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Multimorbidity in adults from a southern Brazilian city: occurrence and patterns

Author

Listed:
  • Bruno Pereira Nunes

    (Federal University of Pelotas
    Federal University of Pelotas)

  • Fabio Alberto Camargo-Figuera

    (Federal University of Pelotas
    Universidad Industrial de Santander)

  • Marília Guttier

    (Federal University of Pelotas)

  • Paula Duarte Oliveira

    (Federal University of Pelotas)

  • Tiago N. Munhoz

    (Federal University of Pelotas)

  • Alicia Matijasevich

    (Federal University of Pelotas
    University of São Paulo)

  • Andréa Dâmaso Bertoldi

    (Federal University of Pelotas)

  • Fernando César Wehrmeister

    (Federal University of Pelotas)

  • Marysabel Pinto Telis Silveira

    (Federal University of Pelotas)

  • Elaine Thumé

    (Federal University of Pelotas)

  • Luiz Augusto Facchini

    (Federal University of Pelotas
    Federal University of Pelotas)

Abstract

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.

Suggested Citation

  • Bruno Pereira Nunes & Fabio Alberto Camargo-Figuera & Marília Guttier & Paula Duarte Oliveira & Tiago N. Munhoz & Alicia Matijasevich & Andréa Dâmaso Bertoldi & Fernando César Wehrmeister & Marysabel , 2016. "Multimorbidity in adults from a southern Brazilian city: occurrence and patterns," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1013-1020, December.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:9:d:10.1007_s00038-016-0819-7
    DOI: 10.1007/s00038-016-0819-7
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    References listed on IDEAS

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    1. M Mofizul Islam & Jose M Valderas & Laurann Yen & Paresh Dawda & Tanisha Jowsey & Ian S McRae, 2014. "Multimorbidity and Comorbidity of Chronic Diseases among the Senior Australians: Prevalence and Patterns," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-11, January.
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