Multimorbidity daily life activities and socio-economic classification in the Central Portugal primary health care setting: an observational study

Detalhes bibliográficos
Autor(a) principal: Santiago, Luiz Miguel
Data de Publicação: 2020
Outros Autores: Prazeres, Filipe, Boto, Tânia, Maurício, Katia, Rosendo, Inês, Simões, José
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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spelling 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
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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
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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
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