Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/101357 https://doi.org/10.5114/fmpcr.2020.92506 |
Resumo: | Background. Multimorbidity (MM) is associated with decreased quality of life, mainly due to decreased functional capacity and increased use of health care. Objectives. Evaluate the prevalence of MM in older people of Central Portugal and understand the impact of MM on daily life activities (DLA) and how socio-economic level influences the prevalence of MM. Material and methods. Observational study of data on age, sex, number of ICPC2 codes and Barthel (Bt) and Graffar (Gr) Indexes in clinical records of individuals aged between 65 to 99 years enrolled in the Health Centres of the Central Region of Portugal. The Bt was used to assess the dependence on DLA, and the Gr the socio-economic level. Results. Population of 190,025, mean age of 80.16 ± 8.03 years. MM prevalence of 80%, out of which 52.9% were female, and the majority was aged between 76–85 years (39.1%). Average number of health problems: 8.7 problems for males and 9.5 for females. Bt and Gr Indexes we filled in 7.4% and 4.9% of the population. Older people without MM have higher dependency rates than those with MM (total dependence 7.4% vs 6.2% and severe dependence 20.1% vs 9.6%). MM in older people is mainly in the middle (55.3% vs 27.5%) and low (31.8% vs 19.6%) Graffar class, while the older people without MM are mainly in middle to upper (35.3%) and upper (17.6%) Graffar classes. Conclusions. Multimorbidity is mainly associated with lower social classes. The dependence for DLA appears unrelated to MM. Individuals with multimorbidity need special attention based on socio-economic contexts. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational studyagedmultimorbidityactivities of daily livingsociological factorsgeneral practiceBackground. Multimorbidity (MM) is associated with decreased quality of life, mainly due to decreased functional capacity and increased use of health care. Objectives. Evaluate the prevalence of MM in older people of Central Portugal and understand the impact of MM on daily life activities (DLA) and how socio-economic level influences the prevalence of MM. Material and methods. Observational study of data on age, sex, number of ICPC2 codes and Barthel (Bt) and Graffar (Gr) Indexes in clinical records of individuals aged between 65 to 99 years enrolled in the Health Centres of the Central Region of Portugal. The Bt was used to assess the dependence on DLA, and the Gr the socio-economic level. Results. Population of 190,025, mean age of 80.16 ± 8.03 years. MM prevalence of 80%, out of which 52.9% were female, and the majority was aged between 76–85 years (39.1%). Average number of health problems: 8.7 problems for males and 9.5 for females. Bt and Gr Indexes we filled in 7.4% and 4.9% of the population. Older people without MM have higher dependency rates than those with MM (total dependence 7.4% vs 6.2% and severe dependence 20.1% vs 9.6%). MM in older people is mainly in the middle (55.3% vs 27.5%) and low (31.8% vs 19.6%) Graffar class, while the older people without MM are mainly in middle to upper (35.3%) and upper (17.6%) Graffar classes. Conclusions. Multimorbidity is mainly associated with lower social classes. The dependence for DLA appears unrelated to MM. Individuals with multimorbidity need special attention based on socio-economic contexts.2020info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/101357http://hdl.handle.net/10316/101357https://doi.org/10.5114/fmpcr.2020.92506eng1734-3402Santiago, Luiz MiguelPrazeres, FilipeBoto, TâniaMaurício, KatiaRosendo, InêsSimões, Joséinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-08-24T20:39:48Zoai:estudogeral.uc.pt:10316/101357Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:18:34.048386Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study |
title |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study |
spellingShingle |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study Santiago, Luiz Miguel aged multimorbidity activities of daily living sociological factors general practice |
title_short |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study |
title_full |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study |
title_fullStr |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study |
title_full_unstemmed |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study |
title_sort |
Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study |
author |
Santiago, Luiz Miguel |
author_facet |
Santiago, Luiz Miguel Prazeres, Filipe Boto, Tânia Maurício, Katia Rosendo, Inês Simões, José |
author_role |
author |
author2 |
Prazeres, Filipe Boto, Tânia Maurício, Katia Rosendo, Inês Simões, José |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Santiago, Luiz Miguel Prazeres, Filipe Boto, Tânia Maurício, Katia Rosendo, Inês Simões, José |
dc.subject.por.fl_str_mv |
aged multimorbidity activities of daily living sociological factors general practice |
topic |
aged multimorbidity activities of daily living sociological factors general practice |
description |
Background. Multimorbidity (MM) is associated with decreased quality of life, mainly due to decreased functional capacity and increased use of health care. Objectives. Evaluate the prevalence of MM in older people of Central Portugal and understand the impact of MM on daily life activities (DLA) and how socio-economic level influences the prevalence of MM. Material and methods. Observational study of data on age, sex, number of ICPC2 codes and Barthel (Bt) and Graffar (Gr) Indexes in clinical records of individuals aged between 65 to 99 years enrolled in the Health Centres of the Central Region of Portugal. The Bt was used to assess the dependence on DLA, and the Gr the socio-economic level. Results. Population of 190,025, mean age of 80.16 ± 8.03 years. MM prevalence of 80%, out of which 52.9% were female, and the majority was aged between 76–85 years (39.1%). Average number of health problems: 8.7 problems for males and 9.5 for females. Bt and Gr Indexes we filled in 7.4% and 4.9% of the population. Older people without MM have higher dependency rates than those with MM (total dependence 7.4% vs 6.2% and severe dependence 20.1% vs 9.6%). MM in older people is mainly in the middle (55.3% vs 27.5%) and low (31.8% vs 19.6%) Graffar class, while the older people without MM are mainly in middle to upper (35.3%) and upper (17.6%) Graffar classes. Conclusions. Multimorbidity is mainly associated with lower social classes. The dependence for DLA appears unrelated to MM. Individuals with multimorbidity need special attention based on socio-economic contexts. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/101357 http://hdl.handle.net/10316/101357 https://doi.org/10.5114/fmpcr.2020.92506 |
url |
http://hdl.handle.net/10316/101357 https://doi.org/10.5114/fmpcr.2020.92506 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1734-3402 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799134080366804992 |