217;s thyroiditis<\/a>, and\u00a0<a title=\"Relapsing polychondritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Relapsing_polychondritis\">relapsing polychondritis<\/a><\/li>\n<li><a title=\"Autism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Autism\">Autism<\/a>\u00a0or\u00a0<a class=\"mw-redirect\" title=\"Asperger's Syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Asperger%27s_Syndrome\">Asperger&#8217;s Syndrome<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Blindness\" href=\"https:\/\/en.wikipedia.org\/wiki\/Blindness\">Blindness<\/a><\/li>\n<li><a title=\"Cerebral palsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cerebral_palsy\">Cerebral palsy<\/a>\u00a0(all types)<\/li>\n<li>Chronic\u00a0<a title=\"Graft-versus-host disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Graft-versus-host_disease\">graft-versus-host disease<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Chronic hepatitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_hepatitis\">Chronic hepatitis<\/a><\/li>\n<li><a title=\"Chronic kidney disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_kidney_disease\">Chronic kidney disease<\/a><\/li>\n<li>Chronic osteoarticular diseases, such as\u00a0<a title=\"Osteoarthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Osteoarthritis\">osteoarthritis<\/a>\u00a0and\u00a0<a title=\"Rheumatoid arthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Rheumatoid_arthritis\">rheumatoid arthritis<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Chronic pain syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_pain_syndrome\">Chronic pain syndromes<\/a>, such as\u00a0<a title=\"Post-vasectomy pain syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Post-vasectomy_pain_syndrome\">post-vasectomy pain syndrome<\/a>\u00a0and\u00a0<a title=\"Complex regional pain syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Complex_regional_pain_syndrome\">complex regional pain syndrome<\/a><\/li>\n<li>Dermatological conditions such as\u00a0<a title=\"Atopic dermatitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Atopic_dermatitis\">atopic dermatitis<\/a>\u00a0and\u00a0<a title=\"Psoriasis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Psoriasis\">psoriasis<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Hearing impairment\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hearing_impairment\">Deafness and hearing impairment<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Ehlers\u2013Danlos syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ehlers%E2%80%93Danlos_syndrome\">Ehlers\u2013Danlos syndrome<\/a>\u00a0(various types)<\/li>\n<li><a title=\"Endometriosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Endometriosis\">Endometriosis<\/a><\/li>\n<li><a title=\"Epilepsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Epilepsy\">Epilepsy<\/a><\/li>\n<li><a title=\"Fetal alcohol spectrum disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fetal_alcohol_spectrum_disorder\">Fetal alcohol spectrum disorder<\/a><\/li>\n<li><a title=\"Fibromyalgia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fibromyalgia\">Fibromyalgia<\/a><\/li>\n<li><a title=\"HIV\/AIDS\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\/AIDS\">HIV\/AIDS<\/a><\/li>\n<li><a title=\"Hereditary spherocytosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hereditary_spherocytosis\">Hereditary spherocytosis<\/a><\/li>\n<li><a title=\"Huntington's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Huntington%27s_disease\">Huntington&#8217;s disease<\/a><\/li>\n<li><a title=\"Hypertension\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypertension\">Hypertension<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Lyme Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Lyme_Disease\">Lyme Disease<\/a><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-13\">[13]<\/a><\/sup><\/li>\n<li><a class=\"mw-redirect\" title=\"Mental illness\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mental_illness\">Mental illness<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Migraines\" href=\"https:\/\/en.wikipedia.org\/wiki\/Migraines\">Migraines<\/a><\/li>\n<li><a title=\"Multiple sclerosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Multiple_sclerosis\">Multiple sclerosis<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Myalgic encephalomyelitis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Myalgic_encephalomyelitis\">Myalgic encephalomyelitis<\/a>\u00a0(<abbr title=\"also known as\">a.k.a.