Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000300447 |
Resumo: | ABSTRACT BACKGROUND: Due to the coronavirus disease 2019 (COVID-19) pandemic, access to healthcare services may have become difficult, which may have led to an increase in chronic diseases and multimorbidity. OBJECTIVES: To assess the incidence of multimorbidity and its associated factors among adults living in the state of Rio Grande do Sul, Brazil. DESIGN AND SETTING: Cohort study conducted in Rio Grande do Sul, Brazil. METHODS: We included data from the two waves of the Prospective Study About Mental and Physical Health (PAMPA). Data were collected via online questionnaires between June and July 2020 (wave 1) and between December 2020 and January 2021 (wave 2). Multimorbidity was defined as the presence of two or more diagnosed medical conditions. RESULTS: In total, 516 individuals were included, among whom 27.1% (95% confidence interval, CI: 23.5-31.1) developed multimorbidity from wave 1 to 2. In adjusted regression models, female sex (hazard ratio, HR: 1.97; 95% CI: 1.19-3.24), middle-aged adults (31-59 years) (HR: 1.78; 95% CI: 1.18-2.70) and older adults (60 or over) (HR: 2.41; 95% CI: 1.25-4.61) showed higher risk of multimorbidity. Back pain (19.4%), high cholesterol (13.3%) and depression (12.2%) were the medical conditions with the highest proportions reported by the participants during wave 2. CONCLUSION: The incidence of multimorbidity during a six-month period during the COVID-19 pandemic was 27.1% in the state of Rio Grande do Sul, Brazil. |
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São Paulo medical journal (Online) |
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Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort studyMultimorbidityChronic diseaseRisk factorsPandemicsCOVID-19Incidence of multimorbidityChronic illnessCoronavirus disease 2019ABSTRACT BACKGROUND: Due to the coronavirus disease 2019 (COVID-19) pandemic, access to healthcare services may have become difficult, which may have led to an increase in chronic diseases and multimorbidity. OBJECTIVES: To assess the incidence of multimorbidity and its associated factors among adults living in the state of Rio Grande do Sul, Brazil. DESIGN AND SETTING: Cohort study conducted in Rio Grande do Sul, Brazil. METHODS: We included data from the two waves of the Prospective Study About Mental and Physical Health (PAMPA). Data were collected via online questionnaires between June and July 2020 (wave 1) and between December 2020 and January 2021 (wave 2). Multimorbidity was defined as the presence of two or more diagnosed medical conditions. RESULTS: In total, 516 individuals were included, among whom 27.1% (95% confidence interval, CI: 23.5-31.1) developed multimorbidity from wave 1 to 2. In adjusted regression models, female sex (hazard ratio, HR: 1.97; 95% CI: 1.19-3.24), middle-aged adults (31-59 years) (HR: 1.78; 95% CI: 1.18-2.70) and older adults (60 or over) (HR: 2.41; 95% CI: 1.25-4.61) showed higher risk of multimorbidity. Back pain (19.4%), high cholesterol (13.3%) and depression (12.2%) were the medical conditions with the highest proportions reported by the participants during wave 2. CONCLUSION: The incidence of multimorbidity during a six-month period during the COVID-19 pandemic was 27.1% in the state of Rio Grande do Sul, Brazil.Associação Paulista de Medicina - APM2022-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000300447Sao Paulo Medical Journal v.140 n.3 2022reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2021.0518.r1.15092021info:eu-repo/semantics/openAccessDelpino,Felipe MendesCaputo,Eduardo Luciada Silva,Marcelo CozzensaReichert,Felipe FossatiNunes,Bruno PereiraFeter,NatanLeite,Jayne SantosCassuriaga,JúliaHuckembeck,Caroline MalueAlt,RicardoRombaldi,Airton Joséeng2022-05-12T00:00:00Zoai:scielo:S1516-31802022000300447Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2022-05-12T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study |
title |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study |
spellingShingle |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study Delpino,Felipe Mendes Multimorbidity Chronic disease Risk factors Pandemics COVID-19 Incidence of multimorbidity Chronic illness Coronavirus disease 2019 |
title_short |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study |
title_full |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study |
title_fullStr |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study |
title_full_unstemmed |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study |
title_sort |
Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study |
author |
Delpino,Felipe Mendes |
author_facet |
Delpino,Felipe Mendes Caputo,Eduardo Lucia da Silva,Marcelo Cozzensa Reichert,Felipe Fossati Nunes,Bruno Pereira Feter,Natan Leite,Jayne Santos Cassuriaga,Júlia Huckembeck,Caroline Malue Alt,Ricardo Rombaldi,Airton José |
author_role |
author |
author2 |
Caputo,Eduardo Lucia da Silva,Marcelo Cozzensa Reichert,Felipe Fossati Nunes,Bruno Pereira Feter,Natan Leite,Jayne Santos Cassuriaga,Júlia Huckembeck,Caroline Malue Alt,Ricardo Rombaldi,Airton José |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Delpino,Felipe Mendes Caputo,Eduardo Lucia da Silva,Marcelo Cozzensa Reichert,Felipe Fossati Nunes,Bruno Pereira Feter,Natan Leite,Jayne Santos Cassuriaga,Júlia Huckembeck,Caroline Malue Alt,Ricardo Rombaldi,Airton José |
dc.subject.por.fl_str_mv |
Multimorbidity Chronic disease Risk factors Pandemics COVID-19 Incidence of multimorbidity Chronic illness Coronavirus disease 2019 |
topic |
Multimorbidity Chronic disease Risk factors Pandemics COVID-19 Incidence of multimorbidity Chronic illness Coronavirus disease 2019 |
description |
ABSTRACT BACKGROUND: Due to the coronavirus disease 2019 (COVID-19) pandemic, access to healthcare services may have become difficult, which may have led to an increase in chronic diseases and multimorbidity. OBJECTIVES: To assess the incidence of multimorbidity and its associated factors among adults living in the state of Rio Grande do Sul, Brazil. DESIGN AND SETTING: Cohort study conducted in Rio Grande do Sul, Brazil. METHODS: We included data from the two waves of the Prospective Study About Mental and Physical Health (PAMPA). Data were collected via online questionnaires between June and July 2020 (wave 1) and between December 2020 and January 2021 (wave 2). Multimorbidity was defined as the presence of two or more diagnosed medical conditions. RESULTS: In total, 516 individuals were included, among whom 27.1% (95% confidence interval, CI: 23.5-31.1) developed multimorbidity from wave 1 to 2. In adjusted regression models, female sex (hazard ratio, HR: 1.97; 95% CI: 1.19-3.24), middle-aged adults (31-59 years) (HR: 1.78; 95% CI: 1.18-2.70) and older adults (60 or over) (HR: 2.41; 95% CI: 1.25-4.61) showed higher risk of multimorbidity. Back pain (19.4%), high cholesterol (13.3%) and depression (12.2%) were the medical conditions with the highest proportions reported by the participants during wave 2. CONCLUSION: The incidence of multimorbidity during a six-month period during the COVID-19 pandemic was 27.1% in the state of Rio Grande do Sul, Brazil. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000300447 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000300447 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2021.0518.r1.15092021 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.140 n.3 2022 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
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1754209268642349056 |