TY - JOUR
T1 - Multimorbidity in adults from a southern Brazilian city
T2 - occurrence and patterns
AU - Nunes, Bruno Pereira
AU - Camargo-Figuera, Fabio Alberto
AU - Guttier, Marília
AU - de Oliveira, Paula Duarte
AU - Munhoz, Tiago N.
AU - Matijasevich, Alicia
AU - Bertoldi, Andréa Dâmaso
AU - Wehrmeister, Fernando César
AU - Silveira, Marysabel Pinto Telis
AU - Thumé, Elaine
AU - Facchini, Luiz Augusto
N1 - Publisher Copyright:
© 2016, Swiss School of Public Health (SSPH+).
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Objectives: The aim of this study was to evaluate occurrences and patterns of multimorbidity in adults from a southern Brazilian city. Methods: A population-based cross-sectional study was carried out in 2012 through face-to-face interviews with adults (20 or more years) living in Pelotas, southern Brazil. Multimorbidity was evaluated by a list of 11 morbidities (based on medical diagnosis; Patient Health Questionnaire 9 for depression; and Anatomical Therapeutic Chemical index) and operationalized according to two cutoff points: ≥2 and ≥3 morbidities. Descriptive analysis and factor analysis (FA) were performed. Results: The sample was made up of 2927 adults. Multimorbidity reached 29.1 % (95 % CI: 27.1; 31.1) for ≥2, and 14.3 % (95 % CI: 12.8; 15.8) for ≥3 morbidities and was greater in females, older people, those with less schooling and those from lower economic classes. Four pairs (frequency ≥5 %) and four triplets (frequency ≥2 %) were observed. Two patterns of morbidities (cardiometabolic and joint problems; and respiratory diseases) explained 93 % of total variance. Conclusions: Multimorbidity was common in the studied population. The observed patterns may be used to generate and improve Brazilian diseases guidelines.
AB - Objectives: The aim of this study was to evaluate occurrences and patterns of multimorbidity in adults from a southern Brazilian city. Methods: A population-based cross-sectional study was carried out in 2012 through face-to-face interviews with adults (20 or more years) living in Pelotas, southern Brazil. Multimorbidity was evaluated by a list of 11 morbidities (based on medical diagnosis; Patient Health Questionnaire 9 for depression; and Anatomical Therapeutic Chemical index) and operationalized according to two cutoff points: ≥2 and ≥3 morbidities. Descriptive analysis and factor analysis (FA) were performed. Results: The sample was made up of 2927 adults. Multimorbidity reached 29.1 % (95 % CI: 27.1; 31.1) for ≥2, and 14.3 % (95 % CI: 12.8; 15.8) for ≥3 morbidities and was greater in females, older people, those with less schooling and those from lower economic classes. Four pairs (frequency ≥5 %) and four triplets (frequency ≥2 %) were observed. Two patterns of morbidities (cardiometabolic and joint problems; and respiratory diseases) explained 93 % of total variance. Conclusions: Multimorbidity was common in the studied population. The observed patterns may be used to generate and improve Brazilian diseases guidelines.
KW - Brazil
KW - Chronic diseases
KW - Comorbidity
KW - Elderly
KW - Multimorbidity
KW - Statistical disease clustering
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U2 - 10.1007/s00038-016-0819-7
DO - 10.1007/s00038-016-0819-7
M3 - Article
C2 - 27105883
AN - SCOPUS:84964292776
SN - 1661-8556
VL - 61
SP - 1013
EP - 1020
JO - International Journal of Public Health
JF - International Journal of Public Health
IS - 9
ER -