<\/abbr>\u00a0chronic fatigue syndrome)<\/li>\n<li><a title=\"Narcolepsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Narcolepsy\">Narcolepsy<\/a><\/li>\n<li><a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">Obesity<\/a><\/li>\n<li><a title=\"Osteoporosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Osteoporosis\">Osteoporosis<\/a><\/li>\n<li><a title=\"Parkinson's disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Parkinson%27s_disease\">Parkinson&#8217;s disease<\/a><\/li>\n<li><a title=\"Periodontal disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Periodontal_disease\">Periodontal disease<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Polycystic Ovarian Syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Polycystic_Ovarian_Syndrome\">Polycystic Ovarian Syndrome<\/a><\/li>\n<li><a title=\"Postural orthostatic tachycardia syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Postural_orthostatic_tachycardia_syndrome\">Postural orthostatic tachycardia syndrome<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Sickle cell anemia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sickle_cell_anemia\">Sickle cell anemia<\/a>\u00a0and other hemoglobin disorders<\/li>\n<li><a title=\"Substance use disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Substance_use_disorder\">Substance Abuse Disorders<\/a><\/li>\n<li><a title=\"Sleep apnea\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sleep_apnea\">Sleep apnea<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Tick-borne illness\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tick-borne_illness\">Tick-borne illness<\/a>\u00a0<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-14\">[14]<\/a><\/sup><\/li>\n<li><a title=\"Thyroid disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Thyroid_disease\">Thyroid disease<\/a><\/li>\n<li><a title=\"Tuberculosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tuberculosis\">Tuberculosis<\/a><\/li>\n<\/ul>\n<h2><span id=\"Risk_factors\" class=\"mw-headline\">Risk factors<\/span><\/h2>\n<table class=\"box-Globalize plainlinks metadata ambox ambox-content ambox-globalize\" role=\"presentation\">\n<tbody>\n<tr>\n<td class=\"mbox-image\">\n<div><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/b\/bd\/Ambox_globe_content.svg\/48px-Ambox_globe_content.svg.png\" alt=\"Globe icon.\" width=\"48\" height=\"40\" \/><\/div>\n<\/td>\n<td class=\"mbox-text\">\n<div class=\"mbox-text-span\">The examples and perspective in this section\u00a0<b>may not represent a\u00a0<a title=\"Wikipedia:WikiProject Countering systemic bias\" href=\"https:\/\/en.wikipedia.org\/wiki\/Wikipedia:WikiProject_Countering_systemic_bias\">worldwide view<\/a>\u00a0of the subject<\/b>.<span class=\"hide-when-compact\">\u00a0<\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>While risk factors vary with age and gender, most of the common chronic diseases in the US are caused by dietary, lifestyle and metabolic risk factors that are also responsible for the resulting mortality.<sup id=\"cite_ref-pmid19399161_15-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid19399161-15\">[15]<\/a><\/sup>\u00a0Therefore, these conditions might be prevented by\u00a0<a title=\"Behavior change (public health)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Behavior_change_(public_health)\">behavioral changes<\/a>, such as quitting smoking, adopting a healthy diet, and increasing physical activity.\u00a0<a title=\"Social determinants of health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_determinants_of_health\">Social determinants<\/a>\u00a0are important risk factors for chronic diseases.<sup id=\"cite_ref-Braveman_16-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Braveman-16\">[16]<\/a><\/sup>\u00a0<a title=\"Inequality in disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Inequality_in_disease\">Social factors<\/a>, e.g., socioeconomic status, education level, and race\/ethnicity, are a major cause for the\u00a0<a title=\"Health equity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_equity\">disparities<\/a>\u00a0observed in the care of chronic disease.<sup id=\"cite_ref-Braveman_16-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Braveman-16\">[16]<\/a><\/sup>\u00a0Lack of access and delay in receiving care result in worse outcomes for patients from minorities and underserved populations.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-17\">[17]<\/a><\/sup>\u00a0Those barriers to medical care complicate patients monitoring and continuity in treatment.<\/p>\n<p>In the US,\u00a0<a title=\"Minority group\" href=\"https:\/\/en.wikipedia.org\/wiki\/Minority_group\">Minorities<\/a>\u00a0and low-income populations are less likely to access and receive preventive services necessary to detect conditions at an early stage.<sup id=\"cite_ref-Sondik_18-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Sondik-18\">[18]<\/a><\/sup><\/p>\n<p>The majority of US health care and economic costs associated with medical conditions are for the costs of 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 chronic medical conditions (CDC, 2014).<\/p>\n<p>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.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-19\">[19]<\/a><\/sup>\u00a0Compared to their healthy peers, children with chronic illness have about a twofold increase in psychiatric disorders.<sup id=\"cite_ref-20\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-20\">[20]<\/a><\/sup>\u00a0Higher parental depression and other family stressors predicted more problems among patients.