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- Title
Multimorbidity prevalence and patterns at the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
- Authors
Marques, Larissa Pruner; de Aguiar, Odaleia Barbosa; Paula, Daniela Polessa; Oliveira, Fernanda Esthefane Garrides; Chor, Dóra; Benseñor, Isabela; Ribeiro, Antonio Luiz; Brunoni, Andre R; A C Machado, Luciana; Fonseca, Maria de Jesus Mendes da; Griep, Rosane Härter
- Abstract
Background: To identify multimorbidity patterns, by sex, according to sociodemographic and lifestyle in ELSA-Brasil. Methods: Cross-sectional study with 14,516 participants from ELSA-Brasil (2008–2010). Fuzzy c-means was used to identify multimorbidity patterns of 2+ chronic morbidities, where the consequent morbidity had to occur in at least 5% of all cases. Association rule (O/E≥1.5) was used to identify co-occurrence of morbidities, in each cluster, by sociodemographic and lifestyle factors. Results: The prevalence of multimorbidity was higher in women (73.7%) compared to men (65.3%). Among women, cluster 1 was characterized by hypertension/diabetes (13.2%); cluster 2 had no overrepresented morbidity; and cluster 3 all participants had kidney disease. Among men, cluster 1 was characterized by cirrhosis/hepatitis/obesity; cluster 2, most combinations included kidney disease/migraine (6.6%); cluster 3, no pattern reached association ratio; cluster 4 predominated co-occurrence of hypertension/rheumatic fever, and hypertension/dyslipidemia; cluster 5 predominated diabetes and obesity, and combinations with hypertension (8.8%); and cluster 6 presented combinations of diabetes/hypertension/heart attack/angina/heart failure. Clusters were characterized by higher prevalence of adults, married and participants with university degrees. Conclusion: Hypertension/diabetes/obesity were highly co-occurred, in both sexes. Yet, for men, morbidities like cirrhosis/hepatitis were commonly clustered with obesity and diabetes; and kidney disease was commonly clustered with migraine and common mental disorders. The study advances in understanding multimorbidity patterns, benefiting simultaneously or gradually prevention of diseases and multidisciplinary care responses.
- Subjects
BRAZIL; LIFESTYLES; CROSS-sectional method; CHRONIC diseases; SEX distribution; PEARSON correlation (Statistics); RESEARCH funding; DESCRIPTIVE statistics; SOCIODEMOGRAPHIC factors; COMORBIDITY; LONGITUDINAL method
- Publication
Journal of Multimorbidity & Comorbidity, 2023, p1
- ISSN
2633-5565
- Publication type
Article
- DOI
10.1177/26335565231173845