Sociodemographic determinants of multimorbidity in Brazilian adults and older adults: a cross-sectional study
São Paulo med. j
;
140(1): 115-122, Jan.-Feb. 2022. tab, graf
Article
in English
| LILACS
| ID: biblio-1357461
ABSTRACT
ABSTRACT BACKGROUND:
Multimorbidity due to non-communicable chronic diseases (NCDs) constitutes a significant challenge for healthcare systems. To attenuate its impacts, it is essential to identify the sociodemographic determinants of this condition, which can discriminate against population segments that are more exposed.OBJECTIVE:
To identify associations between multimorbidity conditions and sociodemographic indicators among Brazilian adults and older adults. DESIGN ANDSETTING:
Cross-sectional telephone-based survey in 26 Brazilian state capitals and the federal district.METHODS:
The Vigitel 2013 survey was used, with data collected via a questionnaire. The outcome was multimorbidity (2, 3 or 4 NCDs), and the exposures were sociodemographic indicators (age, sex, skin color, marital status and education). The analysis consisted of multinomial logistic regression (odds ratio), stratified by age.RESULTS:
Among adults, multimorbidity comprising two, three or four diseases was associated with advancing age (P < 0.001); two and three diseases, with having a partner (P = 0.004 and P < 0.001, respectively); and two, three or four diseases, with lower education (P < 0.001). Among older adults, two, three or four diseases were associated with female sex (P < 0.001); three diseases, with living with a partner (P = 0.018); two diseases, with black skin color (P = 0.016); and two or three diseases, with lower education (P < 0.001).CONCLUSIONS:
To control and prevent multimorbidity, strategies for individuals with existing chronic diseases, with partners and with lower education levels are needed. Particularly for adults, advancing age should be considered; and for older adults, being a woman and having black skin color.
Full text:
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Index:
LILACS (Americas)
Main subject:
Noncommunicable Diseases
/
Multimorbidity
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
2022
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Minas Gerais/BR
/
Universidade Federal de Santa Catarina/BR
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