<sup id=\"cite_ref-Daniels_295\u2013308_21-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Daniels_295%E2%80%93308-21\">[21]<\/a><\/sup>\u00a0In 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.<sup id=\"cite_ref-Daniels_295\u2013308_21-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Daniels_295%E2%80%93308-21\">[21]<\/a><\/sup><\/p>\n<h2><span id=\"Prevention\" class=\"mw-headline\">Prevention<\/span><\/h2>\n<p>A growing body of\u00a0<a title=\"Evidence-based medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Evidence-based_medicine\">evidence<\/a>\u00a0supports that\u00a0<a class=\"mw-redirect\" title=\"Preventive medicine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Preventive_medicine\">prevention<\/a>\u00a0is effective in reducing the effect of chronic conditions; in particular, early detection results in less severe outcomes. Clinical preventive services include\u00a0<a title=\"Screening (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)\">screening<\/a>\u00a0for the existence of the disease or\u00a0<a title=\"Genetic predisposition\" href=\"https:\/\/en.wikipedia.org\/wiki\/Genetic_predisposition\">predisposition<\/a>\u00a0to 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.<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-22\">[22]<\/a><\/sup><\/p>\n<p>Therefore,\u00a0<a title=\"Public health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health\">public health<\/a>\u00a0programs are important in\u00a0<a title=\"Health education\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_education\">educating<\/a>\u00a0the 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\u00a0<a title=\"Community health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Community_health\">community-based<\/a>\u00a0organizations.<sup id=\"cite_ref-pmid10158617_23-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid10158617-23\">[23]<\/a><\/sup><\/p>\n<p>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.<sup id=\"cite_ref-pmid21778174_24-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid21778174-24\">[24]<\/a><\/sup>\u00a0For example, results from different approaches in cancer prevention and screening depended highly on the type of cancer.<sup id=\"cite_ref-pmid19768842_25-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid19768842-25\">[25]<\/a><\/sup>\u00a0The rising number of patient with chronic diseases has renewed the interest in prevention and its potential role in helping control costs. In 2008, the\u00a0<a title=\"Trust for America's Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Trust_for_America%27s_Health\">Trust for America&#8217;s Health<\/a>\u00a0produced 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.<sup id=\"cite_ref-26\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-26\">[26]<\/a><\/sup><\/p>\n<p>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.<sup id=\"cite_ref-27\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-27\">[27]<\/a><\/sup>\u00a0Encouraging those with chronic conditions to continue with their outpatient (<a title=\"Ambulatory care\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ambulatory_care\">ambulatory<\/a>) medical care and attend scheduled medical appointments may help improve outcomes and reduce medical costs due to missed appointments.<sup id=\"cite_ref-:0_28-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-:0-28\">[28]<\/a><\/sup>\u00a0Finding 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.<sup id=\"cite_ref-:0_28-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-:0-28\">[28]<\/a><\/sup><\/p>\n<h2><span id=\"Nursing\" class=\"mw-headline\">Nursing<\/span><\/h2>\n<p>Nursing can play an important role in assisting patients with chronic diseases achieve longevity and experience wellness.<sup id=\"cite_ref-29\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-29\">[29]<\/a><\/sup>\u00a0Scholars point out that the current neoliberal era emphasizes self-care, in both affluent and low-income communities.<sup id=\"cite_ref-Wilkinson_2009_30-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Wilkinson_2009-30\">[30]<\/a><\/sup>\u00a0This 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.<sup id=\"cite_ref-Wilkinson_2009_30-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Wilkinson_2009-30\">[30]<\/a><\/sup><\/p>\n<p>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.<sup id=\"cite_ref-Mamo_2007_31-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Mamo_2007-31\">[31]<\/a><\/sup>\u00a0They led their health centers manned 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.<sup id=\"cite_ref-Mamo_2007_31-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Mamo_2007-31\">[31]<\/a><\/sup>\u00a0The program shows that community-based care and education, primarily driven by nurses and health officers, works.<sup id=\"cite_ref-Mamo_2007_31-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Mamo_2007-31\">[31]<\/a><\/sup>\u00a0It highlights the importance of nurses following up with individuals in the community, and allowing nurses flexibility in meeting their patients&#8217; needs and educating them for self-care in their homes.