Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100258 |
Resumo: | ABSTRACT OBJECTIVE To estimate the prevalence of multimorbidity in older adults in São Paulo, Brazil. METHODS A cross-sectional study based on the 2015 ISA-Capital population-based survey, with a subsample of 1,019 older adults aged ≥ 60 years old. Multimorbidity was categorized considering two or more chronic diseases, based on a previously defined list. The data were analyzed in univariate and multiple models with Poisson regression. RESULTS The prevalence of multimorbidity was 40% (95%CI: 36.6–43.8), being higher in women (PR a = 1.95 [compared to men]; 95%CI: 1.58–2.40), in individuals aged ≥ 75 years old (PR a = 1.25 [compared to individuals aged ≥ 60 to 64 years old]; 95%CI: 1.01–1.60), in Black people (PR a = 1.28 [compared to White people]; 95%CI: 1.04–1.59), in high-income people (PR a = 1.27 [compared to low income]; 95%CI: 1.09–1.50) and in former smokers (PR a = 1.30 [compared to those who never smoked]; 95%CI: 1.05–1.60), and lower in smokers (PR a = 0.72 [compared to those who never smoked]; 95%CI: 1.09–1.50). CONCLUSION The prevalence of multimorbidity was lower than that reported in most of the reviewed studies, but consistently associated with gender, age, race/skin color, smoking habit and socioeconomic status. The standardization of conceptual and methodological criteria for estimation is a challenge to relieve problems in the planning and management of health care systems for older populations. |
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Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-CapitalAged. MultimorbidityPrevalenceRisk FactorsHealth SurveysABSTRACT OBJECTIVE To estimate the prevalence of multimorbidity in older adults in São Paulo, Brazil. METHODS A cross-sectional study based on the 2015 ISA-Capital population-based survey, with a subsample of 1,019 older adults aged ≥ 60 years old. Multimorbidity was categorized considering two or more chronic diseases, based on a previously defined list. The data were analyzed in univariate and multiple models with Poisson regression. RESULTS The prevalence of multimorbidity was 40% (95%CI: 36.6–43.8), being higher in women (PR a = 1.95 [compared to men]; 95%CI: 1.58–2.40), in individuals aged ≥ 75 years old (PR a = 1.25 [compared to individuals aged ≥ 60 to 64 years old]; 95%CI: 1.01–1.60), in Black people (PR a = 1.28 [compared to White people]; 95%CI: 1.04–1.59), in high-income people (PR a = 1.27 [compared to low income]; 95%CI: 1.09–1.50) and in former smokers (PR a = 1.30 [compared to those who never smoked]; 95%CI: 1.05–1.60), and lower in smokers (PR a = 0.72 [compared to those who never smoked]; 95%CI: 1.09–1.50). CONCLUSION The prevalence of multimorbidity was lower than that reported in most of the reviewed studies, but consistently associated with gender, age, race/skin color, smoking habit and socioeconomic status. The standardization of conceptual and methodological criteria for estimation is a challenge to relieve problems in the planning and management of health care systems for older populations.Faculdade de Saúde Pública da Universidade de São Paulo2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100258Revista de Saúde Pública v.56 2022reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2022056004252info:eu-repo/semantics/openAccessKeomma,KaioBousquat,AyleneCésar,Chester Luiz Galvãoeng2022-07-22T00:00:00Zoai:scielo:S0034-89102022000100258Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2022-07-22T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital |
title |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital |
spellingShingle |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital Keomma,Kaio Aged. Multimorbidity Prevalence Risk Factors Health Surveys |
title_short |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital |
title_full |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital |
title_fullStr |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital |
title_full_unstemmed |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital |
title_sort |
Prevalence of multimorbidity in older adults in São Paulo, Brazil: a study with ISA-Capital |
author |
Keomma,Kaio |
author_facet |
Keomma,Kaio Bousquat,Aylene César,Chester Luiz Galvão |
author_role |
author |
author2 |
Bousquat,Aylene César,Chester Luiz Galvão |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Keomma,Kaio Bousquat,Aylene César,Chester Luiz Galvão |
dc.subject.por.fl_str_mv |
Aged. Multimorbidity Prevalence Risk Factors Health Surveys |
topic |
Aged. Multimorbidity Prevalence Risk Factors Health Surveys |
description |
ABSTRACT OBJECTIVE To estimate the prevalence of multimorbidity in older adults in São Paulo, Brazil. METHODS A cross-sectional study based on the 2015 ISA-Capital population-based survey, with a subsample of 1,019 older adults aged ≥ 60 years old. Multimorbidity was categorized considering two or more chronic diseases, based on a previously defined list. The data were analyzed in univariate and multiple models with Poisson regression. RESULTS The prevalence of multimorbidity was 40% (95%CI: 36.6–43.8), being higher in women (PR a = 1.95 [compared to men]; 95%CI: 1.58–2.40), in individuals aged ≥ 75 years old (PR a = 1.25 [compared to individuals aged ≥ 60 to 64 years old]; 95%CI: 1.01–1.60), in Black people (PR a = 1.28 [compared to White people]; 95%CI: 1.04–1.59), in high-income people (PR a = 1.27 [compared to low income]; 95%CI: 1.09–1.50) and in former smokers (PR a = 1.30 [compared to those who never smoked]; 95%CI: 1.05–1.60), and lower in smokers (PR a = 0.72 [compared to those who never smoked]; 95%CI: 1.09–1.50). CONCLUSION The prevalence of multimorbidity was lower than that reported in most of the reviewed studies, but consistently associated with gender, age, race/skin color, smoking habit and socioeconomic status. The standardization of conceptual and methodological criteria for estimation is a challenge to relieve problems in the planning and management of health care systems for older populations. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
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=S0034-89102022000100258 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102022000100258 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2022056004252 |
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 |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.56 2022 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936506953695232 |