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Multimorbidity Patterns and Their Association with Social Determinants, Mental and Physical Health during the COVID-19 Pandemic

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  • Jesús Carretero-Bravo

    (Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • Begoña Ramos-Fiol

    (Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • Esther Ortega-Martín

    (Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • Víctor Suárez-Lledó

    (Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • Alejandro Salazar

    (Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain)

  • Cristina O’Ferrall-González

    (Department of Nursing and Physiotherapy, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • María Dueñas

    (Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain)

  • Juan Luis Peralta-Sáez

    (Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain)

  • Juan Luis González-Caballero

    (Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain)

  • Juan Antonio Cordoba-Doña

    (Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
    Preventive Medicine Area, Hospital of Jerez, Ctra. Trebujena, s/n, 11407 Jerez de la Frontera, Spain)

  • Carolina Lagares-Franco

    (Department of Statistics and Operational Research, University of Cadiz, Polígono Río San Pedro, 11510 Puerto Real, Spain)

  • José Manuel Martínez-Nieto

    (Department of Nursing and Physiotherapy, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • José Almenara-Barrios

    (Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • Javier Álvarez-Gálvez

    (Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

Abstract

Background: The challenge posed by multimorbidity makes it necessary to look at new forms of prevention, a fact that has become heightened in the context of the pandemic. We designed a questionnaire to detect multimorbidity patterns in people over 50 and to associate these patterns with mental and physical health, COVID-19, and possible social inequalities. Methods: This was an observational study conducted through a telephone interview. The sample size was 1592 individuals with multimorbidity. We use Latent Class Analysis to detect patterns and SF-12 scale to measure mental and physical quality-of-life health. We introduced the two dimensions of health and other social determinants in a multinomial regression model. Results: We obtained a model with five patterns (entropy = 0.727): ‘Relative Healthy’, ‘Cardiometabolic’, ‘Musculoskeletal’, ‘Musculoskeletal and Mental’, and ‘Complex Multimorbidity’. We found some differences in mental and physical health among patterns and COVID-19 diagnoses, and some social determinants were significant in the multinomial regression. Conclusions: We identified that prevention requires the location of certain inequalities associated with the multimorbidity patterns and how physical and mental health have been affected not only by the patterns but also by COVID-19. These findings may be critical in future interventions by health services and governments.

Suggested Citation

  • Jesús Carretero-Bravo & Begoña Ramos-Fiol & Esther Ortega-Martín & Víctor Suárez-Lledó & Alejandro Salazar & Cristina O’Ferrall-González & María Dueñas & Juan Luis Peralta-Sáez & Juan Luis González-Ca, 2022. "Multimorbidity Patterns and Their Association with Social Determinants, Mental and Physical Health during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(24), pages 1-17, December.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16839-:d:1004093
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    References listed on IDEAS

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    1. Anelise Sonza & Danúbia da Cunha de Sá-Caputo & Alessandro Sartorio & Sofia Tamini & Adérito Seixas & Borja Sanudo & Jessica Süßenbach & Marcello Montillo Provenza & Vinicius Layter Xavier & Redha Tai, 2021. "COVID-19 Lockdown and the Behavior Change on Physical Exercise, Pain and Psychological Well-Being: An International Multicentric Study," IJERPH, MDPI, vol. 18(7), pages 1-20, April.
    2. Valentin Walker & Christine Perret-Guillaume & Emmanuelle Kesse-Guyot & Nelly Agrinier & Serge Hercberg & Pilar Galan & Karen E Assmann & Serge Briançon & Christine Rotonda, 2016. "Effect of Multimorbidity on Health-Related Quality of Life in Adults Aged 55 Years or Older: Results from the SU.VI.MAX 2 Cohort," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-15, December.
    3. Caroline A Jackson & Annette J Dobson & Leigh R Tooth & Gita D Mishra, 2016. "Lifestyle and Socioeconomic Determinants of Multimorbidity Patterns among Mid-Aged Women: A Longitudinal Study," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-16, June.
    4. Inge Kirchberger & Christa Meisinger & Margit Heier & Anja-Kerstin Zimmermann & Barbara Thorand & Christine S Autenrieth & Annette Peters & Karl-Heinz Ladwig & Angela Döring, 2012. "Patterns of Multimorbidity in the Aged Population. Results from the KORA-Age Study," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-7, January.
    5. Javier Alvarez-Galvez, 2018. "Multidimensionality of Health Inequalities: A Cross-Country Identification of Health Clusters through Multivariate Classification Techniques," IJERPH, MDPI, vol. 15(9), pages 1-12, September.
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    Cited by:

    1. Javier Alvarez-Galvez & Esther Ortega-Martin & Begoña Ramos-Fiol & Victor Suarez-Lledo & Jesus Carretero-Bravo, 2023. "Epidemiology, mortality, and health service use of local-level multimorbidity patterns in South Spain," Nature Communications, Nature, vol. 14(1), pages 1-16, December.

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