<\/p>\n<h2><span id=\"Epidemiology\" class=\"mw-headline\">Epidemiology<\/span><\/h2>\n<p>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\u00a0<a class=\"mw-redirect\" title=\"Antiretroviral\" href=\"https:\/\/en.wikipedia.org\/wiki\/Antiretroviral\">anti-retroviral<\/a>\u00a0therapies means that many patients will experience this infection as a chronic disease that for many will span several decades of their chronic life.<sup id=\"cite_ref-32\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-32\">[32]<\/a><\/sup><\/p>\n<p>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.<sup id=\"cite_ref-33\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-33\">[33]<\/a><\/sup>\u00a0Other 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.<sup id=\"cite_ref-Lowry_1996_34-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Lowry_1996-34\">[34]<\/a><\/sup><\/p>\n<p>The epidemiology of communicable chronic diseases such as AIDS is also different than 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.<sup id=\"cite_ref-35\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-35\">[35]<\/a><\/sup><\/p>\n<h3><span id=\"United_States\" class=\"mw-headline\">United States<\/span><\/h3>\n<p>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.<sup id=\"cite_ref-36\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-36\">[36]<\/a><\/sup><\/p>\n<p>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.<sup id=\"cite_ref-RobertWood_11-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-RobertWood-11\">[11]<\/a><\/sup>\u00a0The number is projected to increase by more than one percent per year by 2030, resulting in an estimated chronically ill population of 171 million.<sup id=\"cite_ref-RobertWood_11-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-RobertWood-11\">[11]<\/a><\/sup>\u00a0The most common chronic conditions are\u00a0<a title=\"Hypertension\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypertension\">high blood pressure<\/a>,\u00a0<a title=\"Arthritis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Arthritis\">arthritis<\/a>, respiratory diseases like\u00a0<a class=\"mw-redirect\" title=\"Emphysema\" href=\"https:\/\/en.wikipedia.org\/wiki\/Emphysema\">emphysema<\/a>, and\u00a0<a title=\"Hypercholesterolemia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypercholesterolemia\">high cholesterol<\/a>.<\/p>\n<p>Based on data from 2014\u00a0<a title=\"Medical Expenditure Panel Survey\" href=\"https:\/\/en.wikipedia.org\/wiki\/Medical_Expenditure_Panel_Survey\">Medical Expenditure Panel Survey<\/a>\u00a0(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.<sup id=\"cite_ref-37\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-37\">[37]<\/a><\/sup>\u00a0MEPS data from 1998 showed 45% of adult Americans had at least one chronic illness, and 21% had more than one.<sup id=\"cite_ref-38\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-38\">[38]<\/a><\/sup><\/p>\n<p>According to research by the\u00a0<a title=\"Centers for Disease Control and Prevention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Centers_for_Disease_Control_and_Prevention\">CDC<\/a>, chronic disease is also especially a concern in the elderly population 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.<sup id=\"cite_ref-cdc.gov_39-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup>\u00a0It 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.<sup id=\"cite_ref-cdc.gov_39-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup>\u00a0The 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.<sup id=\"cite_ref-40\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-40\">[40]<\/a><\/sup><\/p>\n<p>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&#8217;s disease.<sup id=\"cite_ref-cdc.gov_39-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup>\u00a0Though 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.<sup id=\"cite_ref-cdc.gov_39-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-cdc.gov-39\">[39]<\/a><\/sup><\/p>\n<p>Chronic illnesses cause about 70% of deaths in the US and in 2002 chronic conditions (heart disease, cancers, stroke, chronic respiratory diseases, diabetes, Alzheimer&#8217;s disease, mental illness and kidney diseases) were 6 of the top ten causes of mortality in the general US population.<sup id=\"cite_ref-41\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-41\">[41]<\/a><\/sup><\/p>\n<h2><span id=\"Economic_impact\" class=\"mw-headline\">Economic impact<\/span><\/h2>\n<table class=\"box-Globalize plainlinks metadata ambox ambox-content ambox-globalize\" role=\"presentation\">\n<tbody>\n<tr>\n<td class=\"mbox-image\">\n<div><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/b\/bd\/Ambox_globe_content.svg\/48px-Ambox_globe_content.svg.png\" alt=\"Globe icon.\" width=\"48\" height=\"40\" \/><\/div>\n<\/td>\n<td class=\"mbox-text\">\n<div class=\"mbox-text-span\">The examples and perspective in this section\u00a0<b>may not represent a\u00a0<a title=\"Wikipedia:WikiProject Countering systemic bias\" href=\"https:\/\/en.wikipedia.org\/wiki\/Wikipedia:WikiProject_Countering_systemic_bias\">worldwide view<\/a>\u00a0of the subject<\/b>.