Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women

Detalhes bibliográficos
Autor(a) principal: Franken,Débora Luiza
Data de Publicação: 2022
Outros Autores: Olinto,Maria Teresa Anselmo, Dias-da-Costa,Juvenal Soares, Bairros,Fernanda Souza de, Paniz,Vera Maria Vieira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista brasileira de epidemiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2022000100405
Resumo: ABSTRACT: Objective: This study aimed to identify the prevalence of multimorbidity and its associated factors in women in southern Brazil. Methods: We conducted a cross-sectional, population-based study with a sample of 1,128 women (age 20–69 years), living in São Leopoldo, southern Brazil. Multimorbidity was defined as two or more chronic conditions measured using the therapeutic and chemical anatomical classification of continuous use medications prescribed by a physician. Poisson regression model with robust variance was used to assess the association between sociodemographic and lifestyle variables and multimorbidity. Results: The prevalence of multimorbidity was 21.7% (95%CI 19.3–24.2), and 26 chronic conditions were identified. A direct linear association was observed with age and income and an inverse association with education. Being unemployed was a risk factor for multimorbidity (PR 1.95; 95%CI 1.51–2.52). Alcohol consumption (moderate or excessive) had a protective effect. Overweight and obese women were 53% (PR 1.53; 95%CI 1.09–2.15) and 76% (PR 1.76; 95%CI 1.27–2.45) more likely to have multimorbidity than eutrophic women. Conclusion: Over 20% of the adult women had multimorbidity, and its occurrence was strongly associated with socioeconomic characteristics, such as fewer years of schooling, higher income, and not having an occupation. The results regarding alcohol consumption are still insufficient to propose a public policy for the prevention of multimorbidity. Excess weight was an independent risk factor and should be addressed in public health policies for the prevention and management of multimorbidity.
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spelling Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in womenMultimorbidityMultiple chronic conditionsChronic diseaseRisk factorsWomenABSTRACT: Objective: This study aimed to identify the prevalence of multimorbidity and its associated factors in women in southern Brazil. Methods: We conducted a cross-sectional, population-based study with a sample of 1,128 women (age 20–69 years), living in São Leopoldo, southern Brazil. Multimorbidity was defined as two or more chronic conditions measured using the therapeutic and chemical anatomical classification of continuous use medications prescribed by a physician. Poisson regression model with robust variance was used to assess the association between sociodemographic and lifestyle variables and multimorbidity. Results: The prevalence of multimorbidity was 21.7% (95%CI 19.3–24.2), and 26 chronic conditions were identified. A direct linear association was observed with age and income and an inverse association with education. Being unemployed was a risk factor for multimorbidity (PR 1.95; 95%CI 1.51–2.52). Alcohol consumption (moderate or excessive) had a protective effect. Overweight and obese women were 53% (PR 1.53; 95%CI 1.09–2.15) and 76% (PR 1.76; 95%CI 1.27–2.45) more likely to have multimorbidity than eutrophic women. Conclusion: Over 20% of the adult women had multimorbidity, and its occurrence was strongly associated with socioeconomic characteristics, such as fewer years of schooling, higher income, and not having an occupation. The results regarding alcohol consumption are still insufficient to propose a public policy for the prevention of multimorbidity. Excess weight was an independent risk factor and should be addressed in public health policies for the prevention and management of multimorbidity.Associação Brasileira de Saúde Coletiva2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2022000100405Revista Brasileira de Epidemiologia v.25 2022reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1980-549720220007info:eu-repo/semantics/openAccessFranken,Débora LuizaOlinto,Maria Teresa AnselmoDias-da-Costa,Juvenal SoaresBairros,Fernanda Souza dePaniz,Vera Maria Vieiraeng2022-04-20T00:00:00Zoai:scielo:S1415-790X2022000100405Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2022-04-20T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false
dc.title.none.fl_str_mv Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
title Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
spellingShingle Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
Franken,Débora Luiza
Multimorbidity
Multiple chronic conditions
Chronic disease
Risk factors
Women
title_short Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
title_full Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
title_fullStr Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
title_full_unstemmed Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
title_sort Lifestyle, high Body Mass Index, and markers of socioeconomic conditions associated with multimorbidity in women
author Franken,Débora Luiza
author_facet Franken,Débora Luiza
Olinto,Maria Teresa Anselmo
Dias-da-Costa,Juvenal Soares
Bairros,Fernanda Souza de
Paniz,Vera Maria Vieira
author_role author
author2 Olinto,Maria Teresa Anselmo
Dias-da-Costa,Juvenal Soares
Bairros,Fernanda Souza de
Paniz,Vera Maria Vieira
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Franken,Débora Luiza
Olinto,Maria Teresa Anselmo
Dias-da-Costa,Juvenal Soares
Bairros,Fernanda Souza de
Paniz,Vera Maria Vieira
dc.subject.por.fl_str_mv Multimorbidity
Multiple chronic conditions
Chronic disease
Risk factors
Women
topic Multimorbidity
Multiple chronic conditions
Chronic disease
Risk factors
Women
description ABSTRACT: Objective: This study aimed to identify the prevalence of multimorbidity and its associated factors in women in southern Brazil. Methods: We conducted a cross-sectional, population-based study with a sample of 1,128 women (age 20–69 years), living in São Leopoldo, southern Brazil. Multimorbidity was defined as two or more chronic conditions measured using the therapeutic and chemical anatomical classification of continuous use medications prescribed by a physician. Poisson regression model with robust variance was used to assess the association between sociodemographic and lifestyle variables and multimorbidity. Results: The prevalence of multimorbidity was 21.7% (95%CI 19.3–24.2), and 26 chronic conditions were identified. A direct linear association was observed with age and income and an inverse association with education. Being unemployed was a risk factor for multimorbidity (PR 1.95; 95%CI 1.51–2.52). Alcohol consumption (moderate or excessive) had a protective effect. Overweight and obese women were 53% (PR 1.53; 95%CI 1.09–2.15) and 76% (PR 1.76; 95%CI 1.27–2.45) more likely to have multimorbidity than eutrophic women. Conclusion: Over 20% of the adult women had multimorbidity, and its occurrence was strongly associated with socioeconomic characteristics, such as fewer years of schooling, higher income, and not having an occupation. The results regarding alcohol consumption are still insufficient to propose a public policy for the prevention of multimorbidity. Excess weight was an independent risk factor and should be addressed in public health policies for the prevention and management of multimorbidity.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/1980-549720220007
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dc.publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
dc.source.none.fl_str_mv Revista Brasileira de Epidemiologia v.25 2022
reponame:Revista brasileira de epidemiologia (Online)
instname:Associação Brasileira de Saúde Coletiva (ABRASCO)
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reponame_str Revista brasileira de epidemiologia (Online)
collection Revista brasileira de epidemiologia (Online)
repository.name.fl_str_mv Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)
repository.mail.fl_str_mv ||revbrepi@usp.br
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