Sociodemographic determinants of multimorbidity in Brazilian adults and older adults: a cross-sectional study

São Paulo Medical Journal

卷:140

关键词: Chronic disease;    Diagnosis-related groups;    Socioeconomic factors;    Cross-sectional studies;    Risk factors;    Health surveys;    Chronic illness;    Social determinants;    Epidemiology studies;   

DOI  :  10.1590/1516-3180.2021.0105.r1.31052021

来源: DOAJ

【 摘 要 】

ABSTRACTBACKGROUND: 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 AND SETTING: 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.

【 授权许可】

Unknown