<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span id=\"United_States_2\" class=\"mw-headline\">United States<\/span><\/h3>\n<p>Chronic diseases are a major factor in the continuous growth of medical care spending.<sup id=\"cite_ref-pmid19240056_42-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid19240056-42\">[42]<\/a><\/sup>\u00a0In 2002, 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.<sup id=\"cite_ref-43\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-43\">[43]<\/a><\/sup>\u00a0Healthy People 2010 reported that more than 75% of the $2 trillion spent annually in US medical care are due to chronic conditions; spending are even higher in proportion for Medicare beneficiaries (aged 65 years and older).<sup id=\"cite_ref-Sondik_18-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Sondik-18\">[18]<\/a><\/sup>\u00a0Furthermore, in 2017 it was estimated that 90% of the $3.3 billion dollars spent on healthcare in the United States was due to the treatment of chronic diseases ad conditions.<sup id=\"cite_ref-44\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-44\">[44]<\/a><\/sup><sup id=\"cite_ref-45\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-45\">[45]<\/a><\/sup>\u00a0Spending 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 life spans of patients with chronic diseases but results in additional costs over long period of time. A striking success is the development of combined\u00a0<a class=\"mw-redirect\" title=\"Antiviral drugs\" href=\"https:\/\/en.wikipedia.org\/wiki\/Antiviral_drugs\">antiviral therapies<\/a>\u00a0that led to remarkable improvement in survival rates and quality of life of\u00a0<a title=\"HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\">HIV<\/a>-infected patients.<\/p>\n<p>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\u00a0<a title=\"Obesity in the United States\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity_in_the_United_States\">obesity<\/a>\u00a0in all segments of the US population.<sup id=\"cite_ref-Sondik_18-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Sondik-18\">[18]<\/a><\/sup>\u00a0<a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">Obesity<\/a>\u00a0itself 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.<sup id=\"cite_ref-46\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-46\">[46]<\/a><\/sup><\/p>\n<h2><span id=\"Social_and_personal_impact\" class=\"mw-headline\">Social and personal impact<\/span><\/h2>\n<p>There have been recent links between social factors and prevalence as well as outcome of chronic conditions.<\/p>\n<h3><span id=\"Mental_health\" class=\"mw-headline\">Mental health<\/span><\/h3>\n<p>Specifically, the connection between loneliness and health and chronic condition has recently been highlighted. Some studies have shown that loneliness has detrimental health effects similar to that of smoking and obesity.<sup id=\"cite_ref-47\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-47\">[47]<\/a><\/sup>\u00a0One 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.<sup id=\"cite_ref-48\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-48\">[48]<\/a><\/sup>\u00a0The 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.<sup id=\"cite_ref-Theeke_387\u2013396_49-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Theeke_387%E2%80%93396-49\">[49]<\/a><\/sup>\u00a0Some 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.<sup id=\"cite_ref-Theeke_387\u2013396_49-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-Theeke_387%E2%80%93396-49\">[49]<\/a><\/sup>\u00a0There 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 \u201cpatient&#8217;s personality, family, culture, and health dynamics.\u201d<sup id=\"cite_ref-50\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-50\">[50]<\/a><\/sup>\u00a0Physicians 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<sup id=\"cite_ref-51\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-51\">[51]<\/a><\/sup>\u00a0or psychological types of support for patients.<sup id=\"cite_ref-52\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-52\">[52]<\/a><\/sup><\/p>\n<p>The mental toll of chronic illness 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.<sup id=\"cite_ref-53\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-53\">[53]<\/a><\/sup>\u00a0The emotional influence of chronic illness also has an effect on the intellectual and educational development of the individual.<sup id=\"cite_ref-54\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-54\">[54]<\/a><\/sup>\u00a0For 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&#8217;s development and functioning.<sup id=\"cite_ref-55\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-55\">[55]<\/a><\/sup><\/p>\n<h3><span id=\"Financial_cost\" class=\"mw-headline\">Financial cost<\/span><\/h3>\n<p>People with chronic conditions pay more out-of-pocket; a study of the United States found that people spent $2,243 more on average.<sup id=\"cite_ref-56\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-56\">[56]<\/a><\/sup>\u00a0The financial burden can increase medication non-adherence.