Bruno Pereira Nunes1,2, Fabio Alberto Camargo-Figuera3,4, Marília Guttier3, Paula Duarte de Oliveira3, Tiago N Munhoz3, Alicia Matijasevich3,5, Andréa Dâmaso Bertoldi3, Fernando César Wehrmeister3, Marysabel Pinto Telis Silveira6, Elaine Thumé7, Luiz Augusto Facchini3,7. 1. Department of Nursing, Federal University of Pelotas, Pelotas, Brazil. nunesbp@gmail.com. 2. Department of Social Medicine, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil. nunesbp@gmail.com. 3. Department of Social Medicine, Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil. 4. School of Nursing, Universidad Industrial de Santander, Bucaramanga, Colombia. 5. Department of Preventive Medicine, Faculty of Medicine, University of São Paulo, São Paulo, Brazil. 6. Department of Physiology and Pharmacology, Institute of Biology, Federal University of Pelotas, Pelotas, Brazil. 7. Department of Nursing, Postgraduate Program in Nursing, Federal University of Pelotas, Pelotas, Brazil.
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.
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.
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