Multimorbidity: The Brazilian Longitudinal Study of Aging (ELSI-Brazil)
Multimorbidity: The Brazilian Longitudinal Study of Aging (ELSI-Brazil)
复制标题
DOI：
10.11606/s1518-8787.2018052000637
复制
发表时间：
2018-01-01
期刊：
影响因子：
--
通讯作者：
Facchini, Luiz Augusto
中科院分区：
文献类型：
--
作者：
Nunes, Bruno Pereira;Batista, Sandro Rogério Rodrigues;Facchini, Luiz Augusto
目的：为了评估的发生率和相关因素与多发性硬化症之间的巴西人年龄在50岁及以上。方法：这是一个横断面研究在一个国家为基础的队列的非制度化的人口在巴西。数据收集于2015年至2016年。从19种疾病的列表中评估多发病，这些疾病被分类为>= 2和>= 3种疾病。分析包括计算频率和最常见的10对疾病组合和三联体。粗略的和调整后的分析评估了人口统计学、社会经济学、行为和背景变量（居住区、地缘政治区域和家庭健康战略的覆盖范围）。在总共9，412名个体中，分别有67.8%（95% CI 65.6-69.9）和47.1%（95% CI 44.8-49.4）显示>= 2种和>= 3种疾病。在调整后的分析中，妇女，老年人和那些不饮酒的人增加了多摩尔。这与种族、居住地区、地缘政治区域和家庭健康战略的覆盖范围无关。10对（观察到的频率在11.6%和23.2%之间）和10个三联体（观察到的频率在4.9%和9.5%之间）最常见的疾病主要包括背部问题（15次）和全身性动脉高血压（11次）。所有的组合在统计学上高于预期的chance.CONCLUSIONS：即使在年轻人（50至59岁）中，多发性骨髓瘤的发生率也很高。50岁及50岁以上的人中，大约三分之二（>= 2种疾病）和二分之一（>= 3种疾病）患有多发性硬化症，这分别代表巴西的2 600万和1 800万人。我们观察到高频率的并发症。
OBJECTIVE: To evaluate the occurrence and factors associated with multimorbidity among Brazilians aged 50 years and over.METHODS: This is a cross-sectional study in a nation-based cohort of the non-institutionalized population in Brazil. Data were collected between 2015 and 2016. Multimorbidity was assessed from a list of 19 morbidities, which were categorized into >= 2 and >= 3 diseases. The analysis included the calculation of frequencies and the most frequent 10 pairs and triplets of combinations of diseases. The crude and adjusted analyses evaluated the demographic, socioeconomic, behavioral, and contextual variables (area of residence, geopolitical region, and coverage of the Family Health Strategy) using Poisson regression.RESULTS: From the total of 9,412 individuals, 67.8% (95% CI 65.6-69.9) and 47.1% (95% CI 44.8-49.4) showed >= 2 and >= 3 diseases, respectively. In the adjusted analysis, women, older persons, and those who did not consume alcohol had increased multimorbidity. There were no associations with race, area of residence, geopolitical region, and coverage of the Family Health Strategy. The 10 pairs (frequencies observed between 11.6% and 23.2%) and the 10 triplets (frequencies observed between 4.9% and 9.5%) of the most frequent diseases mostly included back problems (15 times) and systemic arterial hypertension (11 times). All combinations were statistically higher than expected by chance.CONCLUSIONS: The occurrence of multimorbidity was high even among younger individuals (50 to 59 years). Approximately two in three (>= 2 diseases) and one in two (>= 3 diseases) individuals aged 50 years and over presented multimorbidity, which represents 26 and 18 million persons in Brazil, respectively. We observed high frequencies of combinations of morbidities.