<sup id=\"cite_ref-57\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-57\">[57]<\/a><\/sup><\/p>\n<p>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.<sup id=\"cite_ref-58\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-58\">[58]<\/a><\/sup><\/p>\n<h3><span id=\"Gender\" class=\"mw-headline\">Gender<\/span><\/h3>\n<p>Gender influences how chronic disease is viewed and treated in society. Women&#8217;s chronic health issues are often considered to be most worthy of treatment, or most severe when the chronic condition interferes with a woman&#8217;s fertility. Historically, there is less of a focus on a woman&#8217;s chronic conditions when it interferes with other aspects of her life or well-being. Many women report feeling less than or even \u201chalf of a woman\u201d 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&#8217;s ability to perform various other activities in life and fully work toward their aspirations.<sup id=\"cite_ref-59\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-59\">[59]<\/a><\/sup><\/p>\n<h3><span id=\"Socioeconomic_class_and_race\" class=\"mw-headline\">Socioeconomic class and race<\/span><\/h3>\n<p>Race is also allegedly implicated 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.<sup id=\"cite_ref-60\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-60\">[60]<\/a><\/sup>\u00a0Some of this prevalence has been suggested to be in part from\u00a0<a title=\"Environmental racism\" href=\"https:\/\/en.wikipedia.org\/wiki\/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.<sup id=\"cite_ref-61\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-61\">[61]<\/a><\/sup>\u00a0There 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.<sup id=\"cite_ref-pmid12791488_62-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-pmid12791488-62\">[62]<\/a><\/sup><sup id=\"cite_ref-63\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-63\">[63]<\/a><\/sup><\/p>\n<h2><span id=\"Advocacy_and_research_organizations\" class=\"mw-headline\">Advocacy and research organizations<\/span><\/h2>\n<p>In Europe, the European Chronic Disease Alliance was formed in 2011, which represents over 100,000 healthcare workers.<sup id=\"cite_ref-64\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-64\">[64]<\/a><\/sup><\/p>\n<p>In the United States, there are a number of nonprofits focused on chronic conditions, including entities focused on specific diseases such as the\u00a0<a title=\"American Diabetes Association\" href=\"https:\/\/en.wikipedia.org\/wiki\/American_Diabetes_Association\">American Diabetes Association<\/a>,\u00a0<a title=\"Alzheimer's Association\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alzheimer%27s_Association\">Alzheimer&#8217;s Association<\/a>, or\u00a0<a title=\"Crohn's &amp; Colitis Foundation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Crohn%27s_%26_Colitis_Foundation\">Crohn&#8217;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,\u00a0<a class=\"external text\" href=\"https:\/\/www.fightchronicdisease.org\/\" rel=\"nofollow\">Partnership to FIght Chronic Disease<\/a>, the Chronic Disease Coalition which arose in Oregon in 2015,<sup id=\"cite_ref-65\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-65\">[65]<\/a><\/sup>\u00a0and the Chronic Policy Care Alliance.<sup id=\"cite_ref-66\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition#cite_note-66\">[66]<\/a><\/sup><\/p>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-306\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">Public domain content<\/div><ul class=\"citation-list\"><li>Chronic condition. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition\">https:\/\/en.wikipedia.org\/wiki\/Chronic_condition<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA: Attribution-ShareAlike<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":142337,"menu_order":1,"template":"","meta":{"_candela_citation":"[{\"type\":\"pd\",\"description\":\"Chronic condition\",\"author\":\"\",\"organization\":\"\",\"url\":\"https:\/\/en.wikipedia.org\/wiki\/Chronic_condition\",\"project\":\"\",\"license\":\"cc-by-sa\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-306","chapter","type-chapter","status-publish","hentry"],"part":103,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/306","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/users\/142337"}],"version-history":[{"count":3,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/306\/revisions"}],"predecessor-version":[{"id":316,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/306\/revisions\/316"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/parts\/103"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/306\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/media?parent=306"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapter-type?post=306"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/contributor?post=306"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/license?post=306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}