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Prevalence of multimorbidity in the Brazilian adult population according to socioeconomic and demographic characteristics

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  • Januse Nogueira de Carvalho
  • Ângelo Giuseppe Roncalli
  • Marianna de Camargo Cancela
  • Dyego Leandro Bezerra de Souza

Abstract

Knowledge on the occurrence of multimorbidity is important from the viewpoint of public policies, as this condition increases the consumption of medicines as well as the utilization and expenses of health services, affecting life quality of the population. The objective of this study was to estimate prevalence of self-reported multimorbidity in Brazilian adults (≥18 years old) according to socioeconomic and demographic characteristics. A descriptive study is presented herein, based on data from the National Health Survey, which was a household-based survey carried out in Brazil in 2013. Data on 60,202 adult participants over the age of 18 were included. Prevalences and its respective confidence intervals (95%) were estimated according to sex, age, education level, marital status, self-reported skin color, area of residence, occupation and federative units (states). Poisson regression models univariate and multivariate were used to evaluate the association between socioeconomic and demographic variables with multimorbidity. To observe the combinations of chronic conditions the most common groups in pairs, trios, quartets and quintets of chronic diseases were observed. The prevalence of multimorbidity was 23.6% and was higher among women, in individuals over 60 years of age, people with low educational levels, people living with partner, in urban areas and among unemployed persons. The states of the South and Southeast regions presented higher prevalence. The most common groups of chronic diseases were metabolic and musculoskeletal diseases. The results demonstrated high prevalence of multimorbidity in Brazil. The study also revealed that a considerable share of the economically active population presented two or more chronic diseases. Data of this research indicated that socioeconomic and demographic aspects must be considered during the planning of health services and development of prevention and treatment strategies for chronic diseases, and consequently, multimorbidity.

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  • Januse Nogueira de Carvalho & Ângelo Giuseppe Roncalli & Marianna de Camargo Cancela & Dyego Leandro Bezerra de Souza, 2017. "Prevalence of multimorbidity in the Brazilian adult population according to socioeconomic and demographic characteristics," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-13, April.
    • Handle: RePEc:plo:pone00:0174322
    DOI: 10.1371/journal.pone.0174322
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    References listed on IDEAS

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    1. 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.
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    1. Januse Nogueira de Carvalho & Marianna de Camargo Cancela & Dyego Leandro Bezerra de Souza, 2018. "Lifestyle factors and high body mass index are associated with different multimorbidity clusters in the Brazilian population," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-15, November.
    2. Maria Kyprianidou & Demosthenes Panagiotakos & Antigoni Faka & Maria Kambanaros & Konstantinos C Makris & Costas A Christophi, 2020. "Prevalence of multimorbidity in the Cypriot population; A cross-sectional study (2018–2019)," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-14, October.
    3. Jonas Eduardo Monteiro dos Santos & Sandra Patricia Crispim & Jack Murphy & Marianna de Camargo Cancela, 2021. "Health, lifestyle and sociodemographic characteristics are associated with Brazilian dietary patterns: Brazilian National Health Survey," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-19